EFTA00593209

2011 TAX RETURN Client Copy Client: DS12-002 Prepared for: ANDROCYTE LLC. AVENTURA, FL 33180 Prepared by: Steven M. Samuels Steven M. Samuels CPA, PA PARKLAND. FL 33067-4420 Date: August 30, 2012 Comments: Route to: FDIL2001L 05103111 EFTA00593209 prepared for: AVENTURA, FL 33180 PARKLAND, FL 33067-4420 EFTA00593210 Steven M. Samuels CPA, PA Client DS12-002 August 30, 2012 PARKLAND, FL 33067.4420 ANDROCYTE, LLC. IIIIMI AVENTURA, R_ " FEDERAL FORMS Form 1065 2011 U.S. Return of Partnership Income Schedule B-1 Information on Partners Owning 50% or More Schedule K-1 Partner's Share of Income, Deductions, Credits Form 7004 Automatic Extension of Time to File Form 8879-PE IRS e-file Signature Authorization FEE SUMMARY Preparation Fee EFTA00593211 2011 Federal Income Tax Summary Page 1 ANDROCYTE, LLC. 45-1804323 TRADE OR BUSINESS INCOME Total income (loss) 0 TRADE OR BUSINESS DEDUCTIONS Taxes and licenses 173 Other deductions 201,296 Total deductions 201,469 SCHEDULE K - INCOME Ordinary business income (loss) -201,469 Interest income 47 SCHEDULE K - OTHER Nondeductible expenses 2,447 Investment income 47 SCHEDULE L - BALANCE SHEET Beginning Assets 0 Beginning Liabilities and Capital 0 Ending Assets 80,002 Ending Liabilities and Capital 80,002 EFTA00593212 2011 Federal Balance Sheet Summary Page 1 ANDROCYTE, LLC. 45-1804323 ENDING ASSETS Cash 47,122 Intangible assets 32,660 Less accumulated amortization (0) 32,880 Total Assets 80,002 ENDING LIABILITIES & CAPITAL Loans from partners 23,871 Partners' capital accounts 56,131 Total Liabilities and Capital 80,002 EFTA00593213 2011 Florida Income Tax Summary Page 1 ANDROCYTE, LLC. 45-1804323 ADDITIONS TO FEDERAL INCOME Total additions 0 SUBTRACTIONS FROM FEDERAL INCOME Total subtractions 0 Sub-total 0 Partnership income adjustment 0 EFTA00593214 2011 General Information Page 1 ANDROCYTE, LLC. 45-1804323 Forms needed for this return Federal: 1065, Sch B-1, Sch K-1, 7004 Carryovers to 2012 None EFTA00593215 Form 8879-PE IRS e-file Signature Authorization for Form 1065 CS.10 N2. 1545.2042 For calendar year 2011, or tax year beginning . 2011. 2011 ending Department of die Treasury Internal Rerenue Service II, See instructions. Do not send to the IRS. Keep for your records. Name of partnership Employer identification number ANDROCYTE, LLC. 45-1804323 Part I Return Information (Whole dollars only) 1 Gross receipts or sales less returns and allowances form 1065, line 1e) 1 2 Gross profit form 1065, line 3). 2 3 Ordinary business income (loss) (Form 1065, line 22) 3 -201,469. 4 Net rental real estate income (loss) form 1065. Schedule K. line 2) 4 5 Other net rental income (loss) (Form 1065. Schedule K. line 3c) 5 Part II Declaration and Signature Authorization of General Partner or Limited Liability Company Member Manager (Be sure to get a copy of the partnership's return) Under penalties of perjury. I declare that I am a general partner or limited liability company member manager of the above partnership and that I have examined a copy of the partnership's 2011 electronic return of partnership income and accompanying schedules and statements and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts shown on the copy of the partnership's electronic return of partnership income. I consent to allow my electronic return originator (ERO), transmitter, or intermediate service provider to send the partnership's return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission and (b) the reason for any delay in processing the return. I have selected a personal identification number (PIN) as my signature for the partnership's electronic return of partnership income. General Partner or Limited Liability Company Member Manager's PIN: check one box only I authorize Steven M. Samuels CPA, PA to enter my PIN 4 91 2 7 as my signature on the ERO firm name do not enter all aeries partnership's 2011 electronically filed return of partnership income. As a general partner or limited liability company member manager of the partnership, I will enter my PIN as my signature on the partnership's 2011 electronically filed return of partnership income. General partner or limited liability company member manager's signature Title • Date I. Certification and Authentication ERO's EFINIPIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 602 4 31 2 2 2 2 2 do not enter all zeros I certify that the above numeric entry is my PIN. which is my signature on the 2011 electronically filed return of partnership income for the partnership indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub 3112. IRS e-file Application and Participation, and Pub 4163, Modernized e-File (MeF) Information for Authorized IRS e-tile Providers for Business Returns. ERO's signature • Steven M. Samuels Date ERO Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So BAA For Paperwork Reduction Act Notice, see instructions. Form 8879•PE (2011) PTPA0S0IL I '22:I EFTA00593216 Form 7004 Application for Automatic Extension of Time To File Certain OMB No. ISIS MO (Rev November 2011) Business Income Tax, Information, and Other Returns File a separate application for each return. Department or tie Treasury Internal Revenue Service • See separate instructions. Norm klentilying nuntber Print ANDROCYTE, LLC 45-1804323 Number. street, and room or suite number. (If P.O. box. see instructions.) or Type City. town. slate, and ZIP code (If a (wenn address. enter city. province or slate. and country (follow the country's bee for entering postal code)). AVENTURA, FL 33180 Note. File lathiest for extension by the due date of the return for which the extension is granted. see instructions before completing this Wit Part I Automatic 5-Month Extension la Enter the form code for the return that this application is for (see below) 09 Application Form Application Form Is For: Code Is For: Code Form 1065 09 Form 1041 (estate other than a bankruptcy estate) 04 Form 8804 a 31 Form 1041 (trust) 05 Part II I Automatic 6-Month Extension b Enter the form code for the return that this application is for (see below) Application Form Application Form Is For: Code Is For: Code Form 706-GS(D) 01 Form 1120•ND (section 4951 taxes) 20 Form 706.GS(T) 02 Form 1120•PC 21 Form 1041 (bankruptcy estate only) 03 Form 1120•POL 22 Form 1041•N 06 Form 1120•REIT 23 Form 1041 -OFT 07 Form 1120•RIC 24 Form 1042 08 Form 1120S 25 Form 10656 10 Form 1120.SF 26 Form 1066 11 Form 3520•A 27 Form 1120 12 Form 8612 28 Form 1120•C 34 Form 8613 29 Form 1120.F 15 Form 8725 30 Form 1120•FSC = 16 Form 8831 32 Form 1120-I-I 17 Form 8876 33 Form 1120•L 18 Form 8924 35 Form 1120.ND 19 Form 8928 36 2 If the organization is a foreign corporation that does not have an office or place of business in the United States. check here •• — 3 If the organization is a corporation and is the common parent of a group that intends to file a consolidated return, check here _ If checked, attach a schedule, listing the name, address, and Employer Identification Humber (EIN) for each member covered by this application. Part III All Filers Must Complete This Part 4 If the organization is a corporation or partnership that qualifies under Regulations section 1.6081.5, check here. 5a The application is for calendar year 20 11, or tax year beginning , 20 , and ending , 20 b Short tax year. If this tax year is less than 12 months, check the reason: Initial return U Final return 9 Change in accounting period 9 Consolidated return to be filed 6 Tentative total tax 6 0. 7 Total payments and credits (see instructions) 7 0. 8 Balance due. Subtract line 7 from line 6 (see instructions) 8 0. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Fo m 7004 (Rev 11.2011) CPC20701L C0))0'11 EFTA00593217 U.S. Return of Partnership Income OAS No. 1545.0099 For. 1065 For calendar year 2011, or tax year beginning , 2011, Department or tie Treasury Internal Revenue Service ending , 20 • See se ate Instructions. 