MELLEN, SMITH & PIVOZ, PLC
30600 TELEGRAPH ROAD, SUITE 1131
BINGHAM FARMS, MI 48025-4531
TELE: 248/642-2803 FAX: 248/642-7236
BLUE CHIP CAPITAL LLC
27 HIGH TECH BLVD
THOMASVILLE, NC 27360
RE: CAP COMPANY I, LLC
DEAR PARTNER:
ATTACHED IS YOUR COPY OF THE 2011 PARTNERSHIP FORM 1065
SCHEDULE K-1. THIS SCHEDULE SUMMARIZES YOUR INFORMATION FROM
THE PARTNERSHIP. THIS INFORMATION HAS BEEN PROVIDED TO THE
INTERNAL REVENUE SERVICE WITH THE U.S. PARTNERSHIP RETURN OF
INCOME, FORM 1065.
THE INFORMATION PROVIDED ON THIS SCHEDULE SHOULD BE ENTERED
ON YOUR TAX RETURN, IN ACCORDANCE WITH THE INSTRUCTIONS IN
SCHEDULE K-1, PAGE 2. IF YOUR RETURN WILL BE PREPARED BY
YOUR ACCOUNTANT OR ATTORNEY, YOU SHOULD PROVIDE A COPY OF
THIS SCHEDULE TO THE PREPARER WITH YOUR OTHER TAX
INFORMATION.
WE THANK YOU FOR THE OPPORTUNITY TO SERVE YOU.
VERY TRULY YOURS,
MICHAEL A. PIVOZ
CONFIDENTIAL SDNY_GM_00032908
EFTA 00143521
EFTA01252612
651111
Schedule K-1
(Farm 1066) For cairds• yevit2C1' of tax
2011 Final K-1 I Amended K-1
Partner's Share of Current Year Income,
OMB No.1545-009
Department of the treasury you booming Deductions, Credits, and Other Items
Internal Revenue Se-vice 1 Ordinary business Income (loss) 16 Credits
Partner's Share of Income, Deductions, 0.
Credits, etc. 0. See separate Instmdlons. 1W Wei real OfWA 'nosy* QS)
16 Foreign tra 'sections
3 ether net rental Income (loss)
14 Information About the Partnership
A Partnership's employer identification number 4 Guaranteed payments
B Partnership's name, address, city, state, and ZIP code 5 Interest Income
325 500.
CAP COMPANY I, LLC 63 Ordinary dividends
959 W. ST. CLAIR AVENUE, 3RD FLOOR 17 Alternative min tax (AMT) Items
CLEVELAND OH 44113 lib pleaded dividends
C IRS Center where partnership Ned return
C INCINNATI OH 7 loyalties
18 Tax-exempt income and
D r Check it his is a publicly traded partnership (PIP) 8 Net shod-term capital gat (loss) nondeductible expenses
ila Net longsterrn capital gain (loss)
Part Information About the Partner
9b Colectibles (26%) gain (loss) 19 Distrbudorts
796,994.
F Partner's name, address, city. state. and ZIP code 9c Unrecaptured sec 1250 gain
20 OtheriMommticc
BLUE CHIP CAPITAL LLC 10 ler section 1231 gain (loss) A 325,500.
27 HIGH TECH BLVD B 28,507.
THOMASVILLE, NC 27360 11 r income (loss)
O I__I General Paltrier or LLC IX, Limited partner or other LLC
member-manager _ member
H ®Domestic partner L__1Foreign partner
I What type otenhly is this partner? PARTNERSHIP 12 Section 179 deduction
J Partners share of profit, loss, and capital: 13 Other deductions
Beginning Ending K* 28,507.
Prot 12.5000000% 12.5000000% 91* 6.
Loss 12.5000000% 12.5000000%
Capital 12.5000000% 12.5000000% 14 Selfromployment earnings (loss)
K Partners share of labielles at year end: .
Nonrecourse
(lathed nonrecourse financing $.0 attached statement for additional information
Recourse $ 0
L Partners capital account analysis:
Beginning capital account $ 499,932.
Capital contributed during the year 75.
Current year increase (decrease) 296,987.
Withdrawals & distribution 796,9944
Ending Capital account 0.
M Tax bass El say L. Sectior. 704(b) book
El Other (explain)
M Old the partner contribute property with a built-in gain or loss?
n.J Yes IX] No
It 'Yoe, attach statement (see InstructiOnS)
11761
11-04-1' LHA For Paperwork Reduction Act Notice, see instructions tor Form 1056 Schedule K-1 (Form 1085) 2011
CON? DENITTAL LLC
2
14030406 759398 7676 7676 1
SDNY_GM_00032909
EFTA 00143522
EFTA01252613
CAP COMPANY I, LLC 26-3296234
SCHEDULE K-1 PORTFOLIO DEDUCTIONS
SUBJECT TO THE 2% FLOOR BOX 13, CODE K
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
MANAGEMENT FEE 28,507.
TOTAL TO SCHEDULE K-1, BOX 13, CODE K 28,507.
SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
MISCELLANEOUS 6.
TOTAL TO SCHEDULE K-1, BOX 13, CODE W 6.
PARTNER NUMBER 2
14030406 759398 7676
CONMEYENFTTALLLc 7676 1
SDNY_GM_00032910
EFTA ((1143523
EFTA01252614
Schedule K-1 ;Form 13$51 2011
Page 2
This list Identifies the codes used on Schedule K-1 for all partners and provides summarized reporting information for partners who tile
Form 1040. For detailed reporting and riling Information, see the separate Partner's Instructions for Schedule K.1 and the Instructions
lor your Income tax return.
Code Parti r
>drag bueira• ~me »mil Dot -op whether the Isccere Foes; n • Wolc °Dam, nity aver,
padelvili 4ospentre end et.« Or year renan at kneed. K Dlabbled runs ceec.1
L Errpeatrfrent acne and rowed
carrn,,iti‘y efrOlOrneht stat Sea ho Part-r
Reportes
IV Credit ter exateeleo march
thatt• lose Sn the 3irda'e Irlitadihre ~MI es
~VI Moan, beta". o E. iInc 2d. coke,* 4, N Credit br vapbyer soda occur ty
Neveenere Idea eclat.» E Ore 2d *moron 7/ arld Vaditare Wee
Nowt, Inneos Screed* E. Ilre 2.4 coda*, 9 O Deco& Wtrholdng Feen 'CAC. I* 62
Na rental nat ~ate ', iche (Weal Sao the aroet'e hetntellore P Cille end% Sat I% Pert-as Instr-cficots
3. Oter net torte! let (en)
&tedub E. lire 26. Cal ee%L9 18. Foreipn tftruSII3fili
Net Won*
Sae the 4aelnet's hel.'UCtiors A Nano of count, *W9
Na less
peeeslon
4. (Ittentabed *roe* ScFedub E. lire M, “It.civ, 1)
B (Uwe soot% ear ell ea tees Fix% 'I'd Pert I
5. Intent 'row% Fri 1040 Um. Se
Foot. 1040. it* 95 C One* .tcorre bowls et partner
es Croke), toy der* lend
ab. Cueetto diver% Fair 1040. Ule
7. Floyetcs 6Crequ11 E. lire 3o 1-Olidgn gran 'Prune room« r partnwealp awed
6. Nei ein't•Orrr cap la pen (bes; &tidal, D. ere 5 U Pion ce~y
go. Not lorp-Inno cap% pan Fess) Schedule 0, line 12 E Gowns coteacel Forn 'I'd Par I
00. ~Idea OW OFF Sent 26% Rate O. Weeks**, • % 4 F 071•F
t(oeedue0 Inottatices)
De. Urdecep‘be sect on 1250 paln the ~a* Infractor • Cleducdons Wozatet1 and ttopo•Xonal et partner br '
'C. Net asclon 1231 gain Ma) Eta lim Praha bean dore G hterest =dense Fern 9,6, Pen I
01- Income (beat H Oher Fern Pall
Co* Otdi.cerhe atoaeloe end esca0oned et pertrorenip tot to 1/41, SG', SCGite
A CI'« h% on* 97%1 Rao the artnet's Inslructbre Income
R Irv>,anbuy converstons Soothe Pt/9 Sett I Pale we **WY
C Sta. 1255 ccotrecht & since* Fa* 6787 line I ▪ Gerard <savvy ) Forn 'I'd dart i
• Mlnira ettplotettion aste ~ph" See Pew 636 K Mar
E Cancelled« el debt Form 1049 Ins 21 et Ferri 982
F Oh« ',cane >Ode) See tl*PdFxits I fl an Other Inkrnmon
L - 010 lardy. taus pee Fox ' o Prll
12. Nttr '79,let at en See :reParries **eta* IV This lanky. tilisid erAnaa con, - 1'6 Pat II
13. Otteactens N ~on fr *tee wadable br crec Ft FOCI, 11. 6, Ira 12
O %yips &bap tress *cep* Worn 9873
A Cash cont.:tot** 00%) Fern 5.573
P Extra,taliCrteJ heats sae non
▪ Ciehrantabutleat i33%) See Fs >911:r•Fe Inetruclion
O Otheeoregn *reaction
C Not corlrbukcros 'X%)
D Not zorhttutcret X%) See tre Porn« e »r..etune
CNN% pain prapertt la • 50% 17. Mew*" trait% m W (AU') hens
orpw ~On 4»tti A Peat- 488 *taw* on a:X*7%M
F Copies pain property (20•Al B Adjualed gan 44 lass 11 Sue do 'died.
O CankleueoneF00%; C Deort es tetra him ad & plet IsIno-Uara one
4wanrant ametes: expense F41'1494.2, line I O 0 µe. d peolmtine won Income VW latrraelore br
I Detd-ot an • toys lazorto Soneugle L lire 19 gat. & goobers -*Cyclone Fear 6251
J Beeler 591%2i uor can Se. to Penny(' Initlitetens F Ottiet ditr tetra
K Detkatens porno te t2% Scot) Sole:Iale A fine 23
L Dflotens **tole :nowt Sena, 45 A Une 28 It - 444-exerot income era rcAacsseenft expert«
M Amounis pot 'or medics irs4brsoir Selec UNA ile • r rorn '040. '929 A - ix-extrxt: %brow %cone rent 1040, tab
N Ea mime' »31Es-we bet Sae te Perrot • tcCond 9 Other tex•exterp: Mows Soo w0>rMyO ir stneotbas
O Depended :al *rat* Fenn 241' imp 12 C Norcecext riln expo** Sat Ds New* Irets.ct
P PrsprodueiroFrkWUHnea See UV:brews ~Cab
19 Ono *no*
O Centre% al rettlislIxellor defluCtiOn See Fors 8682 tomavers
• rental led ellaie•CbrtIce A Caw rd Markle/GM escort
A Peniorsrld ade Se•IM7direts betrovett B OistrlostIon su*ect te seclos 737 ) See 174e Petty* IrAtnalotat
• Elebteststan «per* ea:K.4101 Seel* atale inetnctkore C Othe4 PeoPe4Y
T Ornalle pront&los wa.itiat See Fors 8003 Inultuesone 20 02**Lnlerreten
Irlflon A lastmeht Mrerw l'orn 4962. I* 4e
U Cut ed Predal on ~Des Wean, Forte 8933 Inn 7b tl hvearent ~erne% Form 4902. Ins
✓ %%Were gem W2 wow Form 8933 lino 17 C Fuel taxmall Ir1nflor Fora 4138
SY Oter*OuCtar• See me 'sire'. ImaruCtItxs • (*Wed reelatiltains «pandit-to,
(et« ton or* mat watt Sat Lie Pertret9 Inflation
E aegis of tray; 0-..urrny Sc. hwn Pr^Ma Ins:ration°
14. Set deroorral ~lops lb« • mocier.vre cw-Vwne rousinp
ho* ryca. Iwo a soclon 179 aechalten et pry perIneolevel cleductont. see amid :Paton 42:02 N0,8811, In* 8
the arnet • Istnictlers bate comniting Senedde 5! O RoCapeare of as -Income %mina
ton Met:~ Fart ear. I ve
A Nr oerrinpe Beredt 196. Steelton A ot
eel estfloyrrent ▪ Receptare el investment atoll See Fos, 4256
6 Ora% %mop et Ilshop 'am% See the artery InetiaXIS* I Reeeplare Wolter at See *a Pea:let's **Atone
C Ores* rrol.birn income Scone 3artnet's h-cduc*.iris J ..004-1~4 Interest coolitlobl
bng-trir contreza Sea Fonn 8097
Credits • Look-bete inteneet hed-let rOnKedi
TIMM Ses Fos, 5503
A Lety.Inccarerousiry creole
DenctOn 420X58 tont pre-2018 L Diepos tire oi CA:0*M with
• o non ~eon 179 Saw**
fl Lew-lreerreroLsIrp email lott M Receptareca %Con 179 cleciactlen
lawn pre2091 aaclinpe N Interest «penes ror *roan pant
C Low-IrCefre ratioS CMG Peeler. O radian 463(X* htabalen
t2p51)tiein poel-2C07 h Maps P Staten 463A7g Illtenapon
• Low.lecome hatalr9 Who; See the ~Ws fl ing:Ions O Sect* 128C06 giconstlen
Intro post-2037 bulltInap N Peet« ado**, to produclon Seethe Patina's
E Coated rehab Item exprxnuree exavelturee Instrielleo*
pila hew eillebl • CCF reeetalled ~fetal.
F Ode eerie ran sedate co.-. te T fkrilazie .4s:inert:a - rat ana
G Other arts ~tie U Arnakrat, o' ralor•Viabn coat*
11 ~tad :ern ICAO, line 7' c4eGic oox lb ✓ listen *dross teutoblrootne
Celina Baled credit
I *Coil& awl Oettinsk Dinka; luns See Ise Netne* Me:Notions W Precares1045or pan 2,551
e**1 X Sectb4 1090 inbrntelon
✓ Other Infarrnatbs
91752
'144.11
2
7676 1
14030406 759398 7676
CONMDENTrAL"' SDNY_GM_00032911
EF1'A_00143524
EFTA01252615
BOARDWALK
000
PIPELINE PARTNERS0
ssAUTOPSCH 334 96 PS3 720146A24-2-1
L4646 2 AT U.374
BLUE CHIP CAPITAL LLC
329 SEABREEZE AVENUE
PALM BEACH FL 33480-6132
February 27, 2012
Dear Unittiolder:
Enclosed is your Boardwalk Pipeline Partners, LP tax package for 2011. This package
contains Important information that you will need to prepare your federal and state
income tax returns for 2011 - please do not discard.
In the tax package, Boardwalk Pipeline Partners, LP is providing the following documents to
you:
I. Schedule K-1, (Form 1065)
2. Schedule K-1, Additional Information
3. State Income Schedule
4. Ownership Schedule
5. Sales Schedule (if Applicable)
6. Individualized Income Tax Reporting Package instructions
7. Graphic Guide of Federal Tax Forms
8. Partner's Instructions for Schedule K-1, Form 1065
9. Reminder of Eligibility Standards
Please carefully review the information on your Ownership Schedule. If the information is
inaccurate, please contact us as explained on the form. We will issue a corrected Schedule
K-1, State Schedule, Ownership Schedule, and Sales Schedule, if applicable, as soon as
possible.
