EFTA00593235

MOLLC C807(2013 324 PM Fo„„ 1065 U.S. Return of Partnership Income OMB No 154.40099 COporlment al the Tree:try Irterrol Revenue Santa Fo calenclai year 2012, 0 lax yea( Weenie; . ending ti Information about Form 1065 and Its separate instructions Is at ynneirs.goWlionn1065. 2012 A Pit coral btrzro2.- =trete Name ce partner:hp D Employer identification number RESEARCH Print ANDROCYTE LLC 45-1804323 B Pomo,' patrol or seroco or E Dego bustross aged type. BIOMARKERS 05/01/2011 C ElusineSS code number ry a Wilt erri ZIP Code F TOUll e$691$ (We the entruCtOnig 541700 AVENTURA FL 33180 $ 50,843 G Check applicable boxes: (1) Initial return (2) 0 Final return (3) 0 Name change (4) D Address change (5) 9 Amended return (6) Technical termination • also check (1) or (2) H Check accounting method: (1) Cash (2) 9 Accrual (3) 9 Other (specify a I Number of Schedules K.I . Attach one for each person who was a partner at any time during the tax year a 5 J Check if Schedules C and M3 are attached 9 Caution. Include only trade or business income and expenses on lines to through 22 below. See the instructions for more information. is Gross receipts or sales 1a b Returns and allowances 1b c Balance. Subtract line lb from line la lc 2 Cost of goods sold (attach Form 1125-A) 2 Income 3 Gross profit. Subtract line 2 from line lc 3 4 Ordinary income doss) frcm other partnerships, estates. and trusts (attach statement) 4 5 Net farm profit (loss) (attach Schedule F (Form 1040)) 5 6 Net gain (loss) from Form 4797. Part II, We 17 (Math Form 4797) 6 7 Other income (loss) (attach statement) 7 8 Total Income (foss). Combine lines 3 through 7 8 lir 9 Salaries and wages (other than to partrwrs) (less employment credits) 9 1 10 11 .0 12 Guaranteed payments to partners Repairs and maintenance Bad dads 10 11 12 I. 13 Rent 13 2,771 14 Taxes and loenses 14 15 Interest 15 1 16a Depreciation (i1 required. attach Form 4562) 1,888 I b Less depreciation reported on Form 1125-A and elsewhere on return I les i 16c 1,888 0 17 Depletion (Do not deduct oil and gas depletion.) 17 O 18 Retirement plans, etc. 18 t3 19 Employee benefit programs 19 See Statement 1 200,454 g 20 21 Other deductions (attach statement) Total deductions. Add the amounts shown in the far right column for lines 9 through 20 20 21 205,113 22 Ordinary business Income (loss). Subtract line 21 from line 8 22 —205,113 Under PeDebeS Cr PerIrty. I declare tel I have erainred Phi return. isCludIng ett001)(Myhe reeduleS and SlaternentS. and 03 Me bosi Or my knoWedge and WW1. Cis ins. ewer( and compote Docinnon or paperer tome, than WOW/ canner or ImtE4 hablIty company Meatier My Me IRS rISCuSS the realm Sign mragel 8 based on al reonnaton elution mower ms ary knows*, MT the MEM shown below (We Here astumnsi, QYes Ill No r sr.,. 01 04)Peral garner cc Wiled Ilablty COMperhy rrern...ef ', r..) Date PORDYPe [Mere.% name am: ret- alb R Pug Int Paid Lunen Pfeiffer, CPA 08/07/13 sottorrobyai P01201727 Preparer flays name ti WOLFE FINANCIAL GROUP Rads IN 1.1 26-0010294 Use Only rimy: an o= t, LAKE MARY, FL 32746 Phone rot For Paperwork Reduction Act Notice, see separate instructions. Form 1065 00121 EFTA00593235 ANOLLC C607(2013 124 PM Form 1065 (2012) ANDROCYTE LLC 45-1804323 Page 2 Schedule B Other Information 1 What type of entity is fikng this return? Check the applicable box: Yes No a _ Domestic general partnership b _ Domestic limited partnership c X Domestic limited liabilty company _ Domestic limited liability partnership e Foreign ownership f Other u 2 At any time during the tax year. was any partner in 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? 3 At the end of the tax year: a Did any foreign or domestic corporation, partnership (inducing 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. It -Yes: attach Schedule 8-1. Information on Partners Owning 50% or More of the Partnership 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," attadi Schedule B-1. Information on Partners Owning 50% or More of the Partnership 4 At the end of the tax year. did the partnership: a Own directly 20% or more, or own. directly or indirectly. 50% or more of the total voting power of al classes of stock entitled to vote of any foreign or domestic corporation? For rules of constructive ownership, see instructions. If 'Yes." complete (i) through (iv) below X (1.0 Perceniage (I) Name ol CCreben 00 EmNow Icler441CMC0 0I0 00tay ol fmned in VON( Nmibef Id anti InCerperalOn Sexk b Own directly an interest of 20% or more, or own. directly or indirectly. 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 ovmership see instructions. If Wes,- complete (I) through (v) below 00 &MM. (vi ‘14,,,,,r( (1) Nemo el ENO Identficatim (III) Type el ON COurOy of Percermr Ownee in Number (4 arm EAR,/ OrgenZet/M kali, Lee- or Gyrs Yes No 5 Did the partnership file Form 8893, Election of Partnership Level Tax Treatment, or an election statement under section 6231(a)(1)(8)(ii) for partnership-level tax treatment, that is in effect for this tax year? See Form 8893 for more details 6 Does the partnership satisfy all four of the following conditions? a The partnership's 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. e Schedules K-1 are filed with the return and furnished to the partners on or before the due date (inducing extensions) for the partnership return. d The partnership is not filing and is not required to file Schedule M-3 II 'Yes: the partnership is not required to complete Schedules L M-1, and M-2: Item F on page 1 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)? 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? 9 Has this partnership filed. or is it required to file. Form 8918. Material Advisor Disclosure Statement, to provide information on any reportable transaction? 10 At any time during calendar year 2012. 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 TD F 90-22.1, Report of Foreign Bath and Financial A000unts. If "Yes: enter the name of the foreign country. u X 1065 EFTA00593236 MOLLC C607(2013 124 PM Form 1065 (2012) ANDROCYTE LLC 45-1804323 Page 3 Schedule B Other Information (continued Yes No 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? II 'Yes." the partnership may have to Ne Form 3520. Annual Return To Report Transactions With Foreign mists 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 a section 754 election. b Did the partnership make for this tax year an optional basis adjustment under section 743(b) or 734(3)? II 'Yes," attach a statement showing the computation and allocation of the basis adjustment. See Instructions X c Is the partitership required to adust the basis of partnership assets under sec ion 743(b) or 734(b) because of a substantial bilt.in loss (as defined under sedan 743(d)) or substantial basis reduction (as defined under section 734(d))? If 'Yes.' attach a statement showing the ccanutatisn and atocalisn 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 contrbuted such property to another entity (other than disregarded entities whoily.owned by the partnership throughout the tax year) P. ❑ 14 At ally time during the tax year. did the partnership (attribute to any partner a tenancy•Incommon or other undivided interest in partnership property? X 15 If the partnershb 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 u 16 Does the partnership have any foreign partners? II 'Yes.' enter the number of Forms 8805. Foreign Partners Information Statement of Section 1446 Withholding Tax. Ned for this partnershb. u X 17 Enter the number of Forms 8865. Return of U.S. Persons With Respect to Certain Foreign Partnerships. attached to this return u 18a Did you make any payments in 2012 that would require you to fie Form(s) 1099? See instructions X b If "Yes' did you or will you file required FOIRUS 1099? 