2011 A Principal business actmly D Employer identification number RESEARCH ANDROCYTE LLC. 45-1804323 B Principal product or service Print E Date business started or type. BIOMARKERS 5/01/2011 C Business code nuttier F Total assets (see in 541700 80,002. G Check applicable boxes: (1) X Initial return (2) ElFinal return (3) Dame change (4) Address change (5) ❑ Amended return (6) Technical termination — also check (1) or (2) H Check accounting method: (1) X Cash (2) Accrual (3) Daher (specify)," I Number of Schedules K-1. Attach one or each person who was a partner at any time during the tax year 2 J Check if Schedules C and M-3 are attached at a ova vary crame ta auataaaa tiara ea atm emir rasa tar rostra ra u's ra mow. aura co a saw s...unto muraratwoo. I a Merchant card and third-party payments (including amounts reported on Form(s) 1099-K). For 2011, enter -0- 1a O. b Gross receipts or sales not reported on line la (see instructions) 1b e Total Add lines la and lb 1c d Returns and allowances plus any other adjustments to line la (see inst) 1d e Subtract line Id from line lc le 2 Cost of goods sold (attach Form 1125-A) 2 1 3 Gross profit. Subtract line 2 from line le 3 N C 4 Ordinary income (loss) from other partnerships, estates, and trusts 0 (attach statement) 4 M E 5 Net farm profit (loss) (attach Schedule F (Form 1040)) 5 6 Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) 6 7 Other income (loss) (attach statement) 7 8 Total Income (loss). Combine lines 3 through 7 8 9 Salaries and wages (other than to partners) (less employment credits) 9 s 10 Guaranteed payments to partners 10 E E 11 Repairs and maintenance 11 I 12 Bad debts 12 D Ns 13 Rent 13 E D Ry 14 Taxes and licenses 14 173. U s 15 Interest 15 C F T O 16a Depreciation (if required, attach Form 4562) 16al I R b Less depreciation reported on Form 1125•A and elsewhere on return 16b 16c N Li 17 Depletion (Do not deduct oil and gas depletion.) 17 S m 18 Retirement plans, etc 18 T A 19 Employee benefit programs 19 T 20 Other deductions o (attach statement) See_Statement.1 20 201,296. s 21 Total deductions. Add the amounts shown in the far ri ht column for lines 9 throw h 20 21 201, 469. 22 Ordinary business Income (loss). Subtract line 21 from line 8 22 -201, 469. Under penalties of pethay. I declare Dal I have examined this return. including accompanying!theories and statements. and to the est of nay knowledge and heber. it b true. correct. and complete. Declaration of preparer (other than gereral partner or breedliability company member manager) is based on all information of which preparer has any ImovAedge. Sign May the RS discuss this relish, Here with the preparer shown below li l. Signature of general partner or lotted liability company member manager III' Date (see instrs) N FIN. Yes Print/Type preparers ninth Preparers signature Date Check 12CJ if KIN Paid Steven M. Samuels Steven M. Samuels selfierrployed P00091086 Preparer nreSMarrle P. Steven M. Samuels CPA, PA FimesEIN • 65-1060270 Use Only Forf,,1=,-,..- PARKLAND, FL 33067-4420 Phone no. BAA For Paperwork Reduction Act Notice, see separate instructions. PTPAOIDSL 1D27/1I Form 1065 (2011) EFTA00593218 Form 1065 11 ANDROCYTE, LLC . 45-1804323 Page 2 Other Information 1 What type of entity is filing this return? Check the applicable box: Yes No a — Domestic general partnership b — Domestic limited partnership c X Domestic limited liability company d — Domestic limited liability partnership e Foreign partnership f Other ei.. 2 At any time during the tax year, was any partner 'n the partnership a disregarded entity, a partnership (including an entity treated as a partnership), a trust, an S corporation, an estate (other than an estate of a deceased partner), or a nominee or similar person'? X 3 At the end of the tax year: a Did any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, or tax•exempt organization, or any foreign government own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership? For rules of-constructive ownership, see instructions. If 'Yes,' attach Schedule B.1, Information on Partners Owning 50% or More of the Partnership X b Did any individual or estate own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership? For rules of constructive ownership, see instructions. If 'Yes,' attach Schedule B.1, Information on Partners Owning 50% or More of the Partnership X 4 At the end of the tax year, did the partnership: a Own directly 20% or more, or own, directly or indirectbc, 50% or more. of the total voting power of all classes of stock entitled to vote of any foreign or domestic corporation? For rules of constructive ownership, see instructions. If 'Yes,. complete (i) MI through (iv) below X (i) Name of Corporation (10 Employer (110 Country of (Iv) Percentage Identification Incorporation Owned in Number (if any) Voting Stock b Own directly an interest of 20% or more, or own, directly or ind'rectly, an interest of 50% or more in the profit, loss or capital ■ in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions. If 'Yes, complete (i) through (v) below X (I) Name of Entity 00 Employer (II) Type of (v) Country of (v) Maximum Identification Entity Organization Percentage Number (if any) Owned in Profit, Loss, or Capital P7PAD112L 1D727/II Form 1065 (2011) EFTA00593219 Form 1065 (2011) ANDROCYTE LLC. 45-1804323 Page 3 Ii i3 No 5 Did the partnership file Form 8893, Election of Partnership Level Tax Treatment, or an election statement under section 6231(a)(1)(B)00 for partnership-level tax treatment, that is in effect for this tax year? See Form 8893 for more details X 6 Does this partnership satisfy all four of the following conditions? a The partnerships total receipts for the tax year were less than $250,000. b The partnership's total assets at the end of the tax year were less than $1 million. c Schedules K-1 are filed with the return and furnished to the partners on or before the due date (including extensions) for the partnership return. d The partnership is not filing and is not required to file Schedule M-3 X If 'Yes,' the partnership is not required to complete Schedules L, M-1, and M-2; Item F on page I of Form 1065; or Item L on Schedule K-1. 7 Is this partnership a publicly traded partnership as defined in section 469(k)(2)' X 8 During the tax year, did the partnership have any debt that was cancelled, was forgiven, or had the terms modified so as to reduce the principal amount of the debt' X 9 Has this partnership filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide information on any reportable transaction' X 10 At any time during calendar year 2011, did the partnership have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? See the instructions for exceptions and filing requirements for Form ID F 90.22.1, Report of Foreign Bank and Financial Accounts. If 'Yes,' enter the name of the foreign country... X 11 At any time during the tax year, did the partnership receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If 'Yes,' the partnership may have to file Form 3520, Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts. See instructions X 12a Is the partnership making, or had it previously made (and not revoked), a section 754 election? X See instructions for details regarding section 754 election. b Did the partnership make for this tax year an optional basis adjustment under section 743(3) or 734(b)? If 'Yes,' attach a statement showing the computation and allocation of the basis adjustment. See instructions. X c Is the partnership required to adjust the basis of partnership assets under section 743(b) or 73403) because of a substantial ■ built-in loss (as defined under section 743(d)) or substantial basis reduction (as defined under section 734(d))? If 'Yes,' attach a statement showing the computation and allocation of the basis adjustment. See instructions X 13 Check this box if, during the current or prior tax year, the partnership distributed any property received in a like-kind exchange or contributed such property to another entity (other than disregarded entities wholly-owned by the ❑ partnership throughout the tax year) 14 At any time during the tax year, did the partnership distribute to any partner a tenancy-in-common or other undivided interest in a partnership property' X 15 If the partnership is required to file Form 8858, Information Return of U.S. Persons With Respect To Foreign Disregarded Entities, enter the number of Forms 8858 attached. See instructions ii- 16 Does the partnership have any foreign partners? If 'Yes,' enter the number of Forms 8805, Foreign Partners Information Statement of Section 1446 Withholding Tax, filed for this partnership. „. X —.I 17 Enter the number of Forms 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships, attached to this return . 