The enclosed general instructions and graphic guide are provided for your general guidance,
and are not intended to be, nor should they be construed as tax advice. The tax information in
this package, as reflected on the schedules provided, is based on existing federal and state tax
laws and regulations as interpreted by the General Partner. Before completing any tax filing,
we recommend that you consult with your tax advisor.
If you should have any questJons regarding this tax package, please call toll free (866)
867-5085 or logon to our tax package support website at
wataxnackagesunport.comiboardwalk
Sincerely,
Boardwalk Pipeline Partners,
h • IS. I II
ONFIDENTIAL crfiklki"Me123nik-21flkn
EFTA_00143525
EFTA01252616
2011 STATE SCHEDULE,
AND SCHEDULE K-1 ADDITIONAL INFORMATION
BOARDWALK PIPELINE PARTNERS, LP
PARTNER NAME: BLUE CHIP CAPITAL LLC
PARTNER ACCOUNT NUMBER:
PARTNER FEDERAL IDIENTITY:
CUSTODIAN FEDERAL ID:
r ARTNERSHIP
PARTNERSHIP FEDERAL ID: 20-3265814
State Information
(Duo to rounding enticing Federal end Stale differences, totals may not woo l° Fedond intuit)
(I) (2) (1) (4) :5) gl;
Ovary booms= lucre(-) Interest bone Net Shod-Term Capitol Oaln Not long-Tem, Copilot Olt & Ramiro ertemsoyelMnimtes lax
Os or lon(-) or Loser) Degreclellon & Oen Adlyeroxt
AL -02 0 0 4 289 1
AR -263 0 0 13 832 2
— F
FL -10 0 0 1 03 0 F
L -3 0 0 0 11 0
IN -in 0 0 9 568 1
KS -3 0 0 0 10 0
KY -809 1 0 43 2.666 a
LA I -Z064 2 0 100 &TN 14
MS -1,149 1 0 61 3.772 0
OK -66 0 0 ' 3 166 0
STATE INFORMATION
The ps rtrorstip has °poultice& in many status. You may bo required to file a tax return with those steins. Each state 55 klentlhed by a to latter cot In tho for let COME of this
stile& la with the epplIcabln amounts reported in Colum ns (I) through (6). Differences between state ernounle and forkvel arnsunts mu due to rooming and vatialsons between
federal and stale kerns lax laws. Please consult your tax advisor.
Do not attach these schedules to your Federal or State Incomo Tax Returns.
See tax Instruodons for additional information.
2011 SCHEDULE K-1 ADDITIONAL INFORMATION
1311 Total Gross Receipts 20,372
1372 DPGR Gross Receipts 0
1313 Total CGS 0
1374 CGS allocable to DPGR 0
13T5 Total Expenses 21,977
1316 Total Expenses allocable to DPGR 0
20Y1 Gross Receipts 20,372
.131: The additional information provided for line 13T is not relevant to most individuals. It is used by unitholders who are
engaged in production activities to calculate their domestic production activities deduction under Section 199.
'Contact the partnership if you need additional information to calculate your Section 199 domestic production activities
deduction.
.20Y: Please note that IRS Code Section 7430Ai alkiitmEintisibrable been included in box 1 of your schedule K-1.
/W4 SASHIMI C gni \ re rifintreeln
EFTA_00143526
EFTA01252617
651111
El Fuel K-1 [I] Amendoi K-1 0M6 No 1545 3099
Schedule K-1 rF Partner's Share of Current: ear Income,
(Fenn 1065) Deductions, Credlte, and Other items, ;
Di:ointment of the f Posta). 1 Granary business Income (less) 16 erodes
For calendar your 2011. or lax
Internal Revenue Surma: -6,208
year bealunaw 2011
ending ,20 2 Not rental real estate Income (loss)
Partner's Share of Income, Deductions,
Credits, etc. ► See back of form and separate Instructions. 3 Other net rental Income (loss) 18 Foreign IsaneactIons
'11110(01411I0r1 AboUfthe Partnemthig
A Partnership's ernployer ckmlificston number 4 Guaranteed payments
El Partnership's name, address. city. slate. and ZIP code 5 interest income
BOARDWALK PIPELINE PARTNERS, LP 6
9 GREENWAY PLAZA, SURE 2800 as &Meaty dividends
HOUSTON. TX 77046
flb Quailed dhriderth
7 Royalties
C IRS Center where partnership bbd return
Ogden, UT
a Not short-term caReal Oain (beg)
D ❑check if this is a publicly traded parlruethiP (PT?)
9a Net kno.tarrn capital pain (less) 17 Merriam niriantrn tax (NAT) to
.. Ardor:nailer) About thePartnet-ft.,,:..-...
E Partner Mona( ing number 328 A 41
CollerAibles (28%) gel (loss)
F Partners name address. ray, Mate, and DP rode
BLUE CHIP CAPITAL LLC Unreraplumd section 1260 gain
329 SEABREEZE AVENUE
PALM BEACH FL 33480 10 Net section 1231 gain (Ion) 18 Taken:apt Int is and
nondeductible expenses
11 Other Income (loss) 24
rt General partner or LLC m, United partner or other LLC
member-manager member
K E Domestic partner D Foreign W tner 10 CIeldbutne
12 Soclion 179 deduction A 7,333
What type of unity is this partner?
PARTNERSHIP
13 Other deductions
J Partner's mare of profit, loss. and modal (Ann instruction,*
A 11 a diet lawman
Beabning Ending
Profit 0.001780 0.001727 14 T• STMT A 6
Loss 0 001780 %
11 0.001727 %
Capital 0.001780 % 0.001727 % V -6,207
14 Solt-employment earnings (loss)
K Partner's Matte Of IMMIIIMe al year end: 20,372
..
Nenr000urse 53,207 • •• • - •. •- -•-•.•.• . • • •.
Qualified 1,0111MOUISO finandng $
Recourse 'See attached statement for additional Information.
L Partners capital account enstysle:
Beginning ea peel account . . . . $ 86,881
Capital contriontol dkra3 the sear. $ 0
For IRS Use Ordy
Conway-ear inauesc (decrease). -5,909
Withdrawals 8 distributions . (7.333)
Ending capital account . . . $ 73,639
Tier buss CI GM' El Section 701(0) book
M
Other (espial) Outside Tax Basis
Did the partner conailern property with a DA .In gala a Ion?
I
El Yes El No
11'Yee', solace stakununt (sop Instrucbins)
For Paperwork Reduction Act Nonce, see Instructions for Form 1085. CM, No. 11394R Schedule K-1(Form 10116) 2011
7/0.1W4 • • 044414 CONFIDENTIAL CrittIV ttM M(111014
EF1'A_00143527
EFTA01252618
Schedule K-1 Q one 1065) 2011 v Paw
This list identifies the codes used on Schedule K-1 for all eminent and provides summarized reporting information for partners who flit Fenn 1040.
For detailed reporting and filing Information. sea the separate Partners Instructions for Scheduler K-1 and the instructions for your Income tax return.
Code awn' on
1. Ordinary business income (loss). Oetterille whether tne income gess) ks J Work opportunity credit
patoiw or nonpasslas owl enter on your return as follows.
Report on K Olcoblod access crecil
Passive lose Sea the Partner's Instnicbons L En opowerrnont zone and
Passive Income Schedule E, Ilno 28, column (g) renewal community
Nonpossive km* Schedule E, line 28, solemn 08 unipkwilwrit credit See the Partner's Instruclkvis
honpassive income &heat E. Ere 28, cubes W IA Cask for Increasing research
2. Net rents real estate Income (loss) See the Partner's Inotiuctbos octivides
3 Other net rental Income (lose) N Credn for employe social
Not inceinu SciwAdo E, line 28, column (g) security and Medicare taxes
Net IOUs See the Partner's InstnietiOnS 0 Backup withholding Form 1040. Ilne 62
4. Guaranteed payments Schedule h. Ire 28, column (0 P Other credits See tho Partnere Instructions
& Interest Income Form 1040, Itne 83 16. Foreign transactions
Co. Ordinary dvklends Form 1040, Ian 8a A Name of country or U.S.
Ob. Qualified dividends Form 1040, lino !lb pons surion
7. Royalties Schedule F, Ilne 3b 0 Oros" income from all Stances Funn 1116, Part I
8. Net short term capital gain (loss) Schedule 0. line 5 C (suss Income sourced at
ea. Net long-term capital gain (loss) Schedule O. line 12 partner level
9b. Collecteiles (28%) gain Mss) 28% Irate Gan Worksheet, In 4 Forolgn pros.; berme sauced et partnership lever
(Schedule D instructions) D Passive category
E General category Form 1110, Part I :y i
9c. Unrccaphired section 1250 gain See the Partner's Instruclk>ne
10. Nat section 1231 gain (lose) See the Partners instructiorn F Other
11. Other Income (loss) Cluduclkers ailucatod and opp 111OThed t partner level
Code G Interest °sconce Form 1116, Pert I
A Other particle lucerne (IOW) Sea the Partnor's Instructions 11 Other Form 1115, Peel I
Involuntary conversions See the Pennies Instructions Deductions allocated end apportioned al fiarfnerstsp Wel re renfign souse
C Sec. 1256 contacts 8 straddles form 8781, line 1 Income
0 Mining exploration costs recapture See Pub, 535 I Passive category
E Cancellation of aebt Form 1040, Me 21 or Feint 982 J Gcaornl category I Forn11116, Part I
F Other income puss) Soo tho Penns's Instructive; K Other
12. Section 179 deduction See the Parlisis Instructions Other InlorrnetIon
13. Other deductions L Told foreign taxes peel Form 1118, Part II
A Cash contriburkms (5094) IN Total foreign taxes accrued Fen 1116, Pert II
B Cash contributions (30%) N riocuctlal to taxes avallithite for credit Form 1116, line 12
C Ncncasto ontr,totions (50%) 0 Posen trust QM", (wants Form 88/3
Nencash contributions (30%) See the Partner's P Exuaterritski Income cialis.Ort form 8873
E Caplet gain property to a 50% hrebucliorn o Other foreign Sanaa lord See the Partner's Instructions
creanuedon (30%) 17. Alternative minimum tax (AMT) Items
F Capital gain property p0%) A Post,1998 deprataber aeuslinent
O C.cranbutions (1CO%) B Adjusted gut cr loss 1 See the Partner's
H kivesiment Interest expense Form 4952. line 1 C Depletion (other than oil 6 gas) Instructs:am and
I Deductions— myeby Income Schedule E. line 19 D 01, tps, b gerAmered- gross hen the Instructions inn
J Section 5900(2)ostAnilldreil See the Partner's lesouctions E 011, gos, 6 geolhawal- deductions Form 6251
K Deductions—portfolio (2% flow) Schedule A, line 23 F Other Mil Items
L Deductions —portfolio (ell's') Schedule A. line 28 18. Tax-exempt Income and nondeductible expenses
Amounts paid fo, medical :nsuninco Schedule A, line 1 cc fpm 1040, line 29 A Tax-exempt Interest Income Form 1040, line 8b
N Educaticnai assistance benefits Soo goo Pannor's Instructions B Other tailieXerreS Intone Sea the Partner's Instructions
0 Dependent care benefits Form 2441, We 12 C Nondeductible expenses See the Partner's Instructors
P Preen:due-Eve perk's' tixperiSOS See the Partners Instructions 19. Distributions
0 Commercial revitalisation deduction See Form 8682 netructions A Gash and marketable securities
from rent rent estate activitks B Gstribution stabled to section 73/ See the Partner's Instructions
R Pensions and IRAs See the Partner's Instructions C Other property
$ Reforostation expense deduction See the Partner's Instructions 20. Other Information
T Domestic production activities See Fenn 8903 instrualluns A Investment m' ane Form 4952, lino 4a
Intormation B Investment expenses Form 4852, line 6
U Ouallicd procklettun see:MS Mem.) Form 8933. line 7b C Fuel tax credit information Form 4136
V Employer's Form W-2 wages Form 8903, line 17 D Duetted rehabilitation expenditures See the Partners Infiructinne
W Other deductions Soo the Partners Instructions (other than rental rod estate)
14. Self-employment earnings Mss) E Basis of energy property See the Porter's Instructions
F Recapture of low-income housing Farm 8611, line 8
Note. l7 you have a section I79 deduction or any panner-ievet deductions, see the
Penner's Instfuchonseelote completing SchedulerSF. Grade @WOW 42(DOSS
A Not earnings (loss) Irmo Schedule SE. Sector. A or B G Recapture ut low-Income housing Form 8611, line 8
sell-empkwment credit (other)
See the Partner's InstArctiens H Recapture of Investment credit See Form 4255
B Gross farming or fishing Yvon*
C Gross non-Nam "come Soo the Partnets Instrudions I Recapture or °Uwe credits See the Pounces Instructions
J Look-beck Interest -completed See Form 8807
it Credits
A low.noorne housing credit log-Tenn contracts
(section 42(08 from pre-2008 K Look-back interest -Mourne lureonst See Form 8865
mod 01.1
buildings
L Dispositions el properly velh
B Low-income hosing credit
section 179 deductions
(other) from pre-2008 buildings
neca)h.re of section 179 Oohs-ten
C Low-Income het-ski) Credit
(section 420(58 than N interest expense for corporate
pop-20e7 buildings See the Partners Instructions partners
0 Social 453(1X3) Information
D Low-income housing credit P Seeks, 453A(c) information
(other) from post-2007 See Mai Partners
buddingS 0 Section 1260(b) information
R Interest allocable to production Instructions
E Welded rehabilitation
expendii woo (rental rent estate) expenditures
F Other ranee rod estate °rolls S GCE nongualitied withdrawals
G Other rents credits T Depletion inronnatice —el end gas
H Undistributed coped gains canna Finn 1040. line 71: chuck box a U knomzetan of ref occulalica costs
I Alcohol and cearlosk bkiluel fuels Sea the Partner's Instructor* V Unrelatec buSnan taliable nn
credit Plosantneut an gain GCBS)
X action 1080 Information
V 011ow informalksi
IN.A.MatIllL,1611/ • a CONFIDENTIAL hrhav rIk lfrPontiol4iNVO
EFTA_00143528
EFTA01252619
2011 OWNERSHIP SCHEDULE
BOARDWALK PIPELINE PARTNERS, LP
PARTNER NAME: BLUE CHIP CAPITAL LLC
ACCOUNT NUMBER: 141 0022488551
PARTNER FEDERAL IDENTITY: / PARTNERSHIP
CUSTODIAN FEDERAL ID:
PARTNERSHIP FEDERAL ID:
This schedule details your hetory of ovmerNhip of Boardwalk Madam Partners, LP bras though 2011. The cocked tax paelcs,re nitoce yourorraterithleiliitirlara- ro&Ith
the partnership, and units hold In a broker remount I such inkatnelon ads provided try Ulu broker on your behalf. tI your WOW& do not agree with We tranteCtiOnS sheen. the
enclosed lax Information may be inconaxele. In such an event you may moues! CIMINO* (1) on tie Internet, (2) by mad a (3) by phone. To mquitst changes by tnall, please
mako conections on this sett Wale and wide any needed explanations on this schedule sign the statement bekm and whore tho oarrected schedule betora May 31, 2012 to:
Boardwalk Pipeline Partners. LP
Tax Package Support
P.O. Sox /99060
Dallas, TX 75379.9080
Pion: I-066.807-5005
vawe.taxpacicagosuppot txxr/boardwak
Upon receipt, a revised K-1 we he torwardod to Urn address on your kl-edule K-1. This schedule dues tool have to be returned unless anemias hove been made.