19 Enter the number of Form(s) 5471, Information Return of U.S. Persons With Respect To Certain Foreign Co adorn. attached to the return u 0 20 Enter the number of partners that are foreign garemments under section 892. is 0 Designation of Tax Matters Partner (see instructions) Enter below the general partner or member-manager designated as the tax matters partner (TMP) for the tax year of this return: Name Of designaled 100611)400 TMP ANDROCYTE MANAGEMENT LLC ouster of ThIP 45-2038037 II me IMP pa an entsty. name MY* nuMW of TLIP rooto:onlatfro JAMES CLEMEN of IMP AOctOSS decignaled TMP FOrn 1065!20.21 EFTA00593237 AtIDLLC 06072013 324 PM Form 1065 (2012) ANDROCYTE LLC 45-1804323 Page 4 Schedule K Partners' Distributive Share Items Total amount 1 Ordinary business income (loss) (page 1. line 22) 1 —205,113 2 Net rental real estate income (loss) (attach Form 8825) 2 3a Other gross rental income (loss) b Expenses from other rental aconites (attach statement) 3b c Other net rental income (loss). Subtract line 3b from line 3a 3c Income (Loss) 4 Guaranteed payments 4 5 Interest Income 5 6 Dividends: a Ordinary dividends 6a b Qualified dividends 1 6b I 7 Royalties 7 8 Net short-term capital gain (loss) (attach Schedule D (Form 1065)) 8 9a Net long-term capital gain (loss) (attach Schedule D (Form 1065)) 9a b Collectibles (28%) gain (loss) 9b C Urrecaphired section 1250 gain (roach maximeno 9c 10 Net section 1231 gain (loss) (attach Form 4797) 10 11 Other income (loss) (see instructions) Type u 11 12 Section 179 deduction (attach Form 4562) 12 0 m c 13a Contributions 13a o Investment interest expense 13b o vi 9 c Section 59(e)(2) expenditures: (1) Type u (2) Amount u 'um OS d Other deductions (see instructions) Type u 13d 14a Net earnings (loss) from self-employment 14a o Lug .C. 1 b Gross farming or fishing income c Gross nonfarm income 14b 14c 15a Low-income housing credit (section 42Q)(5)) 15a b Low-income housing credit (other) 15b Credits c Cualified rehabilitation expenditures (rental real estate) (attach Form 3468) 15c d Other rental real estate credits (see instructions) Type u 15d e Other rental credits (see instructions) Type u 15e I Other credits (see instructions) Type a 151 16a Name of country or U.S. possession a b Gross income from all sources 16b Foreign Transactions c Gross income sourced at partner level 16c Foreign gross income sourced at partnership level d Passke category u e General category u 1 Other a 16f Deductions allocated and apportioned at partner level g Interest expense a h Other a 16h Deduction allocated and apportioned at partnership level to foreign scam income I Passive category u I General category u k Other a 16k I Total foreign taxes (check one): a Paid p Accrued 0 161 m Reduction in taxes available for credit (attach statement) 16m n Other foreign tax information (attach statement) 17a Post-1986 depreciation adjustment 17a 124 Alternative b Adjusted gain or loss 17b c Depletion (other than oil and gas) 17c d Oil, gas. and geothermal properties — gross Income .. .. . 17d e Oil, gas, and geothermal properties — deductions 17e Other Information Minimum Tax 1 Other AMT items (attach statement) 17f 18a Tax-exempt interest income 18a b Other tax-exempt Income 18b C Nondeductible expenses See Statement 2 18c 128 19a Distributions of cash and marketable securities 19a 35,800 (AMT) Items b Distributions of other property 19b 20a Investment income 20a b Investment expenses 20b c Other Items and amounts (attach statement) ram 1065 oir. EFTA00593238 MELLO C8072013 324 PM Form 1065 (2012) ANDROCYTE LLC 45-1804323 Page 5 Analysis of Net Income (Loss) 1 Not income (loss). C 1 —205,113 2 Anatysis by (II) Individual (III) Individual (v) Exempt (99 (I) Corporate (Iv) Partnership partner type: (active) (passive) organization NominesOther a General partners b Limited partners —15,001 —118,211 —71,901 Schedule L Balance Sheets per Books Beginning of tax year End of tax year Assets (a) b) (c) (d) 1 Cash 47,122 9,631 2a Trade notes and armints receivable b Less allowance for bad debts 3 Inventories 4 U.S. government obligations 5 Tax-exempt securities 6 Other CtiffOrt assets warn statement) 7a Loans to partners (or persons related to partners) b Mortgage and real estate loans 8 over rnewneas warn statement) 9a Buildings and other depreciable assets 12,412 b Less accumulated depreciation 1.888 10,524 10a Deptetable assets b Less accumulated depletion 11 Land (net of any amortization) 12a Intangible assets (amortizable only) 32,880 32,880 b Less accumulated amortization 32,880 2,192 30,688 13 Omar assets PCACA alatemerv3 14 Total assets 80,002 50,843 Liabilities and Capital 15 Accounts payable 16 Mortgages. notes. bonds payable in less than 1 year 17 Omer current labiate team statement) 18 AI mama:curse loans 19a Loans from partners (or persons related to partners) 23,871 b //alpaca. roles. bards payable in I yea or more 20 Caw Itablees See Stmt 3 35,911 iscach statement) 21 Paints' caps accounts 56,131 14,932 22 Total frablities and capital 80,002 50,843 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 -205,241 6 Income recorded on books this year not included 2 Income included on Schedule K. finest. Z on Schedule K, lines 1 through 11 (itemize): 5. 6a. 7. 8. 9a. 10, and 11. not recorded on a Tax-exempt interest $ books this year (rtem9e): 3 Guaranted parent Other ten heath raurwce) 7 Deduction included on Schethe K Ines I hough 130. 4 recorded on backs this year not and 161. rat charged event hook income tie yaw tioritey Fncil sdeson Schedule K. Ines 1 through 13d. and 161 (dente): a Depredation $ a CCINOCCOCI1 b Travel and 128 eotertenreeni $ 8 Add lines 6 and 7 128 9 Income (loss) (Analysis of Net Income 5 Add Ines 1 through 4 —205,113 (Loss). line 1). Subtract mite 8 from Ina 5 -205,113 Schedule M-2 Analysis of Partners' Capital Accounts 1 Balance at beginning of year 56,131 6 Distributions a Cash 35,800 2 Capital contributed: a Cash 199,842 b Property b Property 3 Net income (loss) per books —205,241 7 Other decreases 4 oOKr Irceasee (itemize): Monte 8 Add lines 6 and 7 35,800 5 Add Ines I through 4 50,732 9 Balance at end of year. Subtract line 8 from Ilne 5 14,932 can ron, 1065 2012, EFTA00593239 ANOLLC 06072013 324 PM SCHEDULE B-1 (Form 1065) Information on Partners Owning 50% or (Rev. December 2011) More of the Partnership 0/A0 N,. 