18a Did you make any payments in 2011 that would require you to file Form(s) 1099? See instructions X b If 'Yes,' did you or will you file all required Form(s) 1099? X 19 Enter the number of Form(s) 5471, Information Return of U.S. Persons With Respect To Certain Foreign Corporations, attached to this return IS. Designation of Tax Matters Partner (see the instructions) Enter below the general partner designated as the tax matters partner (TMP) for the tax year of this return: Name of Identifying designated IMP ANDROCYTE MANAGEMENT, LLC number of TIIP 45-2038037 if the TI/P is an entity. name of Phone number 17.1P representative JAMES CLEMENT of TMP Address of designated TMP AVENTURA, FL 33180 Form 1065 (2011) PTPADII2L 1D/27f11 EFTA00593220 Form 1065 (2O11) ANDROCYTE, LLC. 45-1804323 Page 4 Schedule K Partners' Distributive Share Items Total amount 1 Ordinary business income (loss) (page 1, line 22) 1 -201,469. 2 Net rental real estate income (loss) (attach Form 8825) 2 3a Other gross rental income (loss) 3a b Expenses from other rental activities (attach stint) 3bl e Other net rental income (loss). Subtract line 3b from line 3a 3c 4 Guaranteed payments 4 5 Interest income 5 47. Income 6 Dividends: a Ordinary dividends 6a (Loss) b Qualified dividends I 6b I ii 7 Royalties 7 8 Net short-term capital gain (loss) (attach Schedule D (Form 1O65)) 8 9a Net long-term capital gain (loss) (attach Schedule D (Form 1O65)) 9a b Collectibles (28%) gain (loss) e Unrecaptured section 1250 gain (attach statement) I Sc I 10 Net section 1231 gain (loss) (attach Form 4797) 10 11 Other income (loss) (see instructions) Type l• 11 12 Section 179 deduction (attach Form 4562) 12 Dedue- 13a Contributions 13a tions b Investment interest expense. 13b e Section 59(eX2) expenditures: (1) Type 1.- (4 Amount 1" 13e (2) d Other deductions (see instructions) Type I. 13d Self- 14a Net earnings (loss) from self-employment 14a EmPlot b Gross farming or fishing income 14b ment e Gross nonfarm income 14e 15a Low-income housing credit (section 42()(5)) 15a b Low-income housing credit (other) 15b e Qualified rehabilitation expenditures (rental real estate) (attach Form 3468) 15e Credits d Other rental real estate credits (see instructions) Type • 15d e Other rental credits (see instructions) Type • 15e f Other credits (see instructions) Type • 15f 16a Name of country or U.S. possession.. b• . r b Gross income from all sources 16b e Gross income sourced at partner level 16e Foreign gross income sourced at partnership level d Passive category • e General category • f Other 0' 16f Foreign - - Trans- Deductions allocated and apportioned at partner level a actions g Interest expense .. h Other 0' 16h Deductions allocated and apportioned at partnership level to foreign source income M I Passive category • j General category 8. _ _ _ _ _ _ kOther 0' 16k I Total foreign taxes (check one): IN- Paid ❑ Accrued Er 161 mReduction in taxes available for credit (attach statement) 16m n Other foreign tax information (attach statement) AM IME 17a Post-1986 depreciation adjustment 17a Alternative b Adjusted gain or loss 17b Minimum e Depletion (other than oil and gas) 17e Tax ( d Oil, gas, and geothermal properties — gross income 17d Rems AC) e Oil, gas, and geothermal properties — deductions 17e f Other AIAT items (attach stmt) 17f 18a Tax-exempt interest income 18a b Other tax-exempt income 18b Other Infor- e Nondeductible expenses 18e 2,447. matron 19a Distributions of cash and marketable securities 19a b Distributions of other property 19b 2Oa Investment income 2Oa 47. b Investment expenses 2Ob e Other items and amounts (attach stmt) BAA Form 1065 (2011) PTPA01341 OST/6/11 EFTA00593221 Form 1065 (2011) ANDROCYTE, LLC . 45-1804323 Page 5 Analysis of Net Income Loss 1 Net income (loss). Combine Schedule K, lines 1 through II. From the resu t, subtract the sum of Schedule K, lines 12 through 13d, and 161 1 -201,422. 2 Analysis by (0 Corporate (II) Individual 010 Individual (Iv) Partnership (v) Exempt (vi) Nominee/Other partner type (active) (passive) organization a General pariners... . b ltrntled —201,422. path,,,. . . Schedule L Balance Sheets per Books Beginning of tax year End of ax year Assets (a) (b) (e) (d) 1 Cash. 47,122. 2a Trade notes and accounts receivable b Less allowance for bad debts 3 Inventories 4 U.S. government obligations 5 Tax•exempt securities 6 Other current assets (attach stmt) 7a Loans to partners (or persons related to partner* b Mortgage and real estate loans 8 Other investments (attach stmt) 9a Buildings and other depreciable assets b Less accumulated depreciation 10a Depletable assets b Less accumulated depletion 11 Land (net of any amortization) 12a Intangible assets (amortizable only) 32,880. b Less accumulated amortization 32,880. 13 Other assets (attach stmt) llf IP 14 Total assets 80,002. Liabilities and Capital 15 Accounts payable 16 Mortgages, notes, bonds payable in less than I year.. . 17 Other current liabilities (attach stmt) 18 All nonrecourse loans 19a Loans from partners (or persons related to partners) 23,871. b Mortgages, notes, bonds payable in I year or more 20 Other liabilities (attach stmt) 21 Partners' capital accounts 56,131. 22 Total liabilities and capital 80,002. Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return Note. Schedule M-3 may be required instead of Schedule M-1 (see instructions). 1 Net income (loss) per books -203,869. 6 Income recorded on books this year not 2 Income included on Schedule K, lines 1, included on Schedule K, lines 1 through 2, 3c, 5, 6a, 7, 8, 9a, ICI, and 11, not 11 (itemize): recorded on books this year (itemize): a Tax-exempt interest . . $ 7 Deductions included on Schedule K, lines 1 through 3 Guaranteed pmts (other than health insurance) 13d, and 161, not charged against book income this 4 Expenses recorded on books this_year not included year (itemize): on Schedule K, lines I throu0 lad and 161 (itemize): a Depreciation a Depreciation b Travel and entertainment 2 447. 8 Add lines 6 and 7 2,447. 9 Income (loss) (Analysis of Net Income (Loss), line 1). 5 Add lines 1 through 4 -201,422. Subtract line 8 from line 5. -201,422. Schedule M-2 Analysis of Partners' Capital Accounts 1 Balance at beginning of year 0. 6 Distributions: a Cash 2 Capital contributed: a Cash 260,000. b Property b Property 7 Other decreases (itemize): 3 Net income (loss) per books -203,869. 4 Other increases (itemize): 8 Add lines 6 and 7 5 Add lines 1 through 4 56,131. 9 Balance at end of year. Subtract line 8 from line 5.... 56,131. PTPA01341 OWD5tIl Form 1065 (2011) EFTA00593222 SCHEDULE B-1 Information on Partners Owning 50% or (Form 1065) (December 2011) More of the Partnership O/43 No. 15454099 Department of the Treasury Internal Revenue Service • Attach to Form 1065. See Instructions. Weriedpwlmr00 Employer identification number (EIN) ANDROCYTE, LLC. 45-1804323 Part I Entities Owning 50% or More of the Partnership (Form 1065, Schedule B, Question 3a) Complete columns () through (v) below for any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, tax•exempt organization, or any foreign government that owns, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership (see instructions). 0 Name d Edify w.ma,2.acm. Cu.) Type M Entity Country of‘anizabon (v)Maximum Percentage Of any) th thobt.Wmor cams ANDROCYTE MANAGEMENT, LLC 45-2038037 Partnership U.S. 84.310 ANDROCYTE MANAGEMENT, LLC 45-2038037 Ptrship. U.S. 84.310 ZASIS, LLC 20-4637772 Ptrship. U.S. 100.000 Pan II Individuals or Estates Owning 50% or More of the Partnership (Form 1065 Schedule B, Question 3b) Complete columns (i) through (iv) below for any individual or estate that owns, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership (see instructions). 