It Is Important that you submit corrections to the partnership by May 31. 2012. Corrections submitted to the partnersNp after May 31. 2012, may result in a repelItXtlali to
include Form 8002 - Notice ci Inconsistent Treatment or Administrative Adaratment Request (MR) to your return. Cone-dens submitted altar May 31. 2012, will not be reflected
h the perinendep's tax return filed with the Internal Rcemnuo Samna The Partnership ass Its Wend tax return with the Option, UT IRS Sonic° Conlon.
NOTE: RECEIPT OF THIS SCHEDULE IS NOT PROOF OF OWNERSHIP
TRANSACTION
BROKER OR
DESCRIPTION DATE CERTIFICATE NUMBER UNITS
AC BUY 12-10-2009 141 3500 0000
END OF YEAR UNITS 3600.0000
SEE TAX INSTRUCTIONS FOR ADDITIONAL INFORMATION
ACKNOWLEDGEMENTFOR CORRECTIONS ONLY
The Information reported on this schedule, as corrected, accurately and completely presents my ownership history through 12131111.
By signing this schedule, I authorize the Partnership to make the corrections as indicated above to my Schedule K-1.
&9".;ijat
I ILMN I IAL grimy eseleYMPAletlin
EFTA 00143529
EFTA01252620
March 6, 2012
Blue Chip Capital, LLC
27 High Tech Blvd.
Thomasville, NC 27360
Dear Blue Chip Capital, LLC,
Enclosed is your 2011 Schedule K-1 (Form 1065), Partner's Share of Income, Credits,
Deductions, etc., which has been filed with the 2011 Form 1065 U.S. Return of Partnership
Income of Level Management, LLC.
The amounts reported to you on lines 1-20 of the Schedule K-1 (Form 1065), Partner's Share of
Income, Credits, Deductions, etc., represent your share of income, credits, deductions, and other
information to be reported on the appropriate lines of your tax return. The IRS has substantially
changed the Schedule K-1 by utilizing codes on some lines to identify the item and provide
reporting information. These codes are identified on page 2 of the K-1.
Enclosed is your 2011 Schedule NC K-1, Partner's Share of Income, Adjustments, and Credits
(Form D-403), which has been filed with the 2011 Form D-403 Partnership Income Tax Return
of Level Management, LLC.
Should you have any questions regarding this information, please do not hesitate to call.
Sincerely,
Level Management, LLC
19401 Old Jetton Road
Cornelius, NC 28031
CONFIDENTIAL SDNY_GM_00032917
EFFA_00143530
EFTA01252621
651111
Final K•1 Amended K-1 cs.l o. I%! OAS
Schedule K-1 ZU I I ii t lin Partner's Share of Current Year Income,
(Form 1065) For cearde• year 20II. or Se Deductions, Credits and Other Items
tie TI•asiiry year begiintrg .2011 1 Ordinary business income (loss) 15 Credits
Internasmote o Rcnrca
erel rtl —75.
2 Net rental teal estaa .ntorre (loss)
Partner's Share of Income, Deductions,
Credits, etc. • See separate instructions. 3 Other net rental income (loss) 16 Foreign transactions
Part Ice i I Information About the Partnership
4 Guaranteed payments
A Partnership's employer identification nJrnber
5 Interest income
B Partnership's name, address, city, state, and ZIP code
Level Management, LLC 6a Ordinary dividends
19401 Old Jetton Road
Cornelius, NC 28031 6b Oualfied dividencs
C RS Center where partnership filed return 7 Royalties
Cincinnati, OH
8 Net shock= capital gain dm*
Cr ❑ Check if this is a publicly traded partnership (PTP)
'Pelt If:`? Information About the Partner 9a Net long-term capital gain (loss) 17 Malawi minimum tai (AID Items
£ P r ng number 9b Collectibles (28%) gain (loss)
F Partner's name, address, city, state, end ZIP code 9c Unrecaptured section 1250 gain
Bluer Chip Capital, LLC
27 High Tech Blvd. 10 Net section 1231 gain (loss) 18 roai_ccledxemcFi tncomoiii-d
Thomasville, NC 27360 n e expenses
11 Other Income (loss)
G ki General partner or LLC ULimrted partner or other
member-manager LLC member
H g Domestic partner I Foreign partner
I What type of entity is this partner? Partnership
19 Distrbutions
12 Section 179 deduction
J Partner's share of profit, loss, and capital (see instructions):
Beginning Ending
Other deductions
Profit 25.00000 6 25. 00000 it 13
20 Other information
Loss 25.00000 8 25.00000 It
Capital 25.00000 6 25.00000 6
K Partner's share of liabilities at year end:
Nonrocourse $
Qualified nonreocasse financing $ 14 Seltemployment earnings (loss)
Recourse $ A -75.
L. Partner's capital account analysis: C 0.
Beginning capital account $ 1, 022. See attached statement for additional information.
Capital contributed during the year $
Current year increase (decrease) $ —75. 0
R
Withdrawals and distributions $
Ending capital account $ 947.
R
1Tax basis 0 GAAP I Section 704(b) book u
11Other (exp'ain) E
M Did tie partner contribute progerty with a built.in gain or ;ass?
n Yes Ril No
It vat atiac- tateme-1 (son instlx:Ione)
II
r
Y
BAA For Paperwork Reduction Act Notice, see instructions for Form 1065. Schedule 141 (Form 1065) 2011
?TnAD312
CONFIDENTIAL SDNY_GM_00032916
EF1'A_0014353 I
EFTA01252622
•
Schedule K-1 (Form 1068) 2011 Blue Chio Capital, LLC 26-3172589 Page 2
This list identifies the codes used on Schedule K-1 for all partners and provides summarized reporting information for partners who file Form 1040. For detailed reporting
and filing information, see the separate Partner's Instrixtons for Schedule K-1 and the in oru for your Income tax return.
&dimity business Income (Mt). Determine wrote: the tithe (as) is passim Code Report on
or nonpassve and ente• on you roam as follows.
Report on J woer, opportailly creel
Passere loss See ire Paters Inneliene K DIsab ad access credit
%mkt emorre Schedc e E. I no 23, column Co) L Eincostnett here at rerewel content t'
enpbynent Cie* See the Pater s
\oncassiw tws Soho& o E. I'm 23,:tom D') M 'stemming resectionadmit nf•St.~113
Wriest, rnoorro Stitt e E. ne 28, twin 0)
2 Het rental real *stele Income etas) Sto Inc Partners Innucticris
N Cr eme 'or employer See, åraeny and
Mediate
3 Other reel net income post O DadoQ till'ou it Term 1040, to 62
Nei tote: Sett* E. re 28, column (g) P Ober atilt Sae the Pater s instructors
Net low St Its Partiers I mittens 16 Fondue innwectIona
4 Guarantied payments Schedule E. ire 28. Ølen 0) A Nine el corny re U.S.pcwenten
5 interest Income Font 'C40. Ina ea B Gross Irene hon all maims het 1116. Part I
6a Ordinary dividends Fern :C/.O, Ina 9a C Gross Ira-cent sourced at puff 'owl
6b Qualified dividends Fein 1Y.0, : 9: Foreign gross Income sourced at partnership level
7 aoyata: Schedule E, one 30 D Passim category
8 Net short'« capital gain Voss) »trek C. me 5 E Gororal category — Fenn 1'16, Part I
9a Nat long-term capital gain Goat Schott C, ene 12 Fouler
9b Collectibles (Mitt tat 28% Rale Gain totter, Sr. Deductions allocated and apportioned at partner level
4 (S.tortle D Instructions
9c Unmeeptwed section 1250 gain See Ihe Pate's Inahrbors G Intros) emense Form 1'16, Part I
10 esAseciltfil231 gen (him) See ete Pate's Instriere H Other Form 1116, Per. I
Deductions allocated and apportioned at partnership level to
11 Other Income Co..) foreign sauce income
Code I Nut Catty
A Stet polloi o Aroma (oss) See he Partners Insbursons J General catty j— Fun 1116. Pad
B «akin:my coaveis ens See to Peter's irtsaudeons K cow
C Section 1256 contract ard straddles tam 6781. fee I Other Information
D Met) export« costs roc:split See Pub 515 L Tom' Poleige. Mies paid Form 1116, Part II
E Carew NI« el deb: Farr Inc 2' Form 982 M Tola tot' tit terser: Porn' 1116, Part II
F it« Imo« COM) See he PietrlerS Ins/iv:tons N Rettlion In taxes available lee tort Font 1116, lire '2
12 Secdon 179 ~Lotion Soo he Partners Iralrentem O Feeee2.1 Peel% Weed reedit set 8873
13 Other deductions P fatabardkeekil imorae exclaim tone 8973
A Cat ~kittens (50%) Q tee, 'wet tfersacliars See tee aster's rebuctoN
B Cash cakeibalcae Oilt) 17 Alternate minimum tax (ANT) It..,,.
C Names^ contributions (S") A Post-1936 top tetnaten attest
— See he Pa'ir's
D licecast. conlellAticeS (20%) Instraoces B Adhabt gat or loss Set PC Porters
E Capita gee proPerly • 50% C Dept« tier ten ul & gas) InstmcLons at
moan sateen :33%)
D OF. gas, & geol trite — glees incite) the instrutiens ter
F Cap« gain properly (20%) E O gee, & gccrecino — deck:tons Fern 6251
G Cot out OM (100%) F Omer AM( ten
H Iowa-neat tares, exits. Form bre 18 Texecampt Mene and nondeductible extreme
?eductens — reset), income SOWS* E, eire 19 A —external interest «erne Form '040. !AO 8b
J Section 59(0(4 erienditums See Pe Parser's Irdricriens B Mel leeexefee interne See tic Peewes l'eskittllors
K Deductions — pent o (2% loci) Sctduk A, lins 23 C elee•dedexlib'e exmenses See Vie Farmers Intuit«
L Deducicus — pomp io «ewe Sdiedule A, lino 28 19 Distributes
M Ahots oak's readied thedukr A, lit 1 Or A Cat, ard reeeketabla remits
instme Fan 1240, ire 29
B Olt :ton abject to mil« 737 See to Patinae's
N EckcalcAr assistance theft Sea Pe Partners 'retest's «merlons
0 Dementier: rare bet Is Fan Ire '2 C ter gruorty
20 Otte information
P Pmproattleve «sod «tenses Sae Partners rencemons
A nettmer income twin 4952, lie
Q Cionenemei reset:ratan dedsclion ham
re tit real *sleek «haws See Forn 8582 Instates B test/nail! detellSere Fan 4952, I le 5
R Pete«, ard lits See line Parser's 'relhatione C I'reel tax «det Ma-malice Fern 4136
S Ratorton otne -ne decktual See tee Parter's «treaters D Oca hod echoblitairanatettres Mew tan See It Parse's Imsuclions
rental real adalo)
T trust :roil ton actratee ter fortratkr. Son Fern 8903 Instruct«
E Dash el enemy pretty see gm Patts testtre
U mcdurilon activities mom. Fern 8903. 'Me 70 F Ro!:,,pure e emote bottle act teen
V inployets Firm veges Fern 8903, .ire '7 420(9)) Fom 8611. he 8
W et-er imlbstres See tue Partners fal.C.)005 G Recaptac d lowirate hoists credit tit) Fern 8611. he 8
14 setemproymene earnings (loss) H Ruramme or eta:rent (mitt Fcem 4255
Neta. ;Jau:tea rection 779 ded.cecu or ety partnor.keel decittkens, sae MO I Recarac d oat ~its Soo to Portreis lastncjors
Panna s untrue:ions belle eocirlebh7 Schedule SF J Lookbeck enamel — completed
A Nat «mires (kiss) from se fiereployinenl Schedule SE. Sect A or ktioven otitis See Form 8697
B Cross Isning a Intro «vim See the Pate's best burs K Look-beck interest — «one
tweet meth« See Fenn 8866
C Gross nontann 'etere Sue the Pestle. s Intrucaors
perpeth
15 indite L
Ø i 179 doguctruro
A V.M.ir come housing apt t (sedan 42(0(5)) M Recaptin d sedan 179 dadsibon
'teal em-20F4 buik ems
B lowincomi Fonsing credit (ege) kern N Interest expense 'or carport porters
"2006 buildings O Seder 4630(3) IriNfrniNf'
C lovelncomi «tit cede (sitar 420»)) P Sector 453A(c) etenrahri
Iron pc,552(07 mitts See is Penners • Semboril2S0(b) infirettion — See It Pamor's
D Lowenconse housing circlet (ocmt) fetal instruarom
R Intent:. &beams to product« okicedites Instexters
eeSs..7A:07 bo dint
E Otc Ned asserdeures (rental S CC? rotated withirats
mal estate) 7 Dept« irdwrrance — oil ard gas
F Other meta teal estate croOits U Ateetzertior of 'reforest« cots
G Other tit eeter.e ✓ Unrelated bisiress mite income
H thellstelt.Aed caoda fiard CIO« tome '0"0. Lie 71; mace box a
W Procielterior gain (1cØ)
I Alcchui and halluicsic bithiet Lets credo. Seto re Pait-ot telmclions
X SØ 1080 ireormetion
Y Other inform:ion
PIPA0312 08/18/11 Scheible K-1 (Form 1065) 2011
CONFIDENTIAL SDNY_GM_00032919
EFTA 00143532
EFTA01252623
NC K-1 (50) 2011 Partner's Share of
(D•4D3) N.C. Income, Adjustments, and Credits
11.10.11 North Carolina Department of Revenue
For calendar year 2011 or fiscal year beginning and ending
Partner's Identifying Number Federal Employer ID Number
Partners Name, Address, and Zip Code Partnership's Name, Address, and Zip Code
BLUE CHIP CAPITAL LLC LEVEL MANAGEMENT LLC
27 HIGH TECH BLVD 19401 OLD JETTON ROAD
THOMASVILLE NC 27360 CORNELIUS NC 28031
Individuals Filing Form
Partnership's Pro Rata Share items Amount D-400 Enter Amount On:
All Partners
1 Share of partnership income (loss) -75
2 Additions to income (loss)
a Addition for bonus depreciation Page 3, Line 38
b Other add lions :a imme(lotn) SEE SUP? INFO 50 Page 3, Line 40
3 Deductions from income (loss)
a Deduction for bonus depreciation 0 Page 3, Line 48
b Otly do:Netens from iroorie(less) Page 4, ",ine 52
4a Share of Tax Credit for Small Businesses That Pay
N.C. Unemployment Insurance 0 Form 0-4001-C
b Share of other tax credits 0 Form 0-400TC
5 Share of tax withheld from nonwage compensation
paid for personal services performed in N.C. 0 Page 2, Line 19
Nonresidents Only
6 Nonresident's share of N.C. taxable income (loss) 0 Page 4, Line 54
7 Nonresident's share of net tax paid by the manager
of the partnership 0 Page 2. Line 20c
SEE SUPPLEMEN'AL INFORMATION
VCPMM 'MGM
CONFIDENTIAL SDNY_GM_00032920
EFIA_00143533
EFTA01252624
Level Management, LLC 26.3172589 1
FORM D403, SCHEDULE NC K•1(BLUE CHIP CAPITAL LW)
SUPPLEMENTAL INFORMATION
LINE 2 - OTHER ADDITIONS TO FEDERAL INCOME:
STATE TAXES DEDUCTED ON US RETURN 50
TOTAL 50
CONFIDENTIAL SDNY_GM_00032921
EFTA_00I 43534
EFTA01252625
651111
Schedule K-1
(Form 10651 for oderderyw 2C1'.a la. 2011 :n<., Amanda; <-1 07J9 No '545-0;9:
Part III Partner's Share of Current Year Income,
yea betnIrg AUGUST 17 . 2011.