1545 0739 Drearier% 01 Ole Treasury u Attach to Form 1065. See instructions on back. Internal Revert* Service Name d canner-hp 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 (0 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). (vl Maxon= 11) &Oyer Pe Porterage exiled III Name Or Elea kgralcaare Weber (10 NY? 01 Entry Gouty of Omani:men En ProfI. LOss. d any) or Capeal ANDROCYTE MANAGEMENT LLC 45-2038037 Partnership United States 82.610000 ZASIS, LLC 20-4637772 Partnership United States 53.549000 Part 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 pannership (see instructions). liv) tleamum Porcertage Owned m MNamedWvIclualcrEVW lilt 10,ntrog Ym-09, OI Country 01 Mao*le lee. inshvonah Prolt. LOBS. Rap a Calilel For Paperwork Reduction Act Notice. see the Instructions for Form 1065. Schedule B. (Fern 10135) (Rev. 122011) EFTA00593240 MOLLC 0107(2013 324 PM D Fnal K.1 ❑ Arnero.:1x.i OW la)1 5.0)99 Schedule K-1 2012 I Part IIII Partners Share of Current Year Income, (Form 1065) Deductions, Credits, and Other Items Department S the Treasury For calendar year 2012. or tax 1 Ordinary business income (oss) 15 Creche Internal Revenue Sever) year IX/MN ending 2 Net rental real WOG r1CCene NMI Partner's Share of Income, Deductions, Credits, etc. ki See back of form and separate instructions. 3 Other net metal Income (loss) IS Fortin barbaclons I Part I I Information About the Partnership 4 Guaranteed payments A Pannersties *mob'', derirlearan rumba 45 - 1804323 s Wawa 'erne B Pannershp's name. address. Cty. KM. and DP code ANDROCYTE LLC 6a Ordnary dullards 66 OnHad dvidends C IRS Center whom partnership Red retro 7 Royabes Ogden, UT I) EI Check itels IS a pubic& eaaecl PantSit IPTP) 0 Nel 8bOrtbarrn MCP pan OW 'Alert HI Information About the Partner 9a Net loneterm capital gain go :l 17 Mambo m nrtum tax 'NATI earns E Partners pen-Myna ma'am A 103 45 - 2038037 96 Colrabbbs '28%) pan (loss) F Pannera 'wile. b:Uress. eky. state. and ZIP rode 9c Unrocapturod section 1250 gain ANDROCYTE MANAGEMENT LLC to Net section 1231 gain 110551 us Tax.exanal income and nradroxtise overate 0 11 Other WOMB 00381 C * 107 G X Cenral partner or LLC United partner or other LLC ❑ meaborManeiper member H ID Omuta partrrta ❑ Poiegn partner H Wel bee 01 trot' IS This woe.? Partnership 19 Drsinct.ten: 12 II Ins wince Is a reuernerrt plan (11i/bSEPK0091191C). CI100 Wee MOO Insrtuct1cns) u 12 Semen 179 doslimen A 35,800 J Partrees share of profit lora. and apial (sea insIncbans): 13 031st daductbns B09inrWKI Ending 84.310000 x 82.610000 - 20 Other MI ban Profit Loss 0.000000 t 0.000000 .,. Y * STMT CaeLl 84.310000 ., 82.610000 - K Penner% snare 01 MEOWS al year end Ibenreceurse S 14 501-ernethYrnerb earnrIP tkes` Dubbed nonrecourse Summing S WOMB 5 L Partners rand aseeunl analysis: 'See attached statement for additional information. Elcumno Capital =Cure 5 - 2,023 Cattedl COMIOuleft donne the year 5 IN Onent year increase (decree* 5 - 107 ,. ; ' 1.1 3.0 a Withdrawals & didtbubans $ ( 35,800, '. nitro capital accourrt $ - 37,930 8 e . 03 I 1 #.5 ,1 h i i 7 X Tat 09/103 ❑ OAAP 0 SOCItY1 704(b) book 0 CC Other texplara a il. M Od on Darner CCIWOUN MINA, wen a bUlbM Skin 0f CM? 0 Yes X No II 'Yes. attach statement (see insbudions) For Paperwork Reduction MI Notice. see Instructions for Form 1055. IRS.9003rM1065 saws K-1 (Form 1065) 2012 DM EFTA00593241 ANOLLC 06072013 224 PM ❑ era K • 0 anordai a• T OMB to 15450399 Schedule K-1 2012 Part III Partner's Share of Current Year Income, (Form 1065) Deductions, Credits, and Other Items Department oe the Treasury For calendar year 2012. or tax 1 Ordinary busnms 'recce its) IS Geed,: Internal Revenue Sen•Ce year 11090n0:1 -118,211 06(5100 2 Net rental real rotate (COMO (IOSSI Partner's Share of Income, Deductions, Credits, etc. LI see back of form and separate instructions. 3 Oft, rot metal income doss) IS roman earzaclons I Part II Information About the Partnership 4 Guaranteed payments A P inershp's cfrvb)rt 4ertilcabzn rurnter 45-1804323 s totem, income B PartroesnOS Neat address. fly. Stale. and DP code ANDROCYTE LLC 6a Ordnary dycknds 6b Oeellaci dxtlendr IIIIIIII M M IPI II I I0 C IRS Center vitae partnership Ned ream 7 Aoyabes Ogden, UT 8 Net ShOrt-Serrn Cap99 gan 1109s) D 0 Check d ale IS a puticR wooed Parewelvo IPTP) I Part III Information About the Partner 9a Net lore-term espial gait lloss) IT Alterative mitimum tax (NAT) dams E PrIners pesnilyna matter A 13 20-4637772 Stp Colecdpbs '28%) gen doss) F Palm's ram*. address. cky. Hate. and DP code Sc Unrocaptured section 1250 gain ZASIS, LLC 10 Net section 1231 gain OM IS Tax.exanal income and nonclectxtiple experees LAKE MARY FL 32795 11 Cther MCCM9 00SSI C * 13 G ❑ General partner or LLC X United partner or other LLC merrbernlane0el member N ID comesic PareW ❑ FOrOgn Ramer 11 VrTel type or entity as MIS COMM/ Partnership 19 Ds-motions /2 II SYS realer IS a relleMere elan (IR&SEREsOareek). check bete (See InStrUCOPIS) u 12 Semen IT9 *dnon J Padre's share of profit. leas. and capbil (see insInctians): 13 Qher deductions Beginnrg Ending PrOtt 15. 690000 x 9.710000 “. 20 MC/ inlrmaban Loss 100.000000 % 53.549000... Caned 15.690000 , 9.710000.. Y* STMT K Pannell Plan) 01 Mimes al year end'. Nanreccurse S 14 uit-erevayreer4 MOW% lIC90l Welded nonrecourse *Fencing S Recourse s 19,230 L Parhers captal anent analy9s: 'See attached statement for additional information. sewn® capital harm s 58,154 Captel COMIOuled dun® Me year $ 80,000 I 1 Current year in:tease (decrease) s -118 , 224 i VAIN:Meals a distiputens S ( I 2. I End® capnal accobn: s 19,930 8 . .•I l X Tar base ❑ °AAP 0 Settee, 704(b) bock 0 CC Other (expbn) u. M Dd the partner cateThe progeny %ad', a bulbul ORR& Inn 0 Yes X No II 'Yes' attach :women, (see inskococnb For PapilIVICA Reducuon Act N011ee. see Instructions for Form 1065. IRS409SerM1065 Schedule K-1 (Form 1065) 2012 DAA EFTA00593242 AKOLLG 011372013 224 PM ❑ I rv, K 1 ❑ Arlifirded K.I Dela Ma 15150799 Schedule K-1 2012 Part Ill Partner's Share of Current Year Income, (Form 1065) Deductions, Credits, and Other Items Department ce the Treasury For calendar yeas 2012. or tax 1 Ordnary bum= income (oss) 16 Cat Internal Revenue Sen•CO yeft 11090th rd —71,901 06(P0 2 NCI rental real estate noon* POW Partner's Share of Income, Deductions, Credits, etc. Li see back of form and separate instructions. 3 Ott*, not rata' moony (loss) IS rarer. tramaclons Part I Information About the Partnership 4 Guarareced payments A P inerstids *mob'', dertrIceopn mentor 45-1804323 5 htereSt income B PartreeStOli MOW O&M. Clay. Stage. and DP COCIO ANDROCYTE LLC 6a Ordnary dytids CIIIIIIII IRS Conk( whoa partnership tied nem IIIIII0 6b 7 Oualliod detlmds Royabes Ogden, UT 8 Net ShOrlderrn Gaped gan POO D 9 Cheek II 7.6 is a putflo0 ba000Park.