0)NameoumWWwfl.Milak Wele04004.mber 600mstryolOtizmA04ftinstwdion0 thgfitiOmwn ( ranY) Percentage tinned in Profit. Loss. or Cool& BAA For Paperwork Reduction Act Notice. see the instructions fo Form 1065. Schedule B•1 (Form 1065) (12.2011) FMAUML 0627/11 EFTA00593223 651111 Final K-I Amended K-I OMB No. ISIS 0099 Schedule K-1 LU I I Part III Partner's Share of Current Year Income, (Form 1065) For calendar year 2011. cc Lax Deductions Credits and Other Items 0eparknent of the Treaswy year begrining .2011 1 Ordinary business income (loss) 15 Credits Internal Revenue Service ending 2 Net rental real estate income (loss) Partner's Share of Income, Deductions, Credits, etc. • See separate instructions. 3 Other net rental income (loss) 16 Foreign transactions Part I Information About the Partnership 4 Guaranteed payments A Partnership's employer identification number 45-1804323 5 Interest income B Partnership's name, address, city, state, and ZIP code 40. 6a Ordinary dividends ANDR0CYTE LLC. 6b Qualified dividends C IRS Center where partnership filed return 7 Royalties e-f ile Check if this is a publicly traded partnership (PTP) 8 Net shod-term capital gain (loss) Part II Information About the Partner 9a Net long-term capital gain (loss) 17 Alternative minimum tax (AMT) items E Partner's identifying number 9b Collectibles (28%) gain (loss) 45-2038037 F Partners name, address, city, state, and ZIP code 9e Unrecaptured section 1250 gain ANDR0CYTE MANAGEMENT LLC 10 Net section 1231 gain (loss) 18 Tax-exempt income and nondeductible expenses , 11 Other income (loss) C 2,063. G X General partner or LLC Limited partner or other member-manager LLC member H X Domestic partner ❑Foreign partner I What type of entity is this partner? Partnership 19 Distributions J Partner's share of profit, loss, and capital (see instructions): 12 Section 179 deduction Beginning Ending Profit % 84 .31 % 13 Other deductions Loss % % 20 Other information Capital 84.31 % A 40. K Partner's share of liabilities at year end: Nonrecourse $ Qualified nonrecourse financing $ 14 Self-employment earnings (loss) Recourse $ L Partner's capital account analysis: Beginning capital account $ 0• *See attached statement for additional information. Capital contributed during the year $ Current year increase (decrease) $ -2,023. o R Withdrawals and distributions $ Ending capital account $ -2,023. R S X Tax basis ❑ GAAP Section 704(b) book u Other (explain) s E M Did the partner contribute property with a built-in gain or loss? o N Yes X No L If 'Yes'. attach statement (see instructions) Y BAA For Papenvork Reduction Act Notice, see Instructions for For, 11065. Schedule K•1 (Form 1065) 2011 Partner 1 PIPA0312L 02118111 EFTA00593224 Schedule K-1 (Form 1065) 2011 ANDROCYTE, LLC. 45-1804323 Page 2 This list identifies the codes used on Schedule K-I for allpartners and provides summarized reporting information for partners who file Form IOW. For detailed reporting and filing information, see the separate Partner's Instructions for Schedule K-I and the instructions for your income tax return. 1 Ordinary business income (loss). Determine whether the income (loss) is passive Code Report on or nonpassrve and enter as your return as knows. Report on J Work opportunity credit Passive loss See the Partner's Instructions K Disabled access credit Passive income Schedule E. line 28. column (g) L Empowerment tee and renewal community employment credit See the Partners Nonpassive loss Schedule E. line 28. column (h) lnsbuctions M Credit for increasing research activities Nonpassive income Schedule E. line 28. column (0 2 Net rental real estate income (loss) See the Partner's Instructions N Credit for employer social security and Medicare taxes 3 Other net rental income (loss) O Backup withholdng Form 1040. line 62 Net income Schedule E. line 28. column (g) P Other credits See the Partner's Instructions Nel loss See the Partner's Instructions 16 Foreign transactions 4 Guaranteed payments Schedule E. line 28. column () A Name of canny or U.S. possession 5 Interest income Form 1040. the 8a B Cross income from as sources Form 1116. Peet I 6a Ordinary dividends Form 1040. the 9a C Cross income wined al partner level 6 b Qualified dividends Form 1040. the 9b Foreign gross income sourced at partnership level 7 Royalties Schedule E. lire 3b D Passive category 8 Net 'hareem capital gain (loss) Schedule D. line 5 E General category Form 1116. Part I 9a Net longterm capital gain (loss) Schedule D. line 12 F other 9 b Collectibles (28%) gain (loss) 28% Rate Gain Worksheet. line Deductions allocated and apportioned at partner level 4 (Schedule D It-Much:nu) 9C Unrecaptured section 1250 gain See the Partnor's Instructions G Interest expense Form 1116. Part I 10 Net section 1231 gain (loss) See the Parther's Instructions H Other Form 1116. Part I Deductions allocated and apportioned at partnership level to 11 Other income(oss) foreign source income Code I Passive category A Other portfolio income (loss) See the Partners Instructions J General category Form 1116. Part I B Invokritary conversions See the Partners Instructions K other C Section 136 contracts and straddles Form 6781. Ire 1 Other information D Miring expeoratien costs recapture See Pit 535 L Total foreign taxes paid F rte 1116. Part II E Cancellation of debt Fern 1040, die 21 or Form 982 M Total foreign taxes accrued Form 1116. Part II F Other ncome (loss) See the Partner's Instructions N Reduction in taxes avertible for credit Form 1116. line 12 12 Section 179 deduction See the Partner's Instructions O Foreign trading gross receipts F rm 8873 13 Other deductions P Extraterritorial Moyne exclusion F rm 8873 A Cush contributions (50%) Q Other foreign transactions See the Partner's Instructions B Cash contributions (30%) 17 Alternative minimum tax (AMC Items C Noncash Cana/MSS (50%) A Post.1986 depreciation adjuStrnent 1 — See the Partners D Noncash contributions (30%) Instructions B Adjusted gain or loss E Capital gain property to a 50% See the Partner's C Depletion (other than en & gm) Instructor:gm and organization (30%) F Capital gain property (20%) D Oil. gas. & geothermal — gross income the Instructions for G Centrioutices (100%) E Oil. gm. & geothermal — deductions Form 6251 H Investment Merest expense Form 4952. the 1 F Other MIT items 18 Tax-exempt income and nondeductible expenses I Deductions — regally insane Schedule E. lire 19 A Tax exerrpt interest name Form 1040. line 8b J Section 59(e)(2) expenditures See the Partner's Instructions B Other tax exempt income See the Partner's Instructions K Deductions — pert:to (2% floor) Schedule A. lire 23 C Nondeductible expenses See the Partner's Instructions L Deductions — pert:to (other) Schedule A. lire 28 19 Distributions M Amounts paid for medical Schedule A. lire 1 or A Cash and marketable securities ingrance N Educations assistance benefits 0 Dependent care benefits P Preproducbve period expenses Form 1040. the 29 See the Partner's Instructions Form 2441. the 12 See the Partner's Instructions 20 B Destribution sudect to seders 737 C Other property Other information A Investment incense } See the Partners Instructions Form 4952. line 4a Q Cr:article, revitalization deduction from rental real estate activities See Form 8582 Instructions B Investment expenses Form 4952. line 5 R Pensions and RAs See the Partner's Instructions C Fuel tax credit nformatim Form 4136 S Reliant/then expense deduction See the Partner's Instructions D Qualified rehabildatien expenditures (other than rental real estate) See the Partners Instructions T Domestic pro -Sieben activities information See Form 8903 Instructions E Basis of energy property See the Partner's Instructions LI Gnashed production activities income Form 8903. site 7b F Recapture of lurginceene housing credit (section V Employers Form *2 wages Form 8903. the 17 420(5)) Form 8611. line 8 W Other deductions See the Partner's Instructions G Recapture of lurginceene