COPaltrilell :1the 70)05ury Deductions, Credits, and Other Items
weroal :Laramie Serva ,,,JceDECEMBER 31, 2011 tannery busilass L000me (lass) 16 Credit&
Partner's Share of Income, Deductions, I 0.
Credits, etc. irs see separate I nUrnetloas. 2.w Mira«MIS,IrCill» tea)
I —2,497. 18EN10flmnw1lons
Sot-er flat rena. 111:0016 (loss)
Part I Information About the Partnership
A Parinersim $ ertell.or anti) ado?: rumba 4 Guranlood osyments
B Paters( p's name, address, Ny. stats, and ZIP oede 5 !nterest brume
I 2.
MIDWAY ASHLEY CROSSING, LLC 6a Ordinery d)Adenos
270 LAFAYETTE STREET SUITE 409 I 17 aliernatve min ax (ASIT) toms
NEW YORK, NY 10012 eb Oulitioe dvidends it__I 494.
C IRS Cater whore pareierat ledretim
CINCINNATI, OH 7 ficya lies
I le Tax-exempt neon anc
D —_ C^eck ri Ibis Is a pubky traded pennorsk•p(PTP) 8 NM short-term cap tal pain Coss) nomieduelibk expenses
ea Nr1Oxpl,rm capital gab (loss)
Part 11 Information About the Partner
E Panne's bandying number 90 Calutib es (28%) gain (loss) 10 Cienioutions
7 Parolees name: addreSs. rlty. stater and 7IP conk 9c Unreeeptured sec 125OØ
20 Clem rrormeton
BLUE CHIP CAPITAL LLC 10 :l.et seci{on )231 gan (loss) A 2.
27 HIGH TECH BOULEVARD
THOMASVILLE, NC 2736Q ii olle. In t: rt2 .Le SS)
a C General Bodnar or ti.0 M1 . inred partner or ether LW
memberwalager mwmm
H M Cones) c putner ELI Foreign partner
I Vital type of enauis his parbierT PARTNERSHIP 12 Section 17S clerluct on
J Partners rare of profit loss, and aput 13 ether dedunkris
Begird's Fading W* 79,
?rot* 1.3548951% 1.3548951%
-ess 1.7482520% 1.7482520%
Capital 1.7482520% 1.7482520% 14 Soll-empbinent earnings (ass)
K Ia store ot Labia:resat year rid: A 0.
Nos:anew% . . . ....... .... ..... . . .. .. . $ 1,773.
Naafi« romecourse Inaoang $ 92,108. *SW attnhed ettren Kr additionalI' lo'maten.
ftecoa'pe $ 0.
I. Putairs capital aoccootanelyau
Begrming rap tal aecoun: $
Copiral steno:dad durng tbe year $ 50, 000. 8
Cureni year nmease (decrease): $ — 2.587.
Witherabals Pr char aubons Si ro
c
I-- ring capital arsout $ 47.413. 7.
2
LxJ Tax basis in Ow = Soctbr 704(7) book
LJ Ullel (exolan)
14 OM the par ne cone:nut& properly eve. a buibin gab 01 ion?
U Yoe rf: No
11"res'. Aids satement (sea and:1mm)
'MCI . . _ ...._ ....
e" .“ 1"... ' ....." t ""
6
14250323 758241 21146.213 2011.03020 MIDWAY ASHLEY CROSSING, LLC 21146_Al
CONFIDENTIAL SDNY_GM_00032922
EFTA_00143535
EFTA01252626
MIDWAY ASHLEY CROSSING, LLC
SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
PROFESSIONAL FEES 79.
TOTAL TO SCHEDULE K-1, BOX 13, CODE W 79.
SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES)
DESCRIPTION AMOUNT TOTALS
RENTAL REAL ESTATE INCOME (LOSS) -2,497.
INTEREST INCOME 2.
SCHEDULE K-1 INCOME SUBTOTAL -2,495.
OTHER DEDUCTIONS -79.
SCHEDULE K-1 DEDUCTIONS SUBTOTAL -79.
NET INCOME (LOSS) PER SCHEDULE K-1 -2,574.
PREPAID RENTS - CY -13.
OTHER INCREASES OR DECREASES SUBTOTAL 13.
TOTAL TO SCHEDULE K-1, ITEM L -2,587.
PARTNER NUMBER 6
14250323 758241 21146.213 2011.03020 MIDWAY ASHLEY CROSSING, LLC 21146_A1
CONFIDENTIAL SDNY_GM_00032923
EFTA 00143536
EFTA01252627
6
Se- eddle K- I (form 10651 2; 11
Page 2
ml, litt ldenede' ne redes ned en Schedole K-1 for all partners ud provides teramatized feportleg Informadoe fer perten who file
Form 1040. Fot detalled reportIng ud %Kna In ornata, see me separate Partners Innvollen for Sch edelt K-1ud Se Isetructlees
for uer lerume Iax retta.
CPa 11~1Ca
I adory loolin nor» (lon Decograe nen banar& ge44 J Wtek capc8.989 Wldt
ondw a nyno* eidna r yeu ~må kIna K ~bod num credi
L 15~4~81 481enn
ccormoly wp181~1 ~It Sate Palen Inalvalow
Reeol er
M 04414148198~9~~
P- ~ ~ the ~in Instuoll~ 441Mtlet
1~8 Srno Schnlie 6.11-4 511. coluirm(91 N 0~ lee ~~~8~
NapaawNes 5~~E. Ihe ogurn Ma 1~~188
konnove hare Sahnle H. colon G O ~Lp w85060 ra lam 188. 4~3
2. Me ~J ono tron ~ 19.4 the ~on Intial~ P 0~ comn Sam. 14.38441-~Clane
I. 088~ ~d ~n taue
hm -.3~ Wen@ Ein 24, on mg 9P Forelgi lonm1138
nr.ø in On ~~1888~ A kors V 4,48ry 4488
taneelti Loten, ea.,13 onnleg
4 Gonond perm~ Fann 1119 Pag I
~441hann ran na åma • Onn gen ovn al ~ora
6.
Fem, 1049 1849e C 111-000 111~ lia•ffld ål Dånt
Gå
gt
Crclory 8418rO•
Gand dOklincis Fotr /C" 81409 tre J
7. Hoggi« 8.8441u i 9 lea> knip un wiDO•fmati~ 0: tan* p In
B. Od ~gin ~Gl ~ goal 134~1.15.4n4C • PM4eØLay
Ba Vid kro mon 888 gir flaIM IlInclu OG. ene E Gno! colog, ham 1110, Pst 1
6b. 341184 011e (284:98 586 ~G Gr Walww«. 544 F Orer
Ge~le 0 14~81:48
k. ~onn 4.8;o' I 80 Lot 6« nP.8n ~talens 41.5~4 ora 8588~ d ~NI stal
10. N« snor 1231 pange" ~ tro PORMINI hetrAdC011 G lame 44:4~ %TIII* pm,
II. »mr Ine~ ~N fl et"AI 881, 05,1881
Cote 0«bellogs •lootmd nr pott:trod al priintlp ~Ile Ing ~mo
A 3844 pa9:18 incard gen) So• pa PrInn 9,845184
D 188~ onnions Sot Ilp Fainite YrFJAcrs 1 Pa~.~88
C 5m.1250 cagrachs nudo 678-.11.5 1 J Garn ~MY In 1114~I
D 14 • 1. 3 8.15-an con reapluo Ste NO 635 K On
• Ccretlan 8 (MO Lair 104).118 21a Forn 4151
F Olhe Dorm 8 8 4 gr loe Preor inang80. 0~ 18-
7~ kror un 8 1J Fane Ille. Pel I
13888 • 70 88454D Sot UrPro•-• loe tan LI gam Irar ~e sco-.4.3 Fas 1118. ~
Ont Orm-8m • Poonon 1~ 848314 atoll Form111g ~12
O ~lp- gimra no hmaoie Fore 11573
1
A Ca45 og' 40410a• ~Sl Fanten
P 2Nrar'cnaniaranftaa
6 C~ 4414041nM40 • Ont fa. on 88144148 rart 1948449144~35814
G Ncomeh cannoligni1508)
D 14e443•8 zontrOollow (30%) Ses fm NylonInn« 84
i CpMlPnpr.p,elymsWtB I?. ~min intense -åa .8/9 8-o
i
crganno8384: A 1/14 44-1486 dine ala, 45.443,
F OM= ~ 8 41~ 90%) Aegm~pil- a Ion 188194194~9
G Con218. cre(10014) C Ocoollcnlothalnet ~ tnialcno ~
11 1~~48 hbonl 88~ 8mi 4562. In• I Cl Or, pm. å ~mol pose inni* 11,4 3/~~4 9r
I Osman oyeSly Prxm• 90-4.3.14 F4184 tl tam01151
Sein Portt~ • OG 08. å 08898/1• 646..~.
J SIC08 5388~~~e P Oltar.Miltent
• Den-oro - 448/84814 ar.abA Don
I ~Agn • ~ble lotgiM annua A. M 35 I0, Tex.marnal Incaro a- lort14344bb • esprn
Mn.,n s pa a to 844.81n~~ Sna Anla Fonn %MC, lat A IlLowurrn: 1~8 ran Noe '049 bra
• 184441~ nletwo bc,e1 ~ the ~ete heln-Oln II or« hu...aerval Wiccer, ~re elethn inia.44
O Denchnl 484 ~eg Lam 2441. It. li C Nand.albo opna geo Os ~ote Inedr,ton
P hoorothoto, pekol 9«Ig.PNftlrttCJa.
lå CIC194188
O Derma ren ano ~ant ~ sor 0502 InelnAlicoo
~on ronanallnei A Det ~~anble ratne
Prpbardw.Y Sa TeParen 11617.•:•JOrie 9 D488.1on woot lo ~kg 73! } !NI% PARNVIIIhalmen,
3 Refoecto~«orrodonlion &sn ~An hstr4Mcns • Oter ,c31:Ant
• Unn po~~ 88~ oss FanIf(M3 88-44884 20. On Plan*.
18384~ A ~Inn, lia« Fara KGL III*
▪ ~Illea proton t~~ harm Fann ~3. -4 74 i IWItfli• •Pqarnb 'Sr, 4182.
✓ gomloon hom W.2189•4 Frei •/ C Full tmcnialltrrMai Fornt 1134
• Offis ~en IN•Pelne11-54/mIleng 3 ~tad .8.24 945,8 enralun
(am. lun reeti rin 4848 ~ thePirien ~ne
E 13~ a sort onntlY SnIt. P4/5~1~431~
14. Sollononn: ~egg 0~ • Ilereplueo115.48a~,54.
Nolo.It 841Mon~lo - 170 41~31,:o or my pirlool~ ~Jette*. onen -lon 8 1 .2.5) Fen 0011. I del
1. OmInv1logroilars tan emnp488 I:9~u a St G Flo:apluoglImetorreng -g
cnell 8>o: Ferm 0011. bo B
A neerrar.48~ gor, &Meg* SP Sollm åa 0
II Ilnotve 44~41 aoll ~Farn 4255
InF000broonI
II 0~ torng or NA na 18813 titt IhePtrywes hdrotacce I Rompluo at eeer 4.81I8 Sl»ho lOrIner • ~Joen
C GNY Inxrns Sa: IhePan'. lont<ors • L000nk Inn • ecerond
onen cogracto Sa Town~7
16 ~to K Lo:~ Inne Pnw fan«
ombod Goi FaTn Ing
A Lanlone ~85~1 ~y vegn
L 3lepollgorm
Dem, 49,98 ~ pro2C08
~58 '79 ~43crei
bul dings
▪ Leår-immot ~Ing =c 88~ M Romalus 8~18 IN geoxion
N nen ~n la comdel•proire
tar geoggcle oil 'hai
G LeaatetilrO rei)IXINI tømt*, o ~tol 453091 h'rn•«°'
«98~ poti•gOr toni24 P ~on 451AM ~rot a-
~ting MC. (rena Se* • ha" Oommlem O Sezton • 8.008 .-nreler
D 1~~«
1~ ~4257 nulelngo P InI•Vilg akta, to orocurlk, See n88W.
E 0^1.1 ro I /etKn utatlas« nec gen knorki,*
Corld n* rava) 6 CG: ncritosi roa 883~4
F Ot- ~41 suta aslo - Deg d 448- llammen • 41I 4.4
G ore mot Øla 1.1 *Pv:Monen ir fetagyst», cool+
• L 418b8d.aTnYcrmttth !ara -040. enet: nok Q1).• a ✓ 8~~ tolOneltOot e necre
I manen ml co 1~8 bdw~e Sne t-c Parote • r gtkna W ~naga i on ;gol/88
arril X Saan 109:19488118
Y On råne!~
182e2
84.-8
6
14250323 758241 21146.213 2011.03020 MIDWAY ASRLEY CROSSING, LLC 21146_A1
CONFIDENTIAL SDNY_GM_00032924
EFTA_00143537
EFTA01252628
6
SCHEDULE STATE OF NEW JERSEY 1019
NJK-1
(Form NJ-1065) PARTNER'S SHARE OF INCOME
2011
For Calendar Year 2011, sr Fiscal Yea Begienir t. AUG 17 , 2011 mul nag DEC 31,2011
PART I General Information
Pawed as Oa Peon FP lietwallp *Foam! El4
000
• Ca golt•
BLUE CHIP CAPITAL LLC MIDWAY ASHLEY CROSSING, LLC
Strom Mena* Pareenhal Y"ea• Aeress
27 HIGH TECH BOULEVARD 270 LAFAYETTE STREET SUITE 409
0e, Statt :Pees, Cal &ate mess
THOMASVILLB, NC 27360 NEW YORK, NY 10012
mat type el gritty Spanner? NP Enter Partnere percentage o':
(see Intrude es) Goan (i) Beers Decrease (1) Endo, Year
cr TenrinatIon
Dee Pattners Intoest In Pannershy beqbn: 08/17/2011 lrofit Searing 1.3548951% 1.3548951%
liOnth .7t, VW -09S Snannc 1.7482520% 1.7482520%
— Fre ALK-1 E. Swig/ fond Caval Cionetila 1.7482520% 1.7482520
Arerded IJK-1 I-- Member of Conicssite Rosen
PART II Income Information
NJ-1040 Fliers
B New Jersey
boom Cludfleedena A. Total NstrIbudon Eater Amounts on. NJ-1040NR Filers
Sone Amoulb
Lime Stowe Below
1. Parawisblo [acorns (bse) -2,495.
2 Nei G. Nyland Payments
3 Parinces all(k)Cortbalbs
4. Dint:Akin Sure of ParnereLlp
Income (bee) Line 20 rage 2 Line 22, Page 1
(Lis 1otos Line 2 maim Line 3) -2,495.