(100 IPTP) Part lli Information About the Partner 93 Net landterm capital gen llossl IT Manatee mitiniuM MX (NAT) items E Partners identryna mariper A 2 59-1746396 9b Colecbbbs '28%) gen doss) F Partners name. aMress. cey. VA*. and 2LIP code Sc Unrocaptured section 1250 gain LIFE EXTENSION FOUNDATION, INC. 10 No section 1231 gain Poen IS Taxexanal income and rencleobkliko experces FORT LAUDERDALE FL 33309 11 Gther OM* SOSSI C * 2 G 9 General partner or LLD X Owned partner or other LLC morrbomaPaSef member I N li DornOSIC Partrite ❑ FaeCin partner II until typo of entity of Me Wren Exempt Organization 19 Dsinst.ban: U II INS plainer IS a retremerk elan tinnSFP,I(e00600). Check Ise ID 12 Semen 179 do:1nm Mee InSINCOCON J Parber's share of prc6I. loss. and capial (see instructions): 13 (tier deductions IMIOnniKI Ending Prof, % 1.920000 - 20 Oder inlomwban Loss '4 37.762600 ,. Capes % 1. 920000 “ K Palmer's snare of lateen al year end Mann:course S 14 SOI.MOKIYMere earrmin (Ws! Cludiled nonrecourse framing S Recourse s 13,561 L Partners capita asccunl analysis: 'See attached statement for additional information. Eleponne espial account S Capra' COM100100 donna the yeal s 97,426 I• III Current year increase (decrease) S —71,903 r on 1%). I t VAllaarals & drolsotons S ( i 2. Pip 1 t.1 .11/l it Endn2 Capital &novo s 25,523 8 4, it tit, • pa 741 i i A of . n i X Tar Nee ❑ (OAP 0 Soon 7044b) bon 0 ce Other (expbn) LL Im Dd tie panne. wan* properly path a OuNn earn or OW 0 Yes X No II 'Yes' attach :woman, (see instructions) For Paperwork ReducUon Act N011ee. see InshuctIone for Form 1065. IRS.00xSarn11065 &NOM K-I (Form 1065) 2012 DAA EFTA00593243 ANDLLC 0607.2013 324 PM , , Cale No. I545.0355 Schedule K-1 2012 Part III Partner's Share of Current Year Income, (Form 1065) Deductions, Credits, and Other Items Department cr me Tecamny For calendar year 2012. Cr :Ix 1 admary bezn= axone (Ws) I5 Credts Internal Revenue SerrCe year begammO —10,742 wain 2 Net feel& real estate (woe Neel Partner's Share of Income, Deductions, Credits, etc. II See back of form and separate instructions. 3 Othal rot mead Irmorro (loss) IS Foregn baimaclons Part I I Information About the Partnership 4 Guaranteed payments A Partnenhes cermbyer demblcalron rumba' 45-1804323 5 WNW income 8 Partrresne's name. acrIM8S. Cry' PPM and DP code ANDROCYTE LLC 6a Crdnary dycknds 6b Duelled dxtlendr AVENTU 0 C IRS Cereer wept ocrtrarshe Ned nom 7 Rayabes O den, UT D EI Check OM*, Is a WON& seas Pennwalt IPIP) 8 Net 8nOrleerrn Caeca gan OM) I Part III Information About the Partner sa Net loneferrn Capial gain rlossl 17 AternEdve MiriMuM lax (NAT) darn E Partners ickvellyng minter A 4 Applied For 9b Collecbbbs '28%) gen doss) F Partners melt =then. cry. slam. and 2P cc* 9c Jima-raptured section 1250 gain GEOFFREY SHMIGELSKY 10 Net How 1231 gain 110681 IS 1m/exempt income and rzedeclmtiale expenses VANCOUVER BC V6B E2E ii Claw InCeM9 Neel C* 4 G EI General partner or LLC X Larded pater of Ogle. LLC member coorbor-maneed H D DOMOSIC padre :5 1_ , orEir Plots 11 YAW Tye. 01 entree altars partner? Individual 19 Daeituton: It II INS partners a reoternerg Plan IMAraER'Kealirrelal. fled' rare 0 12 Semen 179 dedeoron Nee IMMACtlene) J Partners share of proil. loss. and opted (see instruction* 13 Callan deductions 80619. 11 Erman* Prou 14 3.840000 . 20 Otter inlamalen Loss % 5.810100 - . Caned % 3.840000 - K Pertnete Owe 01 gadflies al Air end. elanrcoanse 5 14 SErt-ernPraYmer4 0(001339 Ilw$) Wailed nanrecourse *naming ReCOuNe 2,086 L Partners reed =cunt analysis: 'See attached statement for additional information. Boom® espial =cum Gaeta' combined clone ele year 5 14,990 Current year incase (decrease) 5 -10,746 rim cf.; Bori4phil YAlhatawals A dirsbutons 5 ( I ,.• :4 IWO COSH 84Crear. X Tar base ❑ GAAP 0 $ semyt 704(b) 00C45 4,244 7 09 rr:TIrtk,fm: 4a,ki IS Other (expbh) u. N (ad the Darner WOWS PrOPertY wthabufbin Dam Ce We 9 Yes X No II 'Yes? attach etabinent (see instil-06km) For Paperwork Reduction Acl Nettie. see InstnictIons tor Form 1069 IRSCpCme3rM1065 Schedule K-1 (Form 1065) 2012 DAA EFTA00593244 ANOLLC 08072013 224 PM ❑ Fro, R 1 ❑ Amerd.)) K.I OMB NV 1545.0)99 Schedule K-1 2012 Part Ill Partner ' s Share of Current Year Income, (Form 1065) Deductions, Credits, and Other Items Department et the Treasury For cderdar year 2012. or tax 1 Ordinary been= income its) 16 Cat Internal Revenue SSW° year be(nnr13 -4,259 wane 2 Nei rental real estate (Keene Coed Partner's Share of Income, Deductions, Credits, etc. u see back of lone and separate instructions. 3 04)111 not metal nerd* (loss) IS Forcer trarbaclons I Part II Information About the Partnership 4 Guararteod payments A P inerstip's cfrebyer dertilcaben nyrnta 45-1804323 6 lamer *ACM. a Partreesnpb name. address. Cty. StMO. and DP Cede ANDROCYTE LLC 6a Cednary dyckn(ds 66 Ouallad d ds IIIIII M M IF IR II 0 C IRS Center %dere partrershp lied rerun 7 boyabes Ogden, UT 8 Net Sterbeerrn Caeca Pan 1109$) D 0 Che0t d Ms is a pottery ba000 PannINO 1PTP) I Part III Information About the Partner Se Net lonsyterrn capital gab Ilessl IT AtkMalve reflreuM lax iiknITI dens E Prince's pee-Myna nwreer A 2 116-40-7597 96 Cdtebbbs '28%) gait doss) F Palm: ram*. address. ccy. oaf*. and ZIP cede Se Unrocaplurod section 1250 gain JIM GIBBONS o Net secten 1231 Wiln 1106/1 IS Taxexanal income and needecletialo expemes OLYMPIA WA 98516 11 Cther WOMB NMI C* 2 G ❑ General partner or LLC X Lmled partner' or other LLC merrixibrilline0er mobber H ID DOMOSIC pa0X4 ❑ Feregn partner 11 YAM lope 01 entity al Ids bodnir? Individual 19 Csvithdan: /2 II Su ;eras is a roltemere plan (IFINSEP4400011`01C I. C110Ch 11(40 0 12 Soden 179 doireice Mee IMMAJCSCOS) J Parker's share of pro% loss. ard odd/ (see instructions): Ending 13 Met deductions SeSinnigl Protil % 1.920000 . 20 Other inlalmaban Loss % 2.878300 z Caned % 1. 920000 - K Pedner'S SAM 01 gadflies Si year Ord Manrecouse S 14 Ser(olcioymere &Imre:, ilinst Curdled nareecourse dancing S ReCOunte $ 1, 034 L Partners captd asccunt analysis: 'See attached statement for additional information. Elepnrog capital aCCCuM $ Capital COrdltruled doting MO year s 7,426 . 0Jrrent year ireroase (decrease) $ —4,261 • ill fr VAlhatayeals & distbutons S ( I 2' . II min) capital &cow $ 3,165 8. . X Tar begs ❑ GAAP ID Secito 7040) bock 0 CC Other (expbri) u. ki DO the tar wind l0 depenienn a Wiwi On llel:697 9 Yes X No If 'Yes' attach statement (see instrudicre) FOr PeperwOrk Reduction Act NOM& see InStruCtionS tor Form 1056 IRS.0003rM1065 Schedule K-1 (Form 1065) 2012 DAA EFTA00593245 MOLLC 06072013 324 PM Depreciation and Amortization 0/.4B No. 16454172 F. 4562 (Including Information on Listed Property) 2012 Dcparencrt el ee Treast.ry Internal Rfterga Servce 139) u See separate Instructions. u Attach to your tax return tli=1",:mm 179 ft mcisRliom on rehon idenfifyiN number ANDROCYTE LLC 45-1804323 terms or acthqy le 'Mich the lorm relates Regular Depreciation Part I Election To Expense Certain Property Under Section 179 Note: If you have any listed property. complete Part V before you complete Part I. 1 Maximum amount (see instructions) 1 500,000 2 Total cost of section 179 properly placed in service (see instructions) 2 3 Threshold cost of section 179 property before reduction in limitation (see instructions) 3 2,000,000 4 Reduction in limitation. Subtract line 3 from line 2. N zero or less. enter .0. 