housing credit (other) Form 8611. line 8 14 Sell-employment earnings (loss) H Recapture of investment credit Form 4255 Note. If yen haven section )79 deduction or any partnerless, *duelist's. see Ole 1 Recapture of other credits See the Partners Instructions Partner Y Inseuetions before comp'efing &heals% SE. j Lookteck interest — completed A Net earnings Noss) from selberrployment Schedule SE. Section A or B longterm contracts See Form 8697 B Gres farming or fishing income See the Partner's Instructions K LOOkibaCk interest — income C Gross nonfarm income See the Partner's Instructions forecast method See Form 8866 15 Credits L Depositions of properly with seeker 179 de bom A Lowenccene housing credit (section 420(5)) M Recapture of section 179 deduction freer, pre.2008 buildings B Lorin:cos housing credit (other) from N Interest expense for corporate partners pre.2008 buildings O Section 453(0(3) information C Lorin:cos housing credit (section 420)(5)) P Section 653A(c) information from posb2007 buildings See the Partners Q Sadism 1260(b) information D Lowenceme housing credit (other) from _ Instructions See the Partners posb2007 thildings R Interest allocable to production expenditures Instructions E Quashed rehabilitation expenditures (rental S CCF nongualified withdrawals real estate) T Depletion ritionviatiCel oil and gas F Other rental real estate credits U Amortization of reforestation costs G Other rental credits ✓ Unrelated business taxable income H Undiseleuted capital gains credit Form 10$0. Ire 71: check box a W Precontribution gain (loss) I Attend and cellulosic berfuel fuels credit See the Partner's Instructions X Section 108(0 nformatien Y Other information Partner 1: ANDROCYTE MANAGEMENT, LLC 45-2038037 PTPA03121. 08/18/11 Schedule K1 (Form 1065) 2011 EFTA00593225 651111 Final K-I Amended K-I OMB No. ISIS 0099 Schedule K-1 LU I I Part III Partner's Share of Current Year Income, (Form 1065) For calendar year 2011. cc Lax Deductions Credits and Other Items Oeparknent of the Treaswy year begrining .2011 1 Ordinary business income (loss) 15 Credits Internal Revenue Service ending —201,469. 2 Net rental real estate income (loss) Partner's Share of Income, Deductions, Credits, etc. • See separate instructions. 3 Other net rental income 0055) 16 Foreign transactions Part I Information About the Partnership 4 Guaranteed payments A Partnership's employer identification number 45-1804323 5 Interest income B Partnership's name, address, city, state, and ZIP code 7. 6a Ordinary dividends ANDR0CYTE LLC. 6b Qualified dividends C IRS Center where partnership filed return 7 Royalties e-file D Check if this is a publicly traded partnership (PTP) 8 Net shod-term capital gain (loss) Part II Information About the Partner 9a Net long-term capital gain (loss) 17 Alternative minimum tax (AMT) items E Partner's identifying number 9b Collectibles (28%) gain (loss) 20-4637772 F Partners name, address, city, state, and ZIP code 9e Unrecaptured section 1250 gain ZASIS LLC 10 Net section 1231 gain (loss) 18 Tax-exempt income and nondeductible expenses " 1111/1/11 11 Other income (loss) C 384. G General partner or LLC X Limited partner or other member-manager LLC member H X Domestic partner ❑Foreign partner I What type of entity is this partner? Partnership 19 Distributions J Partners share of profit, loss, and capital (see instructions): 12 Section 179 deduction Beginning Ending Profit % 15.69 % 13 Other deductions Loss % 100 % 20 Other information Capital 15.69 % A 7. K Partners share of liabilities at year end: Nonrecourse $ Qualified nonrecourse financing $ 14 Self-employment earnings (loss) Recourse $ L Partners capital account analysis: Beginning capital account $ O. *See attached statement for additional information. Capital contributed during the year $ 260,000. F Current year increase (decrease) $ -201,846. o R Withdrawals and distributions $ Ending capital account $ 58,154. R S X Tax basis ❑ GAAP Section 704(b) book u Other (explain) s E M Did the partner contribute property with a built-in gain or loss? o N Yes X No L If 'Yes'. attach statement (see instructions) Y BAA For Paperwork Reduction Act Notice, see Instructions for Fon 11065. Schedule K•1 (Form 1065) 2011 Partner 2 PIPA0312L 02118111 EFTA00593226 Schedule K-1 (Form 1065) 2011 ANDROCYTE, LLC. 45-1804323 Page 2 This list identifies the codes used on Schedule K-I for allpartners and provides summarized reporting information for partners who file Form IOW. For detailed reporting and filing information, see the separate Partner's Instructions for Schedule K-I and the instructions for your income tax return. 1 Ordinary business income (loss). Determine whether the income (loss) is passive Code Report on or nonpassrve and enter cis your return as blows. Report on J Work opportunity credit Passive loss See the Partner's Instructions K Disabled access credit Passive income Schedule E. line 28. column (g) L Etrpcnverment Stele and renewal community employment credit See the Penn.'s Nonpassive loss Schedule E. line 28. column (h) —fret:entices M Credit for increasing research activities Nonpassive income Schedule E. line 28. column (0 2 Net rental real estate income (loss) See the Partner's Instructions N Credit Ice employer social security and Medicare taxes 3 Other net rental income (loss) O Backup withheldeg Form 1040. line 62 Nel income Schedule E. line 28. column (g) P Other credits See the Partner's Instructions Nel loss See the Partner's Instructions 16 Foreign transactions 4 Guaranteed payments Schedule E. line 28. column () A Name of country or U.S. possession 5 Interest income Form 1040. N.e 8a B Cross income from all sources F Form 1116, Peet I 6a Ordinary dividends Form 1040. N.e 9a C Cross income seemed al partner level 6 b Qualified dividends Form 1040. N.e 9b Foreign gross income sourced at partnership level 7 Royalties Schedule E. line 3b D Passive category 8 Net short term capital gain (loss) Schedule D. line 5 E Genital artery Fern 1116. Part I 9a Net longoterm capital gain (loss) Schedule D. line 12 F other 9 b Collectibles (28%) gain (loss) 28% Rate Gain Worksheet. line Deductions allocated and apportioned at partner level 4 (Schedule D Iretructrens) 9C Unrecaptured section 1250 gain See the Partner's Iretructicm G Interest expense Form 1116. Part I 10 Net section 1231 gain (loss) See the Parther's Iretructions H Other Form 1116. Part I Deductions allocated and apportioned at partnership level to 11 Other income(oss) foreign source income Code 1 Passive category A Other portfolio income (loss) See the Partner's Instructions J General category Fern 1116. Part I B Invokritary conversions See the Partners Instructions K Other C Section 136 contracts and straddles Form 6781. lee 1 Other information D thineg en/Malice costs recapture See Pit 535 L Total foreign taxes paid F rte 1116. Part II E Cancellation of debt From 1040, re 21 or Form 982 M Total foreign taxes accrued Form 1116. Part II F Other ecome (loss) See the Partner's Instructions N Reduction in faxes avertible for credit Form 1116. line 12 12 Section 179 deduction See the Partner's Instructions O Foreign trading gross receipts F rm 8873 13 other deductions P Extraterritorial interne exclusion F rm 8873 A Cash contributions (50%) Q Ober Foreign transactions See the Partner's Instructions B Cash contributions (30%) 17 Alternative minimum tax (ANT) Nom C NeneaSh eentriatilietIS (50%) A Posto1986 depreciation adjustment 1 — See the Partners D Noncash entributices (30%) Instructions B Adjusted gain or loss E Capital gain property to a 50% See the Partner's C Depletion (other than en & gm) Instructions and organization (30%) F Capital gain property (20%) D Oil. gas. & geothermal — gross income the Instructions for G Cantina's (100%) E Oil. gm. & geothermal — deduction Form 6251 H Investment tutored expense Form 4952. N.e 1 F Other MIT items 18 Tax-exempt income and nondeductible expenses I Deductions regally income Schedule E. line 19 A Taxoexerrpt interest name Form 1040. line 8b J Section 59(e)(2) expenditures See the Partner's Instructions B Other tax