5. Pension Line 19, Page 2
6. He Gain (loss) from Dsposllion
c4 Ar.Ts as a -In.:bola Line 18. Page 2 Line Iff. Page 1
PART III Partner's Information
Lino 22a, Page 103T-10C
Line 14a, Page 1031-11CS
Vie 8,P/H1-100
1. Lorre sicleSPanner s Snare o' NJ Tam 1. Line 46.11J-1043NR
Line 22, NJ-10630
Une 31A 1..J•1041
2..:-L•tner s Ill Oeclann 2.
3. Purser s &Altered Workshop TaxPod: - 3.
PART IV • Supplemental Information (Attach Schedule)
THIS FORM MAY BE REPRODUCED
*Wel
1141-11
14250323 758241 21146.213 2011.03020 MIDWAY ASHLEY CROSSING, LLC 21146_41
CONFIDENTIAL SDNY_GM_00032925
EFTA_00143538
EFTA01252629
New York State Department of Taxation and Finance
New York Partners Schedule K-1 2011 IT-204-IP
Tax Law • Article 22 (Personal Income Tax) 6
Final K-1
For calendar year 2311 or tax year beginning 08-17-2011 and ending 12-31-2011 Amended K-1
Partners: Before completing your income tax ratan, see Form IT-2044RI, Parolees instructions fixPam IT-201-IP (available at vninctimAy.gov).
PE0060AIW8BWOMD8B00(meMstruckn4
Partnership's name (as shown on Form IT-204) Partnership's EIN
MIDWAY ASHLEY CROSSING, LLC
A Mark an X in the box if either applies to you- warty Pubic:1y traded partnership Portfolio hvestrnent partrietsit
B Tax sheker reg:stration number. if any B
C Busnoss a-located percentage C
Partner's Information (see instructions)
Partners name Partneri identityhg number
BLUE CHIP CAPITAL LLC
Partners ;iciness
27 HIGH TECH BOULEVARD
City State ZIP code
THOMASVILLE • NC 27360
D The partner b a;,.t-X neemesnr. t.o General partner or LLC mernber-manager X United partner or other LLC member
E what b the tax filing status of the partner? Owt nX n sc rarer. 'slow 1 Individual Estate/trust X Partnership
F if the wanner is a desregasded silky or grantor trust.
enter the tax ID of the entity or hen/dual reporting the Income, If known
0 Did the partner sot is entire interest durhg the tax year? G Yes No X
Beginning Ending
H Pa mars stare of profit, roes, arid capital
1) Profit HI 1.3549 % 1.3549 %
2) Loss H2 1.7483 % 1.7483 %
3) Capital H3 1.7483 % 1.7483 %
Partmesstwoomitimnatimemortiwyear
1) Nonrecourse 11 1,773.
2) Ctialfed ncorecourso *lancing 12 92,108.
3) Recourse 13
J Partners capital account analysis
1) BegioNng capital account a
2) Capital contributed during the year • cash 50,000.
3) Capital contributed cluing the year • property A
4) Current year increase (decrease) A -2,587.
5) Withdrawals and distributions • cash Js
6) Withdraw is and distributions • property
7) Ending capital account J7 47,413.
8) Method el accounting (mark an X in me appropriate bog
X Tax bash GASP Book Other (attach explanation)
K Resident status (mark an X in at Coxes Mal apply)
mEmillearresthint Yonkers fullyear resident NYC kill
-year resident
NYS part-year resident Yonkers part-year resident NYC part-year resident
X NYS nonresident Yonkers nonresident
1. If the parner was included it a group return. enter the special NYS lcierrificatlen number, if known
m51 Rinse Me this original scannable form vitth the Tex Department.
CONFIDENTIAL SDNY_GM_00032926
EFTA_00143539
EFTA01252630
Page 2 o' 4 IT-204-IP (2011)
M 1) Was Form IT-265&E hied with the partnership? MI Yon NO
2) Was Fore MTA-405 E Ned with tho partnership? ht2 Yes NO
Date Amount
N NYS estimated tax paid on behalf of partner (from Form IT-2658)
1) Fast natalknent Ni
2) Second instalment N2
3) Third instalment I43
4) Fourth installment NO
Total NYS estimated tax paid on behalf of partner (addInes NI through N4)
Date Amount
0 Estimated MCTMT paid co behalf 01 partner (from Form M74-405)
1) Fist irstainient 01
2) Second Installment 02
3) bird hstalknent 03
4) Fourth Installment 04
Total estimated MCTMT pa4 on behalf of partner (add Nees Of through O4) 0
Partners share of Income, deductions, etc.
B - Federal K-1 amount C - New York State amount
A • Partners distnbutive share horns
I ordinary business income (loss) 1. 1.
2 Net rentat real estate hoorre bow) 2. -2,497. 2.
3 Other net rental income (loss) 3. 3.
4 Guaranteed paymeMs 4. 4.
5 Irtirest Income 5. 2. &
6 °refinery dividends 6. 6.
7 Royalties 7. 7.
8 Not short-term capital gar (tea) e. 8.
9 Net icag•tenn timbal gain (ass) 9. 9.
10 Net section 1231 gain boss) 10. 10.
11 Other Macrae bossiklendry: 11. 11.
12 Sedan 179 deduction 12. 12.
13 Other deductions Identity SEE STATEMENT 13. 79. 13.
14 Tax preference Items for minimum tax 14. 494 . 14.
klandhc
le Not eamnga (loss) from selfemployment 15. 15.
te Tax exempt inane and rordeductble expenses 18. 16.
17 °Istituto:cis • cash and marketable saturttion 17. 17.
18 DIstributirs otter property 18. 18.
19 Other kerns not Included above that am required to be
reported separately to parbors 19. 2. 19.
idenbry: SEE STATEMENT
Partner's share of New York modifications (see Instructions)
20 New York State additions
Number A - Total amount B - New Tat State allocated amount
20a. E
Xt. EA-
20o. EA-
20d. E
20e. EA-
20f. EA-
21 Total addition medico-Miens Potts of column A, Men 208 through 200 21.
1/82111019
lane:
17.06.11 Please file this original scannable form with the Tax Department IIIIIIBiiig11111101I
CONFIDENTIAL SDNY_GM_00032927
EFTA_00143540
EFTA01252631
IT-2044P .2011) Page 3 o• 4
Partner's share of New York modifications (continued)
22 New York State subtractions
Nutter A- Total amount 8 • New York State allocated amount
22a. E S-
226. E S-
22o. E S-
220. E S-
22e. E S-
221 E S-
23 Total S.rbtractiOn modifications (total of column A, Roes 22e through 220 23.
24 Additions to federal lternzed deductions
Letter Amount
24a.
24b.
24c.
24d.
24e.
24f.
25 Total additions to federal Itemised clefIliCtIOPS (add Inas 24a through 240 25.
26 Subtractions from federal Itemized deductons
Letter Amount
26a.
266.
26c.
26d.
26e.
261.
27 Total subtractions from fedora: Seated deductons (add fetes 26e through 267) 27.
28 New York edluEments to tax preferenCe gems 28.
Partner's other information
29a Pfalne's sieve ut New vork source gross income 29a. 2.
29h MOTO allocaton percentage (sec ins!ruCtiOnS) 29b.
Partner's credit information
Part 1 - Pass-through credit bases and factors
Brownfield redevelopment tax credit Warm /T 617 or
A - form IT-611 B • Form IT 611.1
30 Site preparation Credit oorrocoent 30. 30.
31 Tenable property Credit COmpOrert 31. 31.
32 On-site groindwater roniedador croon component 32. 32.
118311.019
Uwe
If " Please file this original scannable form with the Tax Department.
CONFIDENTIAL SDNY_GM_00032928
EFTA_00143541
EFTA01252632
Page;I of 4 IT-204-1P (2211)
Partner's credit Information (continued;
EZ capital tax credit (FOrm 17-602)
33 Codxtutlons of money to EZ community development prate 33.
34 Recapture of credit for Investments In certified EZ businesses 34.
35 Recapture of credit for contrbutris of money to EZ community development projects 35.
OEZE tax reduction credit (Form 17-604)
36 0 -ME employment increase factor 38.
37 O€ZE zone allocation factor 37.
38 OWE benefit period factor 38.
Excelsior bobs program tax credit rear 17-607)
30 Excelsior jobs tax credit component 3g.
40 Excelsior Investment tax cleat component 40.
41 Este:doe research and development tax credit component 41.
42 Exceiske real property tax credit component 42.
Farmers' school tax credit (Form 17-217)
43 Acres of qualfied agricultural property 43.
44 Acres of qualified conservation property 44.
45 Eligible school district property taxes paid 45.
46 Aces of queried agricultural property convened to nonqualtried use 441
Other pass-through credit bases and factors
Credit bases
Code Amount Code Amount
475. 47d.
47b. 47e.
47o. 47f.
Credit factors
Code Factor Code Factor Code Factor
47g. 47i. 47k.
47h. 47j. 471.
Part 2 - Pass-through credits, addbacks and recaptures
48 Long-term care lneurarce credit (Form 17-249) 48.
4g investneriore14(nchmling employment Incenthse cm* andhadork barn rehebeftebon credit, Form 17-212)49.
50 Research and development • investment credit (Form (7.2f2) so.
51 Other passithrough credits
Code Amount Code Amount
51a. 51a.
51b. Sit
510. 519.
51d. 51h.
52 Addbacks of credits and =satires
Code Amount Code Amount
52a. 52d.
520 We.
52c. 521.
1184111019
$5800,32 n en
L a Please file this original scannable form with the Tax Department. II au ui11'uoini IIii
CONFIDENTIAL SDNY_GM_00032929
EFTA_00 I 43542
EFTA01252633
MIDWAY ASHLEY CROSSING, LLC
NY IT-204-IP OTHER DEDUCTIONS
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION SCHEDULE K-1 AMOUNT
79. 0.
PROFESSIONAL FEES
79. 0.
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13
NY IT-204-IP OTHER ITEMS REQUIRED TO BE REPORTED SEPARATELY
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION SCHEDULE K-1 AMOUNT
2. 0.
INVESTMENT INCOME
2. 0.
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 19
•
PARTNER NUMBER 6
CONFIDENTIAL SDNY_GM_00032930
EFTA_00143543
EFTA01252634
NC K-1 (39) 2011 Partner's Share of
(D-403) N.C. Income, AdJustmente, and Credits
Koch Cardin CepaImett 0! Revenue
Fcr clenlar year or tiecel yoar bop nnIng 08 17 11. and ending 12 31 11
Partnel Fedora
Pule er's Name, Address, aid ZIP Code Partnership's Name, Merest and ZIP Code
BLUE CHIP CAPITAL LLC MIDWAY ASHLEY CROSSING LLC
27 HIGH TECH BOULEVARD 270 LAFAYETTE STREET SUITE 409
THOMASVILLE NC 27360 NEW YORK NY 10012
THERE ARE NO ADJUSTMENTS OR CREDITS FOR THIS PARTNER
Individuals Filing Form
Pans ushle's Pro Rata Uwe Item; Amoont 0400 Enter Arnold ow
NI Partners
1. St are of partnorshb ❑oore Coss) -2495
2. Additions to Indms (lass)
a. Add dos lo• bonus Comae cn 0 Pape 3,1.0838
b. am( additions to ncore (oss) 0 Page 3,', ate 40
3. jeducfone Iran Income (lass)
L DuNctitve for bonus depredation 0 Page 3, Line 48
b. Other deducCons tram income (loos) 0 Pape 4, Line 52
4. a. Share of Tax Crean for Small asnesses TNT ?ay
PLC Unemploymmt MSJC311C8 0 Torm D-40CIC
h. Stare of other tax credits Form 0-400fC
5. Slum of tax witheld from tonnage compensation
said ler pectoral senkes performed 11 K.C. 0 Page 2, lino 19
Nonrelideets Oily
G. Nonresident's shared K.C. taxable income (bast 0 Page 4, Line 54
7. honfesidonrs share el net bx Pod or the manager
W IM cartneshig 0 Page 2, Line 200
CONFIDENTIAL SDNY_GM_00032931
EFTA _00143544
EFTA01252635
r 1019 STATE OF SOUTH CARCLINA
DEPARTMENT OF REVENUE ØC1066 K-1
6 PARTNER'S SHARE OF SOUTH CAROLINA Rev. 5127/11)
INCOME, DEDUCTIONS, CREDITS, ETC. 3516
For calendar year 2011 or tax year beginning 08/17/11 and encfr.~
Partilt($ Identifying number Ile Partnership's FEIN
Partners name. acdress and ZIP code Partnership's name, address and ZIP code
BLUE CHIP CAPITAL LLC MIDWAY ASHLEY CROSSING, LLC
27 HIGH TECH BOULEVARD 270 LAFAYETTE STREET SUITE 809
THObfASVILLE, NC 27360 NEW YGRK. NY 10012
Aleck .. ____ --- - • K-1 2i I I Amended K1 Nonresident
M) 06) (0)
Partner's Share of Current Year Federal Plus or Minus (C) Not
Arricunts Amounts ~Gated
income, Deductions, Credits, etc. K-1 Amounts SCAdpstments APMutated or AC90Maned to SC
or Portlauxl to SC
STMT
1 Ordran business income (loss) 1 1 1 1
2 Net rental real estate income Qom) 2 -2,497. 2 647. 2 2 -1,850.
3 Olher net rental income doss) 3 3 3 3
4 &aranteed payments 4 4 4 4
I 5 Interest income
6 Urndenis
6
6
2. 6
8
5
6
5
6
2.
7 Royaflies 7 7 7 7
8 Net short-term capital pain floss) , 8 8 8 8
9 Net bn3•term capitol pakt (loer) 9 9 o 9
10 Not Section 1231 gain (bss) 10 10 10 10
11 Other Income floss] .... 11 11 11 11
,, 12 Satin. 179 deduction 12 12 12 12
8
5 13 Other deductions 13 79.13 13 13 79.
SEE STATEMENT
14 Withholchno tax ta wires/00m bonnet 14 O.
Ust applicable South Can:dine tax credits. (Attach an additional sheet a needed)
15 16
i 18 18
17 17
18 18
19 Total South Carciba tax credits .—_,,,,,,,..,,,„____ _,,, .„.. -- .... ...,................„ .L,,,,,,,, „ 19 O.
1775i1 0611-11
L 35151018 J
CONFIDENTIAL
EFTA01252636
MIDWAY ASHLEY CROSSING, LLC
SC SCHEDULE K-1 SCHEDULE K-1 ADJUSTMENTS
AMOUNT
LINE NO. DESCRIPTION
647.