4 5 Dollar Imitation for lax year. Subtract ire 4 from foe 1. N zero er less. enter N married Nine separatehr. see instructions 5 6 (a) pesciimbri of Point/ (b) Cosi tbusness use only) (c) Elet-led coal 7 Listed property. Enter the amount from line 29 I 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 9 10 Carryover of disallowed deduction from line 13 of your 2011 Form 4562 10 11 Business income limitation. Enter the smaler of business income (not less than zero) or line 5 (see instructions) 11 12 Section 179 expense deduction. Add lines 9 and 10. but do not enter more than line 11 .. . . . . 12 13 Carryover of disallowed deduction to 2013. Add lines 9 and 10. less line 12 ► 13 Note: Do not use Pail II or Part III below for listed property. Instead. use Part V. Part II Special Depreciation Allowance and Other Depreciation (Do not include listed property.) (See instructions) 14 Special depredation allowance for guabfied property (other than fisted properly) placed in service during the tax year (see instructions) 14 1,258 15 Property subject to section 168)(1) election 15 16 Other depreciation (including ACRS) 16 Part III MACRS Depreciation (Do not include listed property.) (See instructions.) Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2012 17 I 0 18 II you are electMg to group any assets ptaced in service during the tax year rib one or mote geroral asset =cults. check Imo Section B—Assets Placed in Service During 2012 Tax Year Using the General Depreciation System MilgoiriaW yep M Beals ler dCONON4I Id/ Rome., (,) Ctaidilailka Or POPerti OKK4 M 02w mminueslmeM we (0) COM:411:0 M PhYMO (9) DepooMm deduction arvce ody-meeishwWnl proo4 19a lyear property b 5-year property 1,258 5.0 MQ 200DB 135 c 7.year property d 10.year property e 15.year property f 20-year property g 25.Year property 25 yrs. SA_ h Residential rental 27.5 yrs. MM SA_ property 27.5 yrs. SA_ MM I Nonresidential real 39 yrs. SA_ MM property MM St Section C—Assets Placed in Service During 2012 Tax Year Using the Alternative Depreciation System 20a Class life St b 12.year 12 yrs. St c 40.year 40 yrs. MM St Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 21 495 22 Total. Add amounts from line 12. lines 14 through 17. Ines 19 and 20 in column (9). and tine 21. Enter here and on the appropriate Ines of your retum. Partnerships and S corporations—see instructions 22 1,888 23 For assets shown above and placed in service during the current year. enter the portion of the basis attributable to section 263A costs 23 For Paperwork Reduction Act Notice, see separate instructions. Form 4562 I.ttl2. DM EFTA00593246 MELLO C807(2013 324 PM ANDROCYTE LLC 45-1804323 Form 4562 (20121 page 2 Part V Listed Property (Include automobiles, certain other vehicles, certain computers. and property used for entertainment, recreation, or amusement.) Note: For any vehicle for which you are using the standard mileage rate or deducting tease expense. complete only 24a. 24b. columns (a) through (c) of Section A. all of Section B. and Section C if applicable. SectionA--Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.) 24a Do yet nave Selena, to sweat the buorossInvestmert use clamed? nYes nNo 24b If 'Yes: is the evidence written? —1 Yes n No (a) (b) (c) (0) (0) 0) Ica IN (I) Ousthess' TWO 0? Incerf)/ Oath 0000 investment use Cost ix other base liksila Ia ($00reoatlan NCO'S'? IA0:630, cierreoidon Sens semen 179 fsi vehas Ng, In service Fatentage tbusneseirmastment MVO Convent(On cleducton 0061 use °fly) 25 Special depreciation allowance for qualified Isted property placed in service during the tax year and used more than 50% in a qualified business use (see instructions) 25 26 Probonv used more than 50% in a alified business use: 2004 FORD EXPLORER 12/27/12 100.00. 9,896 9,896 5.0 200DBMQ 495 . 27 Property used 50% or less in a qualified business use: 28 Add amounts in column (h) lines 25 through 27. Enter here and on line 21, papa 1 29 Add amounts in column (I). line 26. Enter here and on line 7. page 29 Section B—Informadon on Use of Vehicles Complete this section for vehicles used by a sole proprietor. partner. or other "more than 5% owner." or related person. II you provided vehicles to your employees. first answer Erie questions in becuon u to see it you meet an exception to completing Ems section tor arose venoms. • . • (a) lb) I (c) Id) (a) (f) Veneto 1 Weide 2 Vehcle 3 Vehicle 4 While 5 Wilde 6 30 Total business/investment miles driven during the year (do not include commuting mites) 31 Total commuting miles driven during the year 32 Total other personal (noncommuting) miles driven 33 Total miles driven during the year. Add lines 30 through 32 34 Was the vehicle available for personal Yes No Yes No Yes No Yes No Yes No Yes No use during ofkluty hours? 35 Was the vehicle used primarily by a more than 5% owner or related person? 36 Is another vehicle available for personal use? Section C—Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to comp ono Section B for vehicles used by emp oyees who are not more than 5% owners or related persons (see instructions). 37 Do you maintain a written policy statement that prohibits all personal use of vehicles. including commuting, by Yes No your employees? 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, drectors, or 1% or more owners 39 Do you treat al use of vehicles by employees as personal use? 40 Do you provide more than five vehicles to your employees. obtain information from your employees about the use of the vehicles, and retain the information received? 41 Do you meet the requirements concerning quaffed automobile demonstration use? (See instructions.) Note: If yOur answer to 37.38. 39. 