exempt income See the Partner's Instructions K Deductions pollee° (2% floor) Schedule A. line 23 C Nondeductible expenses See the Partner's Instructions L Deductions pollee° (other) Schedule A. line 28 19 Distributions M Amounts paid for medical Schedule A. line I or A Cash and marketable securities instance N Educational assistance benefits O Dependent care benefits P Preproductve period expenses Form 1040. N.e 29 See the Partner's Instructions Form 2441. N.e 12 See the Partner's Instructions 20 B Daibution suSect to section 737 C Other property Other information A Investment income 1 —See the Partners Instructions Form 4952. line 4a Q Commercial revitalization deduction from rental real este* activities See Form 8582 Instructiom B Investment expenses Form 4952. line 5 R Pensions and Ms See the Partner's Instructions C Fuel tax credit eformatice Form 4136 S Reforestation experde deduction See the Partner's Instructions D Qualified rehabilitation expenditures (other than rental real estate) See the Partners Instructions T Domestic production activities informalice See Form 8903 Instructions E Basis of energy property See the Partner's Instructions LI Quashed production activities income Form 8903. site 7b F Recapture of leonine:me housing credit (section V Employers Fenn *2 wages Form 8903. N.e 17 42 (5S Form 8611. line 8 W Other deductions See the Partner's Instructions G Recapture of Insincere* housing credit (other) Form 8611. line 8 14 Sellemployment earnings (loss) H Recapture of immanent credit Form 4255 Note. Sinn haven section )79 deduction or any partnerless, deductions. see 8,e 1 Recapture of other credits See the Partners Instructions Partner Y Inseuetions before comp'efing &heals% SE. j Li:ekes& interest — completed A Net earnings Noss) from selfoorployment Schedule SE. Section A or B longterm contracts See Form 8697 B Comes farming or fishing income See the Partner's Instructions K LOOktaCk interest — income C Gross nen.farm income See the Parther's Instructions forecast method See Form 8866 15 Credits L Depositions of property with section 179 de bom A Lapin:one housing credit (section 42g)(5)) M Recapture of section 179 deduction from preo2008 buildings B Lewin:erne housing credit (other) frem N Interest expense for corporate partners pre 2008 buildings O Section 453(0(3) information C Lowoincerne housing credit (section 42g)(5)) P Section 4534(c) information hem posto2007 buildings See the Partners D Low income housing credit (other) from _ Instructions Q Section 1260(b) information See the Partners posto2007 thildings R Interest allocable to production expenditures [fel/Wheels E Quashed rehabilitation expenditures (rents S OCF nongualiked withdrawals real estate) T Depletion eformatice — oil and gas F Other rents real estate credita U Amortization of reforestation costs G Other rental credits ✓ Unrelated business taxable income H Undistrented capital gains credit Form 10$0. Ire 71: check box a W Precontribution gain (oss) I Mond and cellulosic knifuel fuels credit See the Partner's Instructions X Section 1013() seemlier, Y Other information Partner 2: ZASIS, LLC 20-4637772 FTPA03121. 08/18/11 Schedule K•1 (Form 1065) 2011 EFTA00593227 2011 Federal Statements Page 1 ANDROCYTE, LLC. 45-1804323 Statement 1 Form 1065, Line 20 Other Deductions Bank Charges $ 180. Conferences and Meetings 1,155. Legal and Professional 5,110. Management Fees 110,000. Meals and Entertainment 2,447. Miscellaneous 66. Postage 314. Research and Development 20,422. Supplies 7,514. Telephone 3,604. Travel 50,484. Total $ 201,296. EFTA00593228 ANDROCYTE, LLC. AVENTURA, FL 33180 August 30, 2012 ANDROCYTE MANAGEMENT, LLC AVENTURA, FL 33180 RE: ANDROCYTE, LLC. 45-1804323 Schedule K-1 from Partnership's 2011 Return of Income Dear ANDROCYTE MANAGEMENT, LLC: Enclosed is your 2011 Schedule K-1 (Form 1065) Partner's Share of Income, Deductions, Credits, Etc. from ANDROCYTE, LLC.. This information reflects the amounts you need to complete your income tax return. The amounts shown are your distributive share of partnership tax items to be reported on your tax return, and may not correspond to actual distributions you have received during the year. This information is included in the Partnership's 2011 Federal Return of Partnership Income that was filed with the Internal Revenue Service. If you have any questions concerning this information, please contact us immediately. Sincerely, ANDROCYTE, LLC. Enclosure(s) EFTA00593229 651111 Final K-I Amended K-I OMB No. ISIS 0099 Schedule K-1 LU I I Part III Partner's Share of Current Year Income, (Form 1065) For calendar year 2011. cc Lax Deductions Credits and Other Items 0eparknent of the Treaswy year begrining .2011 1 Ordinary business income (loss) 15 Credits Internal Revenue Service ending 2 Net rental real estate income (loss) Partner's Share of Income, Deductions, Credits, etc. • See separate instructions. 3 Other net rental income (loss) 16 Foreign transactions Part I Information About the Partnership 4 Guaranteed payments A Partnership's employer identification number 45-1804323 5 Interest income B Partnership's name, address, city, state, and ZIP code 40. 6a Ordinary dividends ANDR0CYTE LLC. 6b Qualified dividends C IRS Center where partnership filed return 7 Royalties e-f ile Check if this is a publicly traded partnership (PTP) 8 Net shod-term capital gain (loss) Part II Information About the Partner 9a Net long-term capital gain (loss) 17 Alternative minimum tax (AMT) items E Partner's identifying number 9b Collectibles (28%) gain (loss) 45-2038037 F Partners name, address, city, state, and ZIP code 9e Unrecaptured section 1250 gain ANDR0CYTE MANAGEMENT LLC 10 Net section 1231 gain (loss) 18 Tax-exempt income and nondeductible expenses , 11 Other income (loss) C 2,063. G X General partner or LLC Limited partner or other member-manager LLC member H X Domestic partner ❑Foreign partner I What type of entity is this partner? Partnership 19 Distributions J Partner's share of profit, loss, and capital (see instructions): 12 Section 179 deduction Beginning Ending Profit % 84 .31 % 13 Other deductions Loss % % 20 Other information Capital 84.31 % A 40. K Partner's share of liabilities at year end: Nonrecourse $ Qualified nonrecourse financing $ 14 Self-employment earnings (loss) Recourse $ L Partner's capital account analysis: Beginning capital account $ 0• *See attached statement for additional information. Capital contributed during the year $ Current year increase (decrease) $ -2,023. o R Withdrawals and distributions $ Ending capital account $ -2,023. R S X Tax basis ❑ GAAP Section 704(b) book u Other (explain) s E M Did the partner contribute property with a built-in gain or loss? o N Yes X No L If 'Yes'. attach statement (see instructions) Y BAA For Papenvork Reduction Act Notice, see Instructions for For, 11065. Schedule K•1 (Form 1065) 2011 Partner 1 PIPA0312L 02118111 EFTA00593230 Schedule K-1 (Form 1065) 2011 ANDROCYTE, LLC. 45-1804323 Page 2 This list identifies the codes used on Schedule K-I for allpartners and provides summarized reporting information for partners who file Form IOW. For detailed reporting and filing information, see the separate Partner's Instructions for Schedule K-I and the instructions for your income tax return. 