LINE 2 ADDITIONS FOR BONUS DEPRECIATION
647.
COLUMN B
TOTAL OF FORM SC1065, SCHEDULE K-1,
SC SCHEDULE SC-K OTHER DEDUCTIONS
COL B COT.. C COLD
DESCRIPTION COLA
0. O. 79.
OTHER DEDUCTIONS 79.
0. 0. 79.
79.
COLUMN TOTAL
SE:ICCMC
PARTNER NUMBER 6
CONFIDENTIAL SDNY_GM_00032933
EFTA_00143546
EFTA01252637
CONFIDENTIAL SONV_G1,0069.34
EFTA,103547
EFTA01252638
3
651111
Schedule K.1
germ 1065) Pot:era. 7our I'
2011 El 'lie K-1 Armee° K. I
Part III Partner's Share of Current Year Income,
(.11,43 Vc. "5254;99
Dscalmenol the Treasury yes :arming
Deductions, Credits, and Other Items
Irietral Fleveire SOIVrA 1 Ordinity Oteness Income (Ws) 16 Cies is
Partner's Share of Income, Deductions, 0.
Credits, etc. ►See sterile instrucfions. 2 plit wt. POW MIS heem•POIS
- 39 68 8 16 Fol fin :wantons
8 atm net Finial Acre(loss)
Part I Information About the Partnership
A ParinatsIdo s employer AcnIllIcatc- mem 4 awanleed parents
'VW s name, addrOSS, CO, slate, rd ZIP cods 5 nterosfloorte
MIDWAY PLANTATION LLC. 64 Tinto deeidereds
270 LAFAYETTE ST. STE 409 17 Mermen min lax (MIT) items
NEW YORK, NY 10012 60 DIelrfied drtiends A 9,057.
C IRS Cent Ware Dx-stersfip filed returr El* -3.
CINCINNATI, OH 7 Peyote's
18 Tax-exempt haw and
0 check Iris is e pthlicIy oats] partnership (PIP; Plat sholtorn capital lain (loss; nondecurale exoenses
Part II Information About the Partner
E Partner & identify no numbs'
n o: longterrr capital pal (loss)
00 Cribct tics (26%)gain (loss) 10 D strbubans
A 12,535.
F Partrer s name, addrese CM, state, and 2P mete 9c recapaured sec 1250 pin
20 Other Information
BLUE CHIP CAPITAL LLC 10 Her .92.1cn 1231 pain doss)
27 HIGH TECH BOULEVARD -16.
THOMASVILLE, NC 27360 11 0:hc- Moon° (oss)
a Genial pw:ner or LLC I.X.I _ir led partner or We. II C
tnember--narager marDer
H LLI Domestic parley 0 Foreign wrote
I maNNmelAyhmtorme PARTNERSHIP 12 Section 179 deduction
J Parity's share of weft loss, and caplet 13 Mos deductions
Begieeing Ending W*I STMT -
ofr 3.2978723%E 3.2978723%
10* 4.2553191% 4.2553191%
Glob 4.2553191% 4.2553191% 14 Sete-rploymcnt ao—lige (loss)
K Par.nets slime of Whites 21year end: 4 I 0.
Nonwourse $ 859.
Quailed luau:course finarcing $ 304,481. 'See 'Maxie sate-wint for adrift-al Mforrat I> •
Repourse $ O.
L Partnets ea account whale:
93.155.
For IRS Use Only
liegInned coplal account $
Capita csnalcuted d.rinti tho year $
tamer I year Increase (decrees.) $ -40,096.
Wm Vara% & Ostibulions At 12,5354
Ending mpall axoun: $ 40,524.
LE Tax bast n SUP Upton 40) UFA
0 Me' (explain)
FA Old ma Nan Or CC 7 ttle minty will a tuill-in 22io 01 I3SS?
El Yes TI No
If "Ver.attach sist, 321;see irstr.ctions)
le.owee U-IA Foe Paperwork Redett on Mt Nolte, see Instructions for Form 1065. Schedule K-I (Form 1085) 2011
3
09040323 758241 21146.204 2011.03020 MIDWAY PLANTATION LLC. 21146_41
CONFIDENTIAL SDNY_GM_00032935
EFTA_00143548
EFTA01252639
MIDWAY PLANTATION LLC.
SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
AMORTIZATION 688.
PROFESSIONAL FEES 85.
TOTAL TO SCHEDULE K-1, BOX 13, CODE W 773.
SCHEDULE K-1 ALTERNATIVE MINIMUM TAX, ADJUSTED
GAIN OR LOSS, BOX 17, CODE B
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
SECTION 1231 GAIN OR LOSS SEE FORM 6251 INSTRUCTIONS
TOTAL TO SCHEDULE K-1, BOX 17, CODE B
SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES)
DESCRIPTION AMOUNT TOTALS
RENTAL REAL ESTATE INCOME (LOSS) -39,688.
SECTION 1231 GAIN (LOSS) -16.
SCHEDULE K-1 INCOME SUBTOTAL -39,704.
OTHER DEDUCTIONS -773.
SCHEDULE K-I DEDUCTIONS SUBTOTAL -773.
NET INCOME (LOSS) PER SCHEDULE K-1 -40,477.
PREPAID RENTS - CY -137.
PREPAID RENTS - PY 518.
OTHER INCREASES OR DECREASES SUBTOTAL 381.
TOTAL TO SCHEDULE K-1, ITEM L -40,096.
PARTNER NUMBER 3
09040323 758241 21146.204 2011.03020 MIDWAY PLANTATION LLC. 21146_41
CONFIDENTIAL SDNY_GM_00032936
EFTA _00I 43549
EFTA01252640
. 3
Pace 2
Scheduts (Fcrrt 10601 2011
aid provides summarized reporting informalloo for petters who flue
'This Elet Identifies Mo codes used on Schedule K-1 for all part en
histuctions for 8diedole K-1 edd the Instruct:is
Form 1040 For detsik6 reporting and filing inlormattot see the separate Panne,
for your income tax return. Cae Report cin
/Earl bane. roan amie• Nam .• rearm la imam Way n
pavea rfranta mi 2 Mot r,20u• rota Ca 2.03.4.
.1
▪
Vra. meat' Nadi
Calal Enos mac
Dirvalenntsca end ~al
1
1
*an' creamal Sr Ert PtenV• hatraa»
Peat a M Gata warp ameic.,
~laic« Batt rawro Man.cler• ~Mks
Pst Para B urea octal P Grua la Erc1ma 4001. nmaN
analay flot Bar rak E. rt26 Dønn (1) .rcVxasbø
eint 62.14 3. ea BB. COlann G • earaac , 21.3 Form 1340. Ins e2
3,4-13~4. maim
Sea lirti• • Oat *Ma Ca 3• Pal -e'. reaTerli
2 NM ram. ~le eama 9020
3 Otia r inar ~As 113 Pala ~Ca
,KØ »MI* C IS 29, ream ice
A Nara Nara cc U.S.
kit as Pala rare* intratre
paaWM
4. Gamma inalars .1,43. OE. MN tA aurn
IPPIROO } Finn •• ..., art i
▪ Ors ', caw her
Font •042 tress
0. Waal bare C Gam~ sauna 12 Pell«
Pam •043. Pee*
ea Crary TeGarecIa lea
Pan 1310, re 90
Galati Cmania carry-Ma ha
Maya«
Se•fJ• E. re 38 %WIT ay Mane ~de
mats 33- (Ica SCM3a CI. Tne D Nave egaray
• NCI Shari
eaq]leu. ha 12 E Cant agar Fair 111A ash I
OS VW We an alad :ea
201 n3to Coln ~name. as 4 P Cenit
Cceecale•C244) 30 I3O11 :Stare C aln.canfl
Fa 94 Parer anaatca Daman» abase and IDC.,••I•C r Pirbw bW
ec Umailauta Baer 123: aeln Fonn • • te,. pal
Be 2 Pram•9 Insanyca • rive% licit»
13. NCI 2.4120n 1231 alniast. ran •'t* PM'
I. Qt.
•1 Dear *come Corp
Cor• arkmais Mka492 Mid co:~ permaND Ent to lØ tea»
A CAME prallancaaaut Bee Ire Pampa 'viva as Mon
B Nara° awn,» Er 1..2 Para** Pant on I Pram ac9ca
G 500. '200 caalia å "war ro." eta' Ire' J anal 31•423-/ o FOB" 1110. 3011
O n; salaam cam wean ewfw.MO • Co-..
E lactiaa" Ma Rpm vD40. p,.21 a -ir. cCt
Gta Waracian
F COW Mars Dam) em• 11•4 Panto haaemi tan • •'e. ina II
L 'kW tap am Pa
Be toPatieraimitnteces IA Tea laver atm mania 13 Pa 'I
18 Can clavart
eiciman - Emmi mat* RI creN Fan 1110. II14 '2
are deckawie Pam $023
C t>e'Qd'tlnaVaal6NaM
'Is 'lg.'s)
I
• Ca :c nut bearn•cio, tau SV,
B ('ar. urr-Cacnii Da) 3 Ora WED+ Mir:~ 900 OM Pear I hamsane
C Narak canadiam B0111
o Meath ocnirbilgen(50141 Bee's Prate ker.cons
C tea a 11•29422 12 eeee 17. Mayen a -arm a all)Mma
man Wk.- GPI Pal. • 21259~1123/ 9~
SW Mete
• 003.11 an mealy DOE; Adismil cidn kw
han:10•4 end
t
G Caremoa(12214i C 5ipla Et Minot.' OS
- an; 1.1131. • pow lama the Darmillealm
• Invn: ir brew prawn D OI, Pt, i ~Pew
Sara. • 4 II-2 10 era ~a Farm Sal
I 0921.~ •valty Iran E DI. pri a
Cale* n aria an F ahlrNlws
J SWIM, 53191.3iaree-aa•
Dia,.m. ailfoa E11 am: ticreCnis A Me 23
Scilernia A, Ir., DI 16 Tax-serpt ~am redinarailia'a spne•
• ail mow • waylays) Form 1%'. ea
64.1~1e A, line • m Pan W143 me 24 A 7arrerci 2~ rime
M Mama •Cr Irec133 nvaina Satre Panto nimeanii
Bala Parm's 1 turnan 5 OM larroomptIricre
• Tamannel ~arms mr01% Seam Near& ~raw
Pan 2.W. Ifra ID C ~moo& poem«
C Nagar? arc ~ate
n pan.c.cla aria mannem Ea Ø 11.42w e atraika 19 011123.0as
O Carom el rw.liiml.v.aduci on Ben Pam 10011Øs A Can a: ~am swam
eat 'as "al cain o rimed to irate 137 ). Beets rerna•In•Miotbr 0
II Nana ma 114. a• Parma arnica..
C Oren 0,0 ,4'
• almalacn mama errata Se la Tamr41113ace ors
T anal c NocUela• WII•am F.na=aaBPUlnq.tcene 20 Dew btna.r.,-cn
A Moore.. rear,. Fora= Urea
rtnracel Fay 4082. ape
L Calia2 caviare ana tame kin Sea re To B h. wren .010 moi
✓eim 1203.1a I/ In end, inlinamon Yrrn 411e
✓ Crpbyer's ea N 2 ape C
K41
W Ota 94.atena B441M PeraMo havcaw D ad raallieen anaJnoms
law tan real al lanai Sa The Fan« • ialation•
E OabCseøawary gm IN ante ~ma
14. eaapparraM ina (Oa Reapium la•menso hoar,
m airy car er. Nod dia..01014, ewe orrel via 421130 ran eel; m. S
Ma 2 )aa hate ram ITO atrial
114Pamrs bar akine aka crakerp raelMOSE. Raspita M•31•Ccent P COWIE
cm.1133140 Pan 9011. $
A ea camMakahn acmuoisso, ~ix. Anti II Daman c1 .nvaricre anicE 9••• Fara a26S
•••••altrWei I Gracrui• 01nw cra Beir 2•91•9341•111retrelaw
a Gumrat, o wiwououo. BM Ma Manta ~aka
949 418 ~Mal Ir warm J I eckam-k inapt cap4102
C Grose navam Mays krialrincerre03 8.. Eta Ma
I,Ø on .aimit • hare ~I
• Caca
ralmd Sa 20MI eeP
A -0*. rams pA.ry ads I. Data pone Cleemper, wee
lalko sy,t.sti iron Fenton Ø179ØØs
ermeixe M likaalura ate. •79docialon
B “ve-naa••• rrft (ct
N Ink.« Manna arcea ,
primaa eta:MX
O Sr.Ual 4i3.18 hkemam
C Lowborn naMmi i 'eater
P Bean 453PtcD rImaga
42eaDam h 2337 ta1 r
isabami, 8•012•Print• P•rtCOOldi o swim, ISE.) UR. rurrica
O
Lem uwaramming fl Dr= toc401•10~crOr SM1 Perle1We
tom meana to ana isietlans Maler.
E CUM 1.191 alai 'WW1 ~a ear ~easy"
8 GCS raga
ITS ral aba
• Ora ate ea mate cmc
TDopes mlornalan ca wed pa
Aran -Dan <I 11,ZYwa' Allein COO'S
O Ces Noce cram. V thartim 0.33024 iima012 rani
Ireti~Ted *errs ran cart Far 1040. la Ft ~Ca
W Prawn alb - ca Ilam1
I Acabo 011ulaC 0k6.4 Saab airfare Barak« X Ear.", 1301. ntmarter
Malt Y Or* internean
3 '
2011.03020 MIDWAY PLANTATION LLC. 21146_41
09040323 758241 21146.204
CONFIDENTIAL SDNY_GM_00032937
EFTA_00143550
EFTA01252641
New York Sale Department of Taxation and Finance IT-204-IP
•New York Partner's Schedule K-1
2011
3
Tax Law • Article 22 (Personal Income Tax) Final K-1
andawmg 12-31-2011 Amended K-1
For °slender year 2011 or tax year beginning 01-01-2011 x.ny.gon.
Nrtitructiona for FonnIT- )
204-11 (avartabl e at verny.ta
Partners: Before completing your room tax velum, see Form rf.2044P.I. Partner's
Partnership's information (see mrsuct.o ns) Pannersho s ON
Partnership's name (as shear. on Form IT-204)
MIDWAY PLANTATION LLC.
owe* traded partnershiP Portfd o investment partnereNp
A Mark an X in the box if either apples to your entity
8 Tax slither registration number. deny
C Business allocation percentage
Partner's information (see instructions) Paters identifying number
Partners name
BLUE CHIP CAPITAL LLC
Partners address
27 HIGH TECH BOULEVARD State ZIP code
City
NC 27360
THOMASVILLE
General partner or LLC mem terman agar X IJrnRed partner or other LLC member
D The partner is a rem an X in Ina apanapalela &NO Individua l Estate/trust X Partnersho
eocrecre mtx.nree . )
E Malls the tax filing status ol the partner? rex el X r he
F If the partner is a disregarded entity or grantor tust, F
Imown
enter the tax ID of the ent ty or Individual reporthg the income, if 0 Yes No X
0 Dki the partner sell its entire interest during the tax year/
Beginning Ending
H Partners share of profit, loss, and capital to 3.29 79 % 3.2979 %
1) Praia 1-12 4.2553 % 4.2553 %
2) Loss H3 4.25 53 % 4.2553 %
3) Capital
I Partners share of liabilities at the end of the year It 859.