40. or 41 is -Yes." do not complete Section B for the covered vehicles. Part VI Amortization (0 (b) (c) WI Arneelizatlen if) (a) Date arreehisoon Amer.:table amcut Code soden Period a Amonzalian kg INs year Doscreoen ci costs peons Pacemage 42 Amortization of costs that begins during your 2012 tax year (see instructions): 43 Amortization of costs that began before your 2012 tax year 43 2,192 44 Total. Add amounts in column (I). See the instructions for where to report 44 2,192 DM 4562 _rir, EFTA00593247 ANDLLC ANDROCYTE LLC 817/2013 3:24 PM 45-1804323 Federal Statements FYE: 12/31/2012 Statement 1 - Form 1065. Page 1. Line 20 - Other Deductions Description Amount ADVERTISING $ 301 AUTO EXPENSE 7,560 BANK FEES 340 COMPUTER & INTERNET 972 FERRY/SHIP 312 MANAGEMENT FEES 102,000 MISCELLANEOUS EXPENSE 231 OFFICE EXPENSE 2,585 PARKING & TOLLS 1,183 POSTAGE & DELIVERY 1,551 PROFESSIONAL FEES 53,799 REIMBURSEMENTS 3,126 SUPPLIES 473 TRAVEL 23,700 Meals and Entertain (50%) 129 Amortization 2,192 Total $ 200,454 1 EFTA00593248 ANDLLC ANDROCYTE LLC 817/2013 3:24 PM 45-1804323 Federal Statements FYE: 12/31/2012 Statement 2 - Form 1065. Schedule K. Line 18c - Nondeductible Expenses Description Amount Nondeductible Meals and Entertainment $ 128 Total $ 128 2 EFTA00593249 ANDLLC ANDROCYTE LLC 817/2013 3:24 PM 45-1804323 Federal Statements FYE: 12/31/2012 Statement 3 - Form 1065. Schedule L. Line 20 - Other Liabilities Beginning End Description of Year of Year DUE TO J CLEMENT $ $ 25,608 DUE TO P MACKEY 10,303 Total 0 $ 35,911 3 EFTA00593250 ANDLLC ANDROCYTE LLC 817/2013 3:24 PM 45-1804323 Federal Statements FYE: 12/31/2012 ANDROCYTE MANAGEMENT LLC 45-2038037 Schedule K-1. Line 18 - Tax-Exempt Income and Nondeductible Expenses Code Description Amount C Nondeductible Meals and Entertainment $ 107 Schedule K-1, Line 20Y - Additional Supplemental Information Description Additional Alternative Minimum Tax Information: AMT Total Depreciation 1,468 ACE Post-1993 Property Depreciation 1,468 Distribution in Excess of Partner Basis 35,800 EFTA00593251 ANDLLC ANDROCYTE LLC 817/2013 3:24 PM 45-1804323 Federal Statements FYE: 12/31/2012 ZASIS, LLC 20-4637772 Schedule K-1. Line 18 - Tax-Exempt Income and Nondeductible Expenses Code Description Amount C Nondeductible Meals and Entertainment S 13 Schedule K-1, Line 20Y - Additional Supplemental Information Description Additional Alternative Minimum Tax Information: AMT Total Depreciation 180 ACE Post-1993 Property Depreciation 180 EFTA00593252 ANDLLC ANDROCYTE LLC 8/7/2013 3:24 PM 45-1804323 Federal Statements FYE: 12/31/2012 LIFE EXTENSION FOUNDATION, INC. 59-1746396 Schedule K-1, Line 18 - Tax-Exempt Income and Nondeductible Expense8 Code Description Amount C Nondeductible Meals and Entertainment $ 2 EFTA00593253 ANDLLC ANDROCYTE LLC 8/7/2013 3:24 PM 45-1804323 Federal Statements FYE: 12/31/2012 GEOFFREY SHMIGELSKY Applied For Schedule K-1, Line 18 - Tax-Exempt Income and Nondeductible Expenses Code Description Amount C Nondeductible Meals and Entertainment $ 4 EFTA00593254 ANDLLC ANDROCYTE LLC 8/7/2013 3:24 PM 45-1804323 Federal Statements FYE: 12/31/2012 JIM GIBBONS 116-40-7597 Schedule K-1, Line 18 - Tax-Exempt Income and Nondeductible Expenses Code Description Amount C Nondeductible Meals and Entertainment $ 2 EFTA00593255 MOLLC 0607(2013 1St PM Analysis of Partner's K-1, Current Year Increase (Decrease) Worksheet Schedule 14:-1 I 2012 for calendar year 2012 or tax year beginning and ending Partnership Name Employer Identification Number ANDROCYTE LLC 45-1804323 Partners Name Taxpayer Identification Number ANDROCYTE MANAGEMENT LLC 45-2038037 Items Included In Current Year Increase (Decrease): Schedule M-1 Subtractions: Meals and Entertainment 107 Subtotal 107 Total per Schedule K-1, Current Year Increase (Decrease) -107 Page 1 of 1 EFTA00593256 MOLLC 011072013 324 PM Analysis of Partner's KA, Current Year Increase (Decrease) Worksheet Schedule Ic1 I 2012 for calendar year 2012 or tax year beginnog and ending Partnership Name Empoyer Identification Number ANDROCYTE LLC 45-1804323 Partners Name Taxpayer Identification Number ZASIS, LLC 20-4637772 Items Included in Current Year Increase (Decrease): Schedule K Additions: Ordinary Income/Loss -118,211 Subtotal -118,211 Schedule M-1 Subtractions: Meals and Entertainment 13 Subtotal 13 Total per Schedule K-1, Current Year Increase (Decrease) -118,224 Page 1 of 1 EFTA00593257 MOLLC 0607(2013 124 PM Analysis of Partner's K-1, Current Year Increase (Decrease) Worksheet Schedule K-1 I 2012 For calendar year 2012 or tax year begiming and ending Partnership Name Empoyer Identification Number ANDROCYTE LLC 45-1804323 Partner's Name Taxpayer Identification Number LIFE EXTENSION FOUNDATION, INC. 59-1746396 Items Included In Current Year Increase (Decrease): Schedule K Additions: Ordinary Income/Loss -71,901 Subtotal -71,901 Schedule M-1 Subtractions: Meals and Entertainment 2 Subtotal 2 Total per Schedule K-1, Current Year Increase (Decrease) -71,903 Page 1 of 1 EFTA00593258 MOLLC 0607(2013 124 PM Analysis of Partner's K-1, Current Year Increase (Decrease) Worksheet Schedule 14:-1 I 2012 for calendar year 2012 or tax year beginning and ending Partnership Name Empoyer Identification Number ANDROCYTE LLC 45-1804323 Partners Name Taxpayer Identification Number GEOFFREY SHMIGELSKY Applied For Items Included in Current Year Increase (Decrease): Schedule K Additions: Ordinary Income/Loss -10,742 Subtotal -10,742 Schedule M-1 Subtractions: Meals and Entertainment 4 Subtotal 4 Total per Schedule K-1, Current Year Increase (Decrease) -10,746 Page 1 of 1 EFTA00593259 MOLLC 011072013 324 PM Analysis of Partner's K-1, Current Year Increase (Decrease) Worksheet Schedule Ic1 I 2012 for calendar year 2012 or tax year beginning and ending Partnership Name Employer Identification Number ANDROCYTE LLC 45-1804323 Partner's Name Taxpayer Identification Number JIM GIBBONS 116-40-7597 hems Included in Current Year Increase (Decrease): Schedule K Additions: Ordinary Income/Loss -4,259 Subtotal -4,259 Schedule M-1 Subtractions: Meals and Entertainment 2 Subtotal 2 Total per Schedule K-1, Current Year Increase (Decrease) -4,261 Page 1 of 1 EFTA00593260 MOLLC 06072013 324 PM Partner's Basis Worksheet, Page 1 schedule K-1 2012 For calendar year 2012. or tax year beginning and ending Partnership Name Employer Identification Number ANDROCYTE LLC 45-1804323 Partners Name Taxpayer Identification Number ANDROCYTE MANAGEMENT LLC 45-2038037 Beginning of year 0 Increases: Capital contributions: Cash Property (adjusted basis) 'Excess' depletion Income items: Ordinary Income Net income from rental real estate activates Net income from other rental activities Interest Dividends Royalties Net shon•term capital gain Net long-term capital gain Other portfolio income Net gain under section 1231 Other income Tax•exempi interest and other income Other increases: Transfer of capital Gain (loss) on disposition of section 179 assets Distributions: Cash 35,800 Property (adjusted basis) 35,800 Increase (decrease) in share of partnership liabilities PN CN Subtotal —35,800 Distribution in excess of partner basis 35,800 Decreases: Noncap items: Nondeductible expenses Charitable oontrbutions Foreign taxes Loss items: Ordinary loss Net loss from rental real estate activities Net loss from other rental activities Royalties Net shore enn capital loss . Net longterm capital loss Other portfolio loss Net toss under section 1231 Other losses Section 179 expense Deductions related to portfolio income Other deductions Interest expense on kwestment debts Section 59(0)(2) expendtures Depletion Other decreases: End of year 0 Note to partner: This worksheet was prepared based on partnership records. Please consult with your tax