1 Ordinary business income (loss). Determine whether the income (loss) is passive Code Report on or nonpassrve and enter as your return as knows. Report on J Work opportunity credit Passive loss See the Partner's Instructions K Disabled access credit Passive income Schedule E. line 28. column (g) L Empowerment tee and renewal community employment credit See the Partners Nonpassive loss Schedule E. line 28. column (h) lnsbuctions M Credit for increasing research activities Nonpassive income Schedule E. line 28. column (0 2 Net rental real estate income (loss) See the Partner's Instructions N Credit for employer social security and Medicare taxes 3 Other net rental income (loss) O Backup withholdng Form 1040. line 62 Net income Schedule E. line 28. column (g) P Other credits See the Partner's Instructions Nel loss See the Partner's Instructions 16 Foreign transactions 4 Guaranteed payments Schedule E. line 28. column () A Name of canny or U.S. possession 5 Interest income Form 1040. the 8a B Cross income from as sources Form 1116. Peet I 6a Ordinary dividends Form 1040. the 9a C Cross income wined al partner level 6 b Qualified dividends Form 1040. the 9b Foreign gross income sourced at partnership level 7 Royalties Schedule E. lire 3b D Passive category 8 Net 'hareem capital gain (loss) Schedule D. line 5 E General category Form 1116. Part I 9a Net longterm capital gain (loss) Schedule D. line 12 F other 9 b Collectibles (28%) gain (loss) 28% Rate Gain Worksheet. line Deductions allocated and apportioned at partner level 4 (Schedule D It-Much:nu) 9C Unrecaptured section 1250 gain See the Partnor's Instructions G Interest expense Form 1116. Part I 10 Net section 1231 gain (loss) See the Parther's Instructions H Other Form 1116. Part I Deductions allocated and apportioned at partnership level to 11 Other income(oss) foreign source income Code I Passive category A Other portfolio income (loss) See the Partners Instructions J General category Form 1116. Part I B Invokritary conversions See the Partners Instructions K other C Section 136 contracts and straddles Form 6781. Ire 1 Other information D Miring expeoratien costs recapture See Pit 535 L Total foreign taxes paid F rte 1116. Part II E Cancellation of debt Fern 1040, die 21 or Form 982 M Total foreign taxes accrued Form 1116. Part II F Other ncome (loss) See the Partner's Instructions N Reduction in taxes avertible for credit Form 1116. line 12 12 Section 179 deduction See the Partner's Instructions O Foreign trading gross receipts F rm 8873 13 Other deductions P Extraterritorial Moyne exclusion F rm 8873 A Cush contributions (50%) Q Other foreign transactions See the Partner's Instructions B Cash contributions (30%) 17 Alternative minimum tax (AMC Items C Noncash Cana/MSS (50%) A Post.1986 depreciation adjuStrnent 1 — See the Partners D Noncash contributions (30%) Instructions B Adjusted gain or loss E Capital gain property to a 50% See the Partner's C Depletion (other than en & gm) Instructor:gm and organization (30%) F Capital gain property (20%) D Oil. gas. & geothermal — gross income the Instructions for G Centrioutices (100%) E Oil. gm. & geothermal — deductions Form 6251 H Investment Merest expense Form 4952. the 1 F Other MIT items 18 Tax-exempt income and nondeductible expenses I Deductions — regally insane Schedule E. lire 19 A Tax exerrpt interest name Form 1040. line 8b J Section 59(e)(2) expenditures See the Partner's Instructions B Other tax exempt income See the Partner's Instructions K Deductions — pert:to (2% floor) Schedule A. lire 23 C Nondeductible expenses See the Partner's Instructions L Deductions — pert:to (other) Schedule A. lire 28 19 Distributions M Amounts paid for medical Schedule A. lire 1 or A Cash and marketable securities ingrance N Educations assistance benefits 0 Dependent care benefits P Preproducbve period expenses Form 1040. the 29 See the Partner's Instructions Form 2441. the 12 See the Partner's Instructions 20 B Destribution sudect to seders 737 C Other property Other information A Investment incense } See the Partners Instructions Form 4952. line 4a Q Cr:article, revitalization deduction from rental real estate activities See Form 8582 Instructions B Investment expenses Form 4952. line 5 R Pensions and RAs See the Partner's Instructions C Fuel tax credit nformatim Form 4136 S Reliant/then expense deduction See the Partner's Instructions D Qualified rehabildatien expenditures (other than rental real estate) See the Partners Instructions T Domestic pro -Sieben activities information See Form 8903 Instructions E Basis of energy property See the Partner's Instructions LI Gnashed production activities income Form 8903. site 7b F Recapture of lurginceene housing credit (section V Employers Form *2 wages Form 8903. the 17 420(5)) Form 8611. line 8 W Other deductions See the Partner's Instructions G Recapture of lurginceene housing credit (other) Form 8611. line 8 14 Sell-employment earnings (loss) H Recapture of investment credit Form 4255 Note. If yen haven section )79 deduction or any partnerless, *duelist's. see Ole 1 Recapture of other credits See the Partners Instructions Partner Y Inseuetions before comp'efing &heals% SE. j Lookteck interest — completed A Net earnings Noss) from selberrployment Schedule SE. Section A or B longterm contracts See Form 8697 B Gres farming or fishing income See the Partner's Instructions K LOOkibaCk interest — income C Gross nonfarm income See the Partner's Instructions forecast method See Form 8866 15 Credits L Depositions of properly with seeker 179 de bom A Lowenccene housing credit (section 420(5)) M Recapture of section 179 deduction freer, pre.2008 buildings B Lorin:cos housing credit (other) from N Interest expense for corporate partners pre.2008 buildings O Section 453(0(3) information C Lorin:cos housing credit (section 420)(5)) P Section 653A(c) information from posb2007 buildings See the Partners Q Sadism 1260(b) information D Lowenceme housing credit (other) from _ Instructions See the Partners posb2007 thildings R Interest allocable to production expenditures Instructions E Quashed rehabilitation expenditures (rental S CCF nongualified withdrawals real estate) T Depletion ritionviatiCel oil and gas F Other rental real estate credits U Amortization of reforestation costs G Other rental credits ✓ Unrelated business taxable income H Undiseleuted capital gains credit Form 10$0. Ire 71: check box a W Precontribution gain (loss) I Attend and cellulosic berfuel fuels credit See the Partner's Instructions X Section 108(0 nformatien Y Other information Partner 1: ANDROCYTE MANAGEMENT, LLC 45-2038037 PTPA03121. 08/18/11 Schedule K1 (Form 1065) 2011 EFTA00593231 ANDROCYTE, LLC. AVENTURA, FL 33180 August 30, 2012 ZASIS, LLC CARSON CITY, NV 89706 RE: ANDROCYTE, LLC. 45-1804323 Schedule K-1 from Partnership's 2011 Return of Income Dear ZASIS, LLC: Enclosed is your 2011 Schedule K-1 (Form 1065) Partner's Share of Income, Deductions, Credits, Etc. from ANDROCYTE, LLC.. This information reflects the amounts you need to complete your income tax return. The amounts shown are your distributive share of partnership tax items to be reported on your tax return, and may not correspond to actual distributions you have received during the year. This information is included in the Partnership's 2011 Federal Return of Partnership Income that was filed with the Internal Revenue Service. If you have any questions concerning this information, please contact us immediately. Sincerely, ANDROCYTE, LLC. Enclosure(s) EFTA00593232 651111 Final K-I Amended K-I OMB No. ISIS 0099 Schedule K-1 LU I I Part III Partner's Share of Current Year Income, (Form 1065) For calendar year 2011. cc Lax Deductions Credits and Other Items Oeparknent of the Treaswy year begrining .2011 1 Ordinary business income (loss) 15 Credits Internal Revenue Service ending —201,469. 2 Net rental real estate income (loss) Partner's Share of Income, Deductions, Credits, etc. • See separate instructions. 3 Other net rental income 0055) 16 Foreign transactions Part I Information About the Partnership 4 Guaranteed payments A Partnership's employer identification number 45-1804323 5 Interest income B Partnership's name, address, city, state, and ZIP code 7. 