1) Nenracourse t2 304,481.
2) °oared nonnocatirsa financing 13
3) Recourse
J Partners capital account analysis J1 93,155.
1) Beginning capital account a
2) Capital Canilbuted during the year - cash a
3) Capital contributed during the year - oroperty J4 -40,096.
4) Current year nmease (decrease) J5 12,535.
5) Wrthcintwals and dIstnbullons - cash 46
8) Withdrawals and distributions • property Jr 40,524.
7) Enting caplet account
8) Method of account ng (mark an X In the acitiocartate bo 4 Other (attach exPlanatrOM
X Tax bats GAAP Book
K Resident status (mark an X an all boxes That apply) NYC fun-year resident
NYS funyear resident Yonkers luayear resident
Yonkers part-yea r resident NYC part-year resident
NYS part-year readmit
Yonkers nonresid ent
X NYS nonresident
L If the partner was included In a group return,
enter the special NYS iderton number, it known L
1181111019
wstm ent.
Please tile this original scannable form with the Tax Departm
CONFIDENTIAL SDNY_GM_00032938
EFTA_00143551
EFTA01252642
Page 2 of 4 IT.2041P (2011)
'M 1) Was Form .7.2569E led with the partnership? M1 Yes No
2) Was Form MTA-005.E sled with the partnership? M2 Yes No
Date Smoot
N NYS estimated tax pad an behalf of partner (from Form124658)
1) First Installment Ni
2) Second katalmen: N2
3) Third rataIment N3
4) Fourth instaltnent t44
Total NYS estimated tax paid co behalf of partner (addbees NI through N4) N
Date Amount
0 Estimated MCTMT pad on behalf of earner (from Form MTA-405)
1) First instalment 01
2) Second instalknent 02
3) Third nstalment 03
4) Fourth hatallmont 04
Taal estiretod MCTMT paid on behalf of partner (addInes 01 through O4) 0
Partner's share of income, deductions, etc.
B - Fettersl K-1 amount C - New York State amount
A - nanners ctstrtvtrve share Items
I Ordinary business Income (kiss) 1. 1.
2 Net rectal real estate Income loss) 2. —39,688. 2
3 Other net rental Income goes) 3. 3.
4 Guaranteed payments 4. 4.
5 Interest Income 5. 5.
6 Ordinary dividends & &
7 Royalties 7. 7.
8 Net shohterm capital gals (1088) & &
9 Net lentyterm capital gain (Ices) 9. 9.
10 Net Seeder 1231 cein (loss) 10. -16. 10.
ft omerromeassmieroM 11. 11.
12 &Niko 179 deduction 12. 12.
13 OthxdalitectionstdenNy: SEE STATEMENT 13. 773. 13.
14 Tex preference items for minim/am tax 14. 9,054. 14.
Identity:
15 Net earnings ooee) from setternployrnent 15. 15.
18 Taxexem.pt income and nondeductble expenses 18. 18.
17 Disabuticna - cash and marketable securities 17. 12,535. 17.
18 Olabibutlens • other property It is.
19 Other items not kicluded above that are requked to be
mewed separately to partners 19. 19.
ldenthy:
Partners share of New York modifications (see Instructions)
20 New York State additions
Number A - Total amount B - New Yak State allocated amount
20a. E A-
20b. E A•
20c. E A-
20d. E A-
20e. E A-
20f. E A-
21 Total amnion modification (total of cohnnn A, Ines 20a through 200 21.
1182111019
'Z C0.11 Please file this original scannable form with the Tax Department.
CONFIDENTIAL SDNY_GM_00032939
EFTA 00143552
EFTA01252643
IT-204-IP (2ool) Page 304
Partner's share of New York modifications (contnued)
22 New York State subtractions
Number A- Total amount - New York State allocated amount
22a. E S-
aab. E S.
22c. E S-
22d. E S-
22e. ES-
22t ES-
23 Total subtraction modification, pot/of column A Non 221 thrOUIP 229
2$
24 Additions to federal itemized deductions
Letter Amount
248.
24b.
24c.
24d.
24e.
24t
25.
25 Total additions to federal dented deduCtiOne (add Inca 24a though 240
26 Subtractions frem federal itemized deductions
Letter Amount
26b.
a
26d.
26e.
287.
27.
27 Total subtractions from federal Itemized deductIons (add fines 26. through 260
28.
28 New Yon< adjustments to tax preference Meets
Partner's other information
29a.
29e. Panties Share of Nei:York source gross income
29b. MCTD ',location percentage (see Instructions) 29b.
Partner's credit information
Part 1 - Pass-through credit bases and factors
Brownfield redevelopment tax carat (Form IT-611 er!Nil LI)
A Bomi IT-611 B • Ram rreiti
ao Site preparation credit component 30. 30.
31. 31.
31 Tangibe property credit component
32. 32.
32 On-ate groundwater mmediatIon credit component
1183111019
115501
Plea file Lhu anginal scannable form with the Tax Department.
CONFIDENTIAL SDNY_GM_00032940
EFTA_00143553
EFTA01252644
Page 4 of 4 IT-204-IP (2011)
Partner's credit information ponmueof
capital tax credit (Form mom
33 Contributions of money to EZ community development prefects 33.
34 Receph.re of credrt for investments in coated EZ businesses 34.
35 Recapture of credit for contributions of money to EZ community development projects 36.
OEZE tax reduction aedt (Form f7-604)
36 OE7_E °moonier: increase factor 35.
37 OEZE zone allocation factor 37.
38 OF2E benefit period factor 38.
Excelsior lobe program tax credit Form IT-607)
30 Excel:Ike Ohs tax credit component 310.
40 Ex.:Chao, bvestment lax credit meltdown 40.
41 Excelsior research and development tax credit component 41.
42 Exoels/or real property tax credit component 42.
Ferman' screed tax a'edt (Form 1T-217)
43 Acres of quaffed op:cultural properly 43.
44 Acres of quaffed conservation property 44.
46 Eigible school district Property taxes paid 40.
46 Acres of minified ageculural property converted to noretualified use 46.
Other pass-through credit bases and factors
Credit bases
Code Amount Code Amount
47a. 47d.
47b. 475.
47c. 47f.
Credit factors
Code Factor Code Factor Code Factor
47g. 471. 47k.
47h. 47} 47L
Part 2 - Pass-through credits, addbacks and recaptures
48 Longterm care ertsurar.ce credit (Form IT-249) 48.
49 invasimort credit :idol ,g employment incentive credit end historic ban rehaleilfseon crodit Fore IT-212)49.
50 Research and development • investment credit from IT-212) 50.
51 Other passihrough credits
Code Amount Code Amount
516 61e.
Sib. S11.
516 61g.
51d. 61h.
52 Addbacks of credits and recaptures
Code Amount Code Amount
52a. 620.
62e.
526 521.
Please Me this original scannable form with the Tax Depalment. IIIIA111111111111111
CONFIDENTIAL SDNY_GM_00032941
EFTA_00 143554
EFTA01252645
MIDWAY PLANTATION LLC.
NY IT-204-IP OTHER DEDUCTIONS
AMOUNT FROM NEW YORK
FEDERAL STATE
SCHEDULE R-1 AMOUNT
DESCRIPTION
688. 0.
AMORTIZATION 85. 0.
PROFESSIONAL FEES
773. 0.
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13
PARTNER NUMBER 3
CONFIDENTIAL SDNY_GM_00032942
EFTA_00143555
EFTA01252646
NC K-1 (39) 2011 Partners Share of
(0- 403) N.C. Income, Adjustments, and Credits
Mirth Caprice Dacialment zit Netnituc
Cl 01 11 and mere 12 31 11
Far Nfor es year or *sea" year bapinnlbs
Federal Employer ID Rovaber
Partner's Identityiap Number
Pa rhierekike Name, Address, ad ZIP Coda
Partner. Name, Address, and ZIP Code
MIDWAY PLANTATION LLC
BLUE CHIP CAPITAL LLC
270 LAFAYETTE ST STE 409
27 HIGH TECH BOULEVARD NY 10012
NEW YORK
THOMASVILLE NC 27360
ladhideale Filled Form
Animist 0-400 Eater Amonton:
Partatrabipe Pro Rata Shire Mum
All Parties
—39704
1. Scare ot prInershb Seto= (bad)
2. ~Dail° :tome ;mast 119 Pape 3,1ine 36
a. ACCItia for bonus depredation P1;43.1.10, 4C
0
b. Ms addlbons to name Ems)
3. Deductions from income (loes) 0 riape 3, hoe 48
a. DaductIon IN bonus depredalion Faired, MFG 62
773
b. Olits dedurdions Dom interne (loss) STMT
4. a. Shared lax Dodd kw Smarr Redness'% Thai Pay Fort 3-400TC
0
N.C. Unemployment Insurente Form 04337C
0
c. Snare of orer taxer:4Se
can
5. SParo or tax udtlihald kom nou Øe compass rap 2, Lirm 19
PaD In' gimlet denial Parfonned m
NoiresIdenta Oily 0 Page 4,1'ne be
6. Nonreakent's share cl N.C. tabs income (loss)
7. honresyleale share o' net tax paid by Is reneger base 2, Lire 20c
0
of me parlailf$11T
CONFIDENTIAL SDNY_GM_00032943
EFTA_00143556
EFTA01252647
MIDWAY PLANTATION LLC.
INCOME
NC SCH K-1 DEDUCTIONS FROM FEDERAL TAXABLE
AMOUNT
DESCRIPTION
85
PROFESSIONAL FEES 688
AMORTIZATION
773
TOTAL TO SCHEDULE K-1, LINE 38
PARTNER NUMBER 3
CONFIDENTIAL SDNY_GM_000329441
EFEA_00143557
EFTA01252648
CONFIDENTIAL SONV_G1,00.S.
EFTA,I0355E
EFTA01252649
5
651111
FMB PIO. 15.*Cegi
Mavis K-1
(Form 1006) e.
fa w.v. yes ROI% cf..
2011 Elnall(-1 —1 ArnoP,0 K-1
Part III Partner's Share of Current Year Income,
Deductions, Credits, and Other Items
Depart-nee et reInman yew eyes Ii AUGUST 8, 2011
lirerrmi Revenue STAG. stens, DECEMBER 31, 2011 1 ()limy fiJsiness income (foss) 11 Qua
Partner's Share of Income, Deductions, I 0.
Credits, etc. 0.See separate instructions. 2 No niwasinnarenion..00..)
I —4, 065 is FOttiltlitaxecticrs
3 Other net rents! rcono (i3s3)
Part I Information About the Partnership
r m IOytridoiltIcatMn n.rnbe- 4 Guaranteed payrords I I
B Pmrarer p s name, address, dry, absk and ZIP code 6 lowest *came
I 4.
MIDWAY TRIAD, LLC Go 0rdKary thyldenk
I 17 Alternains min tor (MIT) items
270 LAFAYETTE STREET, SUIT 409
60 Oualilied ONIcionds 684
NEW YORK, NY 10012
C IRS Cantu ethers =Inas* firid retro I
CINCINNATI, OH 7 Roost es
I 10 ax-wompt bathe end
0 Not shermerT capital gall (loss) ondedJclisle evens*.
110 LTI Check il Ilia Is a pub** traded parmershin (PTP)
Os nollo10-semi capital 01Ooss)
Part II Information About the Partner 1
E Pa Wen numb:. 9b Celkokies (28IA) kin (less) TO ClstrIbutions
F Partners name. address, city, se.to, ard ZIP code k 'Enured sod 1258 0491
_J sect8n '23' gain (loss) 20 Other Worma'cr
A 4.
BLUE CHIP CAPITAL LLC 10 Nei
1
27 HIGH TECH BOULEVARD
THOASVILLE,NQ17360 u Mu Inciorm firms)
0 1_1General pane' a LI C LxJ LmIleo partner or other RC
mumbermienagor - mamba-
K 1.X., Oomeslicparl-er Foreign partner
I Mat type of ellIty is Mt pater! PARTNERSHIP 12 Lorton 179 ceducton
19 Other dein/2k •
J Partor's share of will loss, und taste
BagInnisg hiding W1 76.
Profit 1.13469 9% 1.1346999%
Loss 1.4641288% 1.4641288%
Captor 1.4641288% 1.4641288% 14 SotelObymen: °emir oti(loss)
K Partners share of Oates at year sixt A II 0.
nem/come $ 1,315.
°Wiled ncrrockros filarKing 4 135 488. 'See 8.2chel Stab-NM tor addbeall Mlormenbors
Kerourse $ 0.
L Partners capital account snalysk
Beginning metal =cunt $ 2
Caodal cow:Moon kris; tris year $ 50.000.8
Carrel year IDC'eaS6 (deans.) $ —4.304. A
Winidrawats 8 distLtcns SI ) k2
smsweamtivamme _. ....... _____.......... $ 45.696.
Tax bas's El &AAP ti Emotion 704(0 book
MI Other (mo air)
II OM be parson contrib.'s, property soilt a butt-in gait or loss?
D Yes LX. No
'Ms% glad' sta•emern (see MO wrens)
Urn .... - - •
1141111 sparor. - . sic - on - — - , " — -
5
2011.03020 MIDWAY TRIAD, LLC 21146_81
11360323 758241 21146.212
CONFIDENTIAL SDNY_GM_00032946
EFFA_00143559
EFTA01252650
MIDWAY TRIAD, LLC
SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W
PARTNER FILING INSTRUCTIONS AMOUNT
DESCRIPTION
76.
PROFESSIONAL FEES
76.
TOTAL TO SCHEDULE K-1, BOX 13, CODE W
SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES)
AMOUNT TOTALS
DESCRIPTION
-4,065.
RENTAL REAL ESTATE INCOME (LOSS) 4.
INTEREST INCOME
-4,061.
SCHEDULE K-1 INCOME SUBTOTAL
-76.
OTHER DEDUCTIONS
-76.
SCHEDULE K-1 DEDUCTIONS SUBTOTAL
-4,137.
NET INCOME (LOSS) PER SCHEDULE K-1
K, NOT -34.
WILLOW BROOK - SCH Ml, L2- INCOME ON SCH
ON BOO -132.
MADISON - PREPAID RENTS - CY -1.
MADISON - MEALS AND ENTERTAINMENT
-167.
OTHER INCREASES OR DECREASES SUBTOTAL
-4,304.