advisor for adjustments. EFTA00593261 MOLLC 01107f2013 324 PM Partner's Basis Worksheet, Page 2 Schedule K-1 2012 For calendar year 2012 or tax year beginning and endi Partnership Name Employer Wen ification Number ANDROCYTE LW 45-1804323 Partners Name Taxpayer Iden Station Number ANDROCYTE MANAGEMENT LLC 45-2038037 Suspended Allowed Disallowed Amount Current Year Total Loss Percent Loss Loss Nondeductible noncapital exps: Nondeductble expenses 107 107 100.00 107 Charitable contributions Foreign taxes Total nonded noncapital exps 107 107 107 Losses and deductions: Ordinary loss Rental real estate loss Other rental activity loss Royalties Short-term capital loss Long-term capital loss Other portfolio loss Section 1231 loss Other losses Section 179 expense Portfolio income deductions Other deductions Investment debt interest Sect 59(e)(2) expenditures Depletion Total losses and deductions 'Note to partner: This worksheet was prepared based on partnership records. Please consult with your tax advisor for adjustments. EFTA00593262 AKOLLC 011072013 324 PM Partner's Basis Worksheet, Page 1 schedule K-1 2012 For calendar year 2012. or tax year beginning and ending Partnership Name Employer Identification Number ANDROCYTE LLC 45-1804323 Partners Name Taxpayer Identification Number ZASIS, LLC 20-4637772 Beginning of year 58,154 Increases: Capital contributions: Cash 80,000 Property (adjusted basis) 80,000 'Excess' depletion Income items: Ordinary Income Net income from rental real estate activities Net income from other rental activities Interest Dividends Royalties Net short-term capital gain Net long-term capital gain Other portfolio income Net gain under section 1231 Other income Tax•exempi interest and other income Other increases: Transfer of capital Gain (loss) on disposition of section 179 assets Distributions: Cash Properly (adjusted basis) Increase (decrease) in share of partnership liabilities PN CA' 19,230 19,230 Subtotal 157,384 Distribution in excess of partner basis Decreases: Noncap items: Nondeductible expenses 13 Charitable oontri3ubons Foreign taxes 13 Loss items: Ordinary loss 118,211 Net loss from rental real estate acuvrties Net loss from other rental activities Royalties Net short-term capital loss Net long-term capital loss Other portfolio loss Net toss under section 1231 Other losses Section 179 expense Deductions related to portfolio income Other deductions Interest expense on investment debts Section 59(0)(2) expendtures Depletion 118,211 Other decreases: End of year 39,160 Note to partner: This worksheet was prepared based on partnership records. Please consult with your tax advisor for adjustments. EFTA00593263 MOLLC 06072013 324 PM Partner's Basis Worksheet, Page 1 schedule K-1 2012 For calendar year 2012. or tax year beginning and ending Partnership Name Employer Identification Number ANDROCYTE LLC 45-1804323 Partners Name Taxpayer Identification Number LIFE EXTENSION FOUNDATION, INC. 59-1746396 Beginning of year 0 Increases: Capital contributions: Cash 97,426 Property (adjusted basis) 97,426 'Excess" depletion Income items: Ordinary Income Net income from rental real estate activates Net income from other rental activities Interest Dividends Royalties Net short-term capital gain Net long-term capital gain Other portfolio income Net gain under section 1231 Other income Tax-exempt interest and other income Other increases: Transfer of capital Gain (loss) on disposition of section 179 assets Distributions: Cash Properly (adjusted basis) Increase (decrease) in share of partnership liabilities PIY CPI 13,561 13,561 Subtotal 110,987 Distribution in excess of partner basis Decreases: Noncap items: Nondeductible expenses 2 Charitable oontrioubons Foreign taxes 2 Loss items: Ordinary loss 71,901 Net loss from rental real estate activities Net loss from other rental activities Royalties Net short-term capital loss Net long-term capital loss Other portfolio loss Net toss under section 1231 Other losses Section 179 expense Deductions related to portfolio Income Other deductions Interest expense on investment debts Section 59(0(2) expendtures Depletion 71,901 Other decreases: End of year 39,084 Note to partner: This worksheet was prepared based on partnership records. Please consult with your tax advisor for adjustments. EFTA00593264 MOLLC 06072013 324 PM Partner's Basis Worksheet, Page 1 schedule K-1 2012 For calendar year 2012. or tax year beginning and ending Partnership Name Employer Identification Number ANDROCYTE LLC 45-1804323 Partners Name Taxpayer Identification Number GEOFFREY SHMIGELSKY Applied For Beginning of year 0 Increases: Capital contributions: Cash 14,990 Property (adjusted basis) 14,990 'Excess" depletion Income items: Ordinary Income Net income from rental real estate activities Net income from other rental activities Interest Dividends Royalties Net short-term capital gain Net long-term capital gain Other portfolio income Net gain under section 1231 Other income Tax•exempi interest and other income Other increases: Transfer of capital Gain (loss) on disposition of section 179 assets Distributions: Cash Property (adjusted basis) Increase (decrease) in share of partnership liabilities PN Cry 2,086 2,086 Subtotal 17,076 Distribution in excess of partner basis Decreases: Noncap items: Nondeductible expenses , , , ,, , , , , , , , , , , , ,, , , , , , , , , , , , ,, , 4 Charitable oontrioutions , , , ,, , , , , , , , , , , , ,, , , , , , , , , , , , ,, . Foreign taxes 4 Loss items: Ordinary loss 10,742 Net loss from rental real estate activities , , , , , , , ,, , , , , , , , , , , , ,, Net loss from other rental activities , , , , , , , , , , ,, , , , , , , , , , , , ,, , Royalties Net short-term capital loss ,, , ,, , , , , , , , , , , , ,, , , , , , , , , , , , ,, Net long-term capital loss Other portfolio loss Net toss under section 1231 Other losses Section 179 expense Deductions related to midi° income Other deductions Interest expense on investment debts Section 59(e)(2) expendtures Depletion 10,742 Other decreases: End of year 6,330 Note to partner: This worksheet was prepared based on partnership records. Please consult with your tax advisor for adjustments. EFTA00593265 MOLLC 06072013 324 PM Partner's Basis Worksheet, Page 1 schedule K-1 2012 For calendar year 2012. or tax year beginning and ending Partnership Name Employer Identification Number ANDROCYTE LLC 45-1804323 Partners Name Taxpayer Identification Number JIM GIBBONS 116-40-7597 Beginning of year 0 Increases: Capital contributions: Cash 7,426 Property (adjusted basis) 7,426 'Excess' depletion Income items: Ordinary Income Net income from rental real estate acuviues Net income from other rental activities Interest Dividends Royalties Net short-term capital gain Net long-term capital gain Other portfolio income Net gain under section 1231 Other income Tax•exempt interest and other income Other increases: Transfer of capital Gain (loss) on disposition of section 179 assets