6a Ordinary dividends ANDR0CYTE LLC. 6b Qualified dividends C IRS Center where partnership filed return 7 Royalties e-file D Check if this is a publicly traded partnership (PTP) 8 Net shod-term capital gain (loss) Part II Information About the Partner 9a Net long-term capital gain (loss) 17 Alternative minimum tax (AMT) items E Partner's identifying number 9b Collectibles (28%) gain (loss) 20-4637772 F Partners name, address, city, state, and ZIP code 9e Unrecaptured section 1250 gain ZASIS LLC 10 Net section 1231 gain (loss) 18 Tax-exempt income and nondeductible expenses " 1111/1/11 11 Other income (loss) C 384. G General partner or LLC X Limited partner or other member-manager LLC member H X Domestic partner ❑Foreign partner I What type of entity is this partner? Partnership 19 Distributions J Partners share of profit, loss, and capital (see instructions): 12 Section 179 deduction Beginning Ending Profit % 15.69 % 13 Other deductions Loss % 100 % 20 Other information Capital 15.69 % A 7. K Partners share of liabilities at year end: Nonrecourse $ Qualified nonrecourse financing $ 14 Self-employment earnings (loss) Recourse $ L Partners capital account analysis: Beginning capital account $ O. *See attached statement for additional information. Capital contributed during the year $ 260,000. F Current year increase (decrease) $ -201,846. o R Withdrawals and distributions $ Ending capital account $ 58,154. R S X Tax basis ❑ GAAP Section 704(b) book u Other (explain) s E M Did the partner contribute property with a built-in gain or loss? o N Yes X No L If 'Yes'. attach statement (see instructions) Y BAA For Paperwork Reduction Act Notice, see Instructions for Fon 11065. Schedule K•1 (Form 1065) 2011 Partner 2 PIPA0312L 02118111 EFTA00593233 Schedule K-1 (Form 1065) 2011 ANDROCYTE, LLC. 45-1804323 Page 2 This list identifies the codes used on Schedule K-I for allpartners and provides summarized reporting information for partners who file Form IOW. For detailed reporting and filing information, see the separate Partner's Instructions for Schedule K-I and the instructions for your income tax return. 1 Ordinary business income (loss). Determine whether the income (loss) is passive Code Report on or nonpassrve and enter cis your return as blows. Report on J Work opportunity credit Passive loss See the Partner's Instructions K Disabled access credit Passive income Schedule E. line 28. column (g) L Etrpcnverment Stele and renewal community employment credit See the Penn.'s Nonpassive loss Schedule E. line 28. column (h) —fret:entices M Credit for increasing research activities Nonpassive income Schedule E. line 28. column (0 2 Net rental real estate income (loss) See the Partner's Instructions N Credit Ice employer social security and Medicare taxes 3 Other net rental income (loss) O Backup withheldeg Form 1040. line 62 Nel income Schedule E. line 28. column (g) P Other credits See the Partner's Instructions Nel loss See the Partner's Instructions 16 Foreign transactions 4 Guaranteed payments Schedule E. line 28. column () A Name of country or U.S. possession 5 Interest income Form 1040. N.e 8a B Cross income from all sources F Form 1116, Peet I 6a Ordinary dividends Form 1040. N.e 9a C Cross income seemed al partner level 6 b Qualified dividends Form 1040. N.e 9b Foreign gross income sourced at partnership level 7 Royalties Schedule E. line 3b D Passive category 8 Net short term capital gain (loss) Schedule D. line 5 E Genital artery Fern 1116. Part I 9a Net longoterm capital gain (loss) Schedule D. line 12 F other 9 b Collectibles (28%) gain (loss) 28% Rate Gain Worksheet. line Deductions allocated and apportioned at partner level 4 (Schedule D Iretructrens) 9C Unrecaptured section 1250 gain See the Partner's Iretructicm G Interest expense Form 1116. Part I 10 Net section 1231 gain (loss) See the Parther's Iretructions H Other Form 1116. Part I Deductions allocated and apportioned at partnership level to 11 Other income(oss) foreign source income Code 1 Passive category A Other portfolio income (loss) See the Partner's Instructions J General category Fern 1116. Part I B Invokritary conversions See the Partners Instructions K Other C Section 136 contracts and straddles Form 6781. lee 1 Other information D thineg en/Malice costs recapture See Pit 535 L Total foreign taxes paid F rte 1116. Part II E Cancellation of debt From 1040, re 21 or Form 982 M Total foreign taxes accrued Form 1116. Part II F Other ecome (loss) See the Partner's Instructions N Reduction in faxes avertible for credit Form 1116. line 12 12 Section 179 deduction See the Partner's Instructions O Foreign trading gross receipts F rm 8873 13 other deductions P Extraterritorial interne exclusion F rm 8873 A Cash contributions (50%) Q Ober Foreign transactions See the Partner's Instructions B Cash contributions (30%) 17 Alternative minimum tax (ANT) Nom C NeneaSh eentriatilietIS (50%) A Posto1986 depreciation adjustment 1 — See the Partners D Noncash entributices (30%) Instructions B Adjusted gain or loss E Capital gain property to a 50% See the Partner's C Depletion (other than en & gm) Instructions and organization (30%) F Capital gain property (20%) D Oil. gas. & geothermal — gross income the Instructions for G Cantina's (100%) E Oil. gm. & geothermal — deduction Form 6251 H Investment tutored expense Form 4952. N.e 1 F Other MIT items 18 Tax-exempt income and nondeductible expenses I Deductions regally income Schedule E. line 19 A Taxoexerrpt interest name Form 1040. line 8b J Section 59(e)(2) expenditures See the Partner's Instructions B Other tax exempt income See the Partner's Instructions K Deductions pollee° (2% floor) Schedule A. line 23 C Nondeductible expenses See the Partner's Instructions L Deductions pollee° (other) Schedule A. line 28 19 Distributions M Amounts paid for medical Schedule A. line I or A Cash and marketable securities instance N Educational assistance benefits O Dependent care benefits P Preproductve period expenses Form 1040. N.e 29 See the Partner's Instructions Form 2441. N.e 12 See the Partner's Instructions 20 B Daibution suSect to section 737 C Other property Other information A Investment income 1 —See the Partners Instructions Form 4952. line 4a Q Commercial revitalization deduction from rental real este* activities See Form 8582 Instructiom B Investment expenses Form 4952. line 5 R Pensions and Ms See the Partner's Instructions C Fuel tax credit eformatice Form 4136 S Reforestation experde deduction See the Partner's Instructions D Qualified rehabilitation expenditures (other than rental real estate) See the Partners Instructions T Domestic production activities informalice See Form 8903 Instructions E Basis of energy property See the Partner's Instructions LI Quashed production activities income Form 8903. site 7b F Recapture of leonine:me housing credit (section V Employers Fenn *2 wages Form 8903. N.e 17 42 (5S Form 8611. line 8 W Other deductions See the Partner's Instructions G Recapture of Insincere* housing credit (other) Form 8611. line 8 14 Sellemployment earnings (loss) H Recapture of immanent credit Form 4255 Note. Sinn haven section )79 deduction or any partnerless, deductions. see 8,e 1 Recapture of other credits See the Partners Instructions Partner Y Inseuetions before comp'efing &heals% SE. j Li:ekes& interest — completed A Net earnings Noss) from selfoorployment Schedule SE. Section A or B longterm contracts See Form 8697 B Comes farming or fishing income See the Partner's Instructions K LOOktaCk interest — income C Gross nen.farm income See the Parther's Instructions forecast method See Form 8866 15 Credits L Depositions of property with section 179 de bom A Lapin:one housing credit (section 42g)(5)) M Recapture of section 179 deduction from preo2008 buildings B Lewin:erne housing credit (other) frem N Interest expense for corporate partners pre 2008 buildings O Section 453(0(3) information C Lowoincerne housing credit (section 42g)(5)) P Section 4534(c) information hem posto2007 buildings See the Partners D Low income housing credit (other) from _ Instructions Q Section 1260(b) information See the Partners posto2007 thildings R Interest allocable to production expenditures [fel/Wheels E Quashed rehabilitation expenditures (rents S OCF nongualiked withdrawals real estate) T Depletion eformatice — oil and gas F Other rents real estate credita U Amortization of reforestation costs G Other rental credits ✓ Unrelated business taxable income H Undistrented capital gains credit Form 10$0. Ire 71: check box a W Precontribution gain (oss) I Mond and cellulosic knifuel fuels credit See the Partner's Instructions X Section 1013() seemlier, Y Other information Partner 2: ZASIS, LLC 20-4637772 FTPA03121. 08/18/11 Schedule K•1 (Form 1065) 2011 EFTA00593234