TOTAL TO SCHEDULE K-1, ITEM L
PARTNER NUMBER 5
21146_81
11360323 758241 21146.212 2011.03020 MIDWAY TRIAD, LLC
CONFIDENTIAL SDNY_GM_00032947
EFTA_001143560
EFTA01252651
5
Fugo 2
cr''te4rsre K -1 ( -am 10651 Felt
partners who me
Tfu 1st Ideellffes the codes used on Schedule lor all mote's and provides summarized reporting islortnelao lor
K-1
FOCE 1040. For detailed rep odes and nalep la neniom , sea Ms separate
Pennell listrotlione kr Se1e dole K-I
ind lt e lestructoes
tyran Income tax rem-n. Coo. Piper
Cannory babom Kowntrawl Debranna etratin Watr. (asr b J Wat asnataFW cna:
1. K Cia11104 was owa
wan w notowavo end wiarami arar w fatwa L er(nommetr zwane nearer
ca-nutty orrabaralatch } ElloIw Palla* lWracIltas
Swat On cte acttsing march
M awrain
Paola XY Sw Via POnriototalrualen in
erriara moms lleliod41, . Ino VA baum arl N Crodt tr *WWW- wda wara
Nrrpbnwbw Saaba E. Si. W DOWN .119 ardhislobv taws
Saida F. tio24.0a-rm O Moab voiNtaan rom 1040. óe02
Nowasoas lwowy
2. Kb -alo rob niob Moors WON s..nprvin F Cant asa% Ew iw Fantail Mena har
1 Drwal ronW Inoaarlba) Real‚Irinattre
)l acany SSasalb na20.rJwnlp .1
A Wan deafly a JS.
Sao t• adamem lansualaw
I
NOWY Webate
4. UNOS F. Ino W. Fam II M. Pal I
Cluaraloon P•Wreals
PONO 104C. to la ▪ Ow acana Wrn" oazom
6. Parsa Maw C Grena Maw* mmd r para
corn 104C. ro lo
Oretrrnr *Ace cle 'rpa
Form 100.6w W
w. Ilairod Mada* lora
SSW.,E. bw 30
t Rowels
WWW* J, PM "
D Frosewo
rmoa491F/
O. Na Wotan capitol y"!m: "3"..C."" M pnWrihib
Saroolahr Ino 12 E dera wisy Fr • 110. Pe i
Ba NW long-an =S 901010.10
Dr.lonnan• r2B14) pan awl 9•10 Odr Wakatom,. ino 4 F Car
00.
(SchWalo liWaactkoW
6041*Plara's IrairraWato 344Loarces Santa e,o opocition0 M Bata rwa
06 Woad news 17ba Fowl . * Fat I
SorwhoPenal retraocno O tlona .o.
10 NM watr: 144101r 0c04) For 1116. Pot
N Ote
11. OWN aweaccrtoa
Codo Dias. illbaleod evil WInetawal N portmnito lea rbtwins wiar
A Cew wroto rains attar Soo troPsomorS inatuarraw
Ilefluir Iwy COWItOwn
C SOC. UW aitaa e. anto w
D Walno ap na. Boma 444:7741./r4
Sons welndolittakne
Fan erel. bw i
So•Paa. pdt
I Pave Oakial
J Gawi all•Wry
K Cia
1 Fam i.*. astr
▪ :Wawa air:0Jan Fam Wsk Iwo 21 a Fr 0.32
Set te Portarlanoltiarono 02w Ignam
F Otbs ncownloar L TOW brai.), Iowa pni Bow " M Pan a
Poranbanan • Tora ber mat wami Pan 1110 Poi
12 Stilon 1Airdoacat Sw
N ilearabn sapa awswarob. cna • 1114. it* 12
'B. Oar danwalne O Palia 1.404C. crow rwa% Farrall73
i
A Cat calloaterbar7a) P Eatrallaa 'wore salwa, Farr 5373
• Carreacterrat3411) O Carton ramiom te re Bawer. Vanscilata
C Mtmar camitutram raM4;
D *iamb cotrtiat on4(301 Sn 440 arin Inetramons
2 2,04 pr. 17. matailwror fl an Wiatr) Ira
watr‚ w • 53"
canntart on :3061 A Pea-16041 0wroclaCr *kani
1107140•494/4 0710141 1 Baum Farce‚
• Calla gat plago- % attir
MOBS% (Ww lbw OA por InsaccrlserJ
G Owal% an MOH; ow la
cam WSZ. uw • D 01.ma gonitanul • rsw web It
14 14/4494-7140-8 4874441 aoparra 70-41eni
nim abet • royelty MOM* Sat40.64 C S.10 e OL pa fl am • dalia:low
J Salon 604447) wpinano Ow Il*Pcrweo Wetula F Oliw nr ira
Sclwant.A sial]
IB 0441-ract . patio% /11 111 Tac env Iwomoatdrarcoarenebaapster
L Dodam - tiablorceAr) Strbs041•A rola
A Tat aampt newt Imane Par 10:0.' m40
✓ 411401444 pridti -reckil Swat Ocimak. A. Ino 1car 1040 W420
• Otlw laana WSW. • t• Fbralt wybrane
N Ea.G'.cW osurtwa 00411719 Sa taiPalmas ' ,saaba Ew Fe Frania .021444M7a04
caw 2441. Ew 12 C recreb•Wlore owenom
• Dricarylat osio lanais
P R•OrXrlictisr Carta eastaw Sw Pw PII1W1411111472149171 la 01101babra
O Daw-wois Wlana on oaratIon NO 'WM 0162 itain-ctow A CNA Ina Makatea walam
tara W .ao1mili abaka R Cbilbubst *Nica Ic acta. 737 ) Smal antra G .474.04.C10ta
R Pram-marl Mks Sw ITO FICrw • nowa om C 02-o. orwaly
8 11490448141.011 want OCCIJC101 1140 410P944 tafl Ireatractra
T Daiwa c croactrr. wafla Sw Fart BOOS tall4010w pP Ccharniawaen
A t marca Sara Paw .404B. inc 44
Inbra. cn Far- &XC. no 5
✓ Cuirical 7011.1.on lilltN/at *weno Pone 410S Sb • irwrionniarrsto
law 1100:1- C Cora ata Bitnamot Fart 4.20
✓ Enatyre orr W-2 wam
W Ono Bracia-a WG 0e 844107h Irafriarlom n oazami itstrantlaraw:11.n.
Batosawr roan Wab Ww M Para a 14711-7ctars
E Sama wail achrt 814.1.14• amines 3.91R 049
14. S01-774•004111011tan1144 WN F Rwom,. or1Weintarl• 1.0.14•0
&angora sra atol (am:41 47,404 naw. 8811.110
Nas Wyz nn • maar 176 chata ci ray para.-ma
dN Man nawalam bobo wawa... Schwab SF. • Sor-wart or km 714791414 Babas
owa ryfa as i. Mt I
A Na arrow peal ros Saw:4452 SrbnAaO BwwlaadMUM.-IwtalE Sa Farr 425!
sol rtOsins. netactu.• otaw ata w See IM wolna • to714014:747
I3 CamIrga (01110 'wars Sen Ma PratrorS ItaVircra
..aolabat lotna oargaored
C Owo rlm-bnlleowr on the baoc*T1W4.404411 8rs•aa WC/
1211-tra44.47141at
K Latiao* ibreir• 'Wars land
15. Cnn* ran< Soo Fam BW
A Lew scanoteang arka L Oliwo law o.rap^ ..vIr
bmw 44SAB tar on420:4 041C14in 179 447.14.41Ces
S.NrA M Arran ol walw 179.waartn
▪ 1.0.11004•1714011144
. ctedr Whet N Wala antra,'S =Wiolo 77.41784441
Ism wt-tma mane O Recur, aeflielwrater
C :mv Wam* wroacr and Web" P Serla8 4.1311, 1 -10114774a1
WM) Ws as' 2007 bola tp hanaiwo O Wrenn 1246a: hlerariti
Ew MO
D Law ri..mo twe ncraocitarnoa Fr VW= wat410 powli:008 Sabo hn10.4.
tan acaBBC07 nart Irga amanin Imitallon•
E CaaĄCJ aratatacat bowsaws 3 CC. nawalna Madan*
taws rw era (INS or nirwan. • CI acwa
F Oacr cena wa Nate awila U kartce a- al acroacOrtn ants
d on/rant 07040/4* ✓ Labara b.cfram wal.* want
II lhalbacticl cors wart crawl Baw 1040. .ne 71; ash bw
W norii Wu/an pin Warw)
I Mocna ord tattoo 0 OW Oma Swag Pt-Jars basicawn X $4441181. 704X aarnect
mol Y 0.1w irannalion
111262
11-04-11
5
2011.03020 MIDWAY TRIAD, LLO 21146_B1
11360323 758241 21146.212
CONFIDENTIAL SDNY_GM_00032948
EFTA_00143561
EFTA01252652
5 1019
'SCHEDULE STATE OF NEW JERSEY
NJK-1
(Form NJ-1086) PARTNER'S SHARE OF INCOME
2011 For Cater der Year 2011 or Fiscal Year Beginning AUG 8 2011 end ending DEC 31,2011 .
PART I General Information
eirenwie ss 4 4- F,Oow se.
FernIP•Sja3N l 000
lia
a no Pisitorfir.Y.Kara
BLUE CHIP CAPITAL LLC MIDWAY TRIAD, LLC
Prowl Mani PrreMpli Slinc Mena
27 HIGH TECH BOULEVARD 270 LAFAYETTE STREET, STITT 409
Stoe• 213 COO* Cily State ZP eta'.
Cry
THOMASVI LLE, NC 27360 NEW YORK, NY 10012
Wnet ripe o' only a ranner? NP Ente: Parbars nen:0033o ot
(see inettcbons) ;Noe (i) Moro decrease (I') End of Year
r Trainercn
Prolit Shang 1.1346999% 1.1346999%
Data Pe•trer's Isterest is Partnorsing Nowt 0 9/ 05/2011
Wan Doi Yew i OSS Mena 1.464128 8% 1.4641288%
IN riocktotoo uvalomwoo 1.4641288% 1.4641288%
r ] Fbai :Clic',
, 1 A•nereed 11JK-1 r n Masts Of CONCCreila Return
PART II Income Information
NJ-1040 Filer. B. Now Jersey
Income CressifIconono A. Total DIstrebdloo Enter Amounts on 11-1040NR Flare
Suite Aliments
Line Stowe Below
[ 1. Partnershis Income (k6$) -4.061..
a Net Qua ianrsecl laymen's
9. Partners 40100 Conttuton
4. 0iswint.lne Stare of Partwiehip
Um 20, Page 2 Line22,Page 1
income (ta)
C.ito 1Pus Lino 2 minus Ina) -4.061.
5. Pension. Une 19,Pale 2
6. ast min (loss) from Es/mesa
Une 18, Page 2 Una it Page 1
oe Assets as a tissue of 2
OntolcMi40Mnni
PART III Partner's Information
line 221, Page 1C3T-100
line 14a, Page 1(BT-1C03
ling 9,PNIT-100
• tire 46, NJ-1040NR
'. Nrresident Pestrets Share of INlax .
Line 22,1U-T,I3CC
We 31a, NJ-1041
2. Pette's FEZ (eduction 2.
3. Partner's Metered Worishoo Tex CrecIJ . ....................... 3.
PART IV Supplemental Information (Attach Schedule)
THIS FORM MAY BE REPRODUCED
WWI
2011.03020 MIDWAY TRIAD, LLC 21146_B1
11360323 758241 21146.212
CONFIDENTIAL SDNY_GM_00032949
EFTA_00143562
EFTA01252653
New York State Department of Taxation and Fnance IT-204-IP
New York Partner's Schedule K-1 5
2011
Tax Low • Article 22 (Personal Income Tax) Final K-1
12-3 1-20 11 Amended K-1
08-08-2011 and ending
For calimdar year 2011 or tax year beginning forPam IT-21)4-I P (avagatm at www.ta x.nnoir)
see Form IT-204-IP I, Parents Instructions
Partners: Berme completing your income tax return,
Partnership's Information (seeInstructions) Partnership's FIN
Partnership's name (as shown on Form IT-204)
MIDWAY TRIAD, LLC
Publicly traded partnership Portfolio investment partnership
entity
A Mark snit In the box if saner appres to your
B Tax arbiter registration number. It any
C fastness allocation percentage
Parineesinformaition(sreimwoom) Partners identityki number
Partners name
BLUE CHIP CAPITAL LLC
Partners address
27 HIGH TECH BOULEVARD State ZIP code
Cdy
NC 27360
THOMASVILLE
X LunitedpainerorotherLLCmember
General partnerorLLC member-manager
o ThediMarma(pinwXkwinmaat-00 LndNidual Estate/trust X Partrwishp
wow. &IX% r • aporverweDm Oti.V )
E What Is the tax ?Prig status of the partner?
list.
F If the partner is a rldregorded entity a grantor
the tax ID of the entity or ncliyickia l repotang the &erne a known
enter G Yes No X
during the tax year?
G Oki the partner sell Its ante-Jr/Cereal
Beginning Ending
s tare of profit, look end capital
H Partner Ht 1.1347 % 1.1347 %
1) Profit 1.4641 % 1.4641 %
it2
2) Loss H3 1.464 1 % 1.4641 %
3) Captal
of ma year
I Partners share of Nablides at the and 1,315.
1) Nonrecourse 12 135,488.
2) Qualified nar000urse financing 13
3) Recourse
J Partners capital account analysis
1) Bcghnlrg capital account JQ 50,000.
2) Capital contacted dump the year - cash J3
3) Capital contributod during the year' property J4 —4,304.
4) Current year increase (decrease) Js
6) Withdrawals and distauthans cash
6) Withdrawals and distributions • property J7 45,696.
7) Ending capital account
iite box)
8) Method of accountteg (mark an X tote oppsopr
OMP Book Other (attach OtokatION
X Tax basis
I( Resident status (mum en X met' boxes met oppY) NYC full-year resident
NYS full-year resident Yonkwshillwafleskient
Yonkers part-yea r resident NYC part-year resident
NYS part-year resident
NYS nonresident Yonkers nonresident
X L
was tick-do:1 1n a group return enter the special NYS ideMilicaticd number. If Wenn
L It the partner
11019
lt4651
12 011 • Please file thle original scannable lore with the Tax
Depadment. 'Narks
CONFIDENTIAL SDNY_GM_000329so
EFTA_00143563
EFTA01252654
Paget of 4 IT-204-IP (2011)
M 1) Was Form IT-28585 Ned with the partnerhIp? Mt Yes No
2) Was Form MTA-436-E MS with the partnersNp? St2 Yes No
Date /mart
N NYS marinated tax paid on ben* of partner (from Form M2658)
1) First Installment NI
2) Second installment N2
3) Third Installment N3
4) Foath instalment 144
Total NYS estimated tax paid on behalf of partner (add Ines Nl through AN) N
Date Amount
O Estimated MCTIAT paid on belief/ of partner (from Form MTA 405)
1) First instalment O1
2) Second installment O2
3) Third Installment O3
4) Fourth hstalnant O4
Total estimated MCTMT paid on behalf of partner (addhies Of through O4) O
Partner's share of income, deductions, etc.
A • Partner's distributive share Items
e • Federal 51 amount C - New York State amount
1 Ordinary business income (loss) 1. 1.
2 Net rental real estate income Foss) 2. -4,065. 2.
3 Other net rental income Foss) 3. 3.
4 Guaranteed payments 4. 4.
6 Interest income 5. 4. 5.
6 Ordhary dividends S. 0.
7 Royalties 7. 7.
8 Net short-term e.apital gen mass) 8. 8.
9 Net long-term capital gain (bee) 9. 9.
10 Net sectcn 1231 gain (loss) 10. 10.
11 Other income goes) clontify: 11. 11.
12 Section 170