Distributions: Cash Properly (adjusted basis) Increase (decrease) in share of partnership liabilities PN CN 1,034 1,034 Subtotal 8,460 Distribution in excess of partner basis Decreases: Noncap items: Nondeductible expenses , , , ,, , , , , , , , , , , , ,, , , , , , , , , , , , ,, , 2 Charitable contributions , , , ,, , , , , , , , , , , , ,, , , , , , , , , , , , ,, . Foreign taxes 2 Loss items: Ordinary loss 4,259 Net loss from rental real estate activities , , , , , , , ,, , , , , , , , , , , , ,, Net loss from other rental activities , , , , , , , , , , ,, , , , , , , , , , , , ,, , Royalties Net short-term capital loss ,, , ,, , , , , , , , , , , , ,, , , , , , , , , , , , ,, Net long-term capital loss Other portfolio loss Net toss under section 1231 Other losses Section 179 expense Deductions related to poitoio Income Other deductions Interest expense on investment debts Section 59(e)(2) expenditures Depletion 4,259 Other decreases: End of year 4,199 Note to partner: This worksheet was prepared based on partnership records. Please consult with your tax advisor for adjustments. EFTA00593266 ANOLLC 06072013 3,21 PM Schedule K-1 Summary Worksheet 1065 2012 For calendar year 2012. or tax year beginning . and ending Partnership Name Empoyer Identification Number ANDROCYTE LLC 45-1804323 Partner Name SSM EIN Column A ANDROCYTE MANAGEMENT LLC 45-2038037 Column 8 ZASIS, LLC 20-4637772 Column C LIFE EXTENSION FOUNDATION, INC. 59-1746396 Column D GEOFFREY SHMIGELSKY Applied For Schedule K Column A Column B Column C Column D Subtotal Items 1 Ordinary income —118,211 -71,901 -10,742 -200,854 2 Net 'ncome•rent 3c Net inc-oth rent 4 Guaranteed pmts 5 Interest Income 6a Ordinary dividends 6b Oval eividends 7 Royalties 8 Net ST capital gain 9a Net LT capital gain 9b Collectbles 28% gain 9c Unrecap sec 1250 10 Net sec 1231 gain 11 Other Income 12 Sec 179 deduction 13a Contrbutions 13b Invest interest exp 13c Sec 59(e)(2) exp 13d Other deductions 14a Net SE earnings 14b Gross farming inc 14c Gross nonfarm ine 15a Low-inc house 42j5 15b Low-inc house other 15c Ckialif rehab exp 15d Rental RE credits 15e Other rental credits 151 Other credits 16b Gross inc al src 16c4 Tot foreign income 16q-kTot foreign deds 161•4nTotal foreign taxes 17a Depr adjustment 103 13 2 4 122 17b Adj gain or loss 17c Depletion 17d Inc-oitgastgeoth lie Ded-ortrgasigeoth 17f Other AMT items 18a Tax-exempt int 18b Other tax-exempt 18c Nonded expense 107 13 2 4 126 19a Cash disinbulions 35,800 35,800 19b Property distributions 20a Invest income 20b Invest expense Page 1 of 2 EFTA00593267 ANOLLC C6072013 124 PM Schedule K-1 Summary Worksheet Form 1065 2012 For calendar year 2012. or tax year beginning . and ending Partnership Name Employer Identification Number ANDROCYTE LLC 45-1804323 Partner Name SSNEIN Column A JIM GIBBONS 116-40-7597 Column B Column C Column D Schedule K Column A Column B Column C Column D Sch K Total Items 1 Ordinary income -4,259 -205,113 2 Net income•rent 3c Net inc-oth rent 4 Guaranteed pmts 5 Interest Income 6a Ordinary dividends 6b Ckial dividends 7 Royalties 8 Net ST capital gain 9a Net LT capital gain 9b Collecttles 28% gain 9c Unrecap sec 1250 10 Net sec 1231 gain 11 Other income 12 Sec 179 deduction 13a Contri3utions 1313 Invest interest exp 13c Sec 59(e)(2) exp 13d Other deductions 14a Net SE earnings 14b Gross farming inc 14c Gross nonfarm ine 15a Low-inc house 4215 15b Low-inc house other 15c Ckialif rehab exp 15d Rental RE credits 15e Other rental credits 151 Other credits 16b Gross inc al src 16c-1 Tot foreign income 16g-kTot foreign dads 161-mTotal foreign taxes 17a Depr adjustment 2 124 17b AM gain or loss 17c Depletion 17d Incogrgasigeoth 17e 00d-oil/gas/geed) 17f Other AMT items 18a Tax-exempt int 18b Other tax-exempt 18c Nonded expense 2 128 19a Cash distributions 35,800 19b Property distributions 20a Invest income 20b Invest expense Page 2 of 2 EFTA00593268 ANOr.LC 08 072313 324 pm Reconciliation of Partners' Basis Worksheet Form 1065 2012 For calendar year 2012, or tax year begrnilaul Partnership Name EmpMyst identification Number ANDROCYTE LLC 45-1804323 Partner Beginning Distribution in Allowed Ending Number Partner Name Basis Increases Excess of Basis Decreases Basis 1 ANDROCYTE MANAGEMENT LLC 0 —35,800 35,800 0 0 2 ZASIS, LLC 58,154 99,230 0 118,224 39,160 3 LIFE EXTENSION FOUNDATION, INC. 0 110,987 0 71,903 39,084 4 GEOFFREY SHMIGELSKY 0 17,076 0 10,746 6,330 5 JIM GIBBONS 0 8,460 0 4,261 4,199 Taal this page 58,154 199,953 35,800 205,134 88,773 foal as pages 58,154 199,953 35,800 205,134 88,773 Page 1 of 1 EFTA00593269 ANMOO 0807,2013 3:24 Reconciliation of Partners' Capital Accounts Worksheet Form 1065 2012 For calendar year 2012, or tax year beginning and ending Partnership Name Employer Identification Number ANDROCYTE LLC 45-1804323 Partner Beginning Capital Lines 3, 4. & 7 Withdrawals & Ending Number Partner Name Capital Contributed Schedule M-2 Distributions Capital 1 ANDROCYTE MANAGEMENT LLC —2,023 0 —107 35,800 —37,930 2 ZASIS, LLC 58,154 80,000 -118,224 0 19,930 3 LIFE EXTENSION FOUNDATION, INC. 0 97,426 -71,903 0 25,523 4 GEOFFREY SHMIGELSKY 0 14,990 -10,746 0 4,244 5 JIM GIBBONS 0 7,426 —4,261 0 3,165 Total this page 56,131 199,842 —205,241 35,800 14,932 Total all pages 56,131 199,842 —205,241 35,800 14,932 Page 1 of 1 EFTA00593270 ANDLLC ANDROCYTE LLC 08/07/2013 3:24 PM 45-1804323 Federal Asset Report FYE: 12/31/2012 Form 1065, Page 1 Date Bus Sec Basis Asset Description In Service Cost % 179 Bonus for Depr PerConv Meth Prior Current 5-year GDS Property: 2 TRAILER 9/12/12 1.422 X 711 5 MQ200DB 0 818 4 LAPTOP 10/04/12 1.094 X 547 5 MQ200DB 0 575 2.516 1.258 0 1.393 Listed Property: I 2004 FORD EXPLORER 12/27/12 9.896 9.896 5 MQ200DB 0 495 9.896 9.896 0 495 Amortization: 3 DATA AND SAMPLES 5/01/11 32.880 32.880 15 MOAmort 0 2.192 32.880 32.880 0 2.192 Grand Totals 45,292 44,034 0 4.080 Leas: Dispositions and Transfers 0 0 0 0 Less: Start-up/Org Expense 0 0 0 0 Net Grand Totals 45.292 44.034 0 4.080 EFTA00593271 ANDLLC ANDROCYTE LLC 08/07/2013 3:24 PM 45-1804323 Bonus Depreciation Report FYE: 12/31/2012 Date In Tax Bus Tax Sec Current Prior Tax - Basis Asset Property Description Service Cost Pct 179 Exp Bonus Bonus for Depr Arthiv: Form 106; Page 1 2 TRAILER 9/12112 1.422 0 711 0 711 4 LAPTOP 10/04/12 1.094 0 547 0 547 Form 1065. Page 1 2.516 0 1.258 0 1.258 Grand Total 2.516 0 1.258 0 1.258 EFTA00593272 ANDLLC ANDROCYTE LLC 08/07/2013 3:24 PM 45-1804323 AMT Asset Report FYE: 12/31/2012 Form 1065, Page 1 Date Bus Sec Basis Asset Description In Service Cost % 179 Bonus for Depr PerConv Meth Prior Current 5-year GUS Property: 2 TRAILER 9/12/12 1.422 X 711 5 MQ200DB 0 818 4 LAPTOP 10/04/12 1.094 X 547 5 MQ200DB 0 575 2.516 1.258 () 1.393 Listed Property: I 2004 FORD EXPLORER 12/27/12 9.896 9.8% 5 MQI50DB 0 371 9.896 9.8% 0 371 Grand Totais 12.412 11.154 0 1.7(4 Lem: Dispositions and Transfers 0 0 0 0 Net Grand Totals 12.412 1 1.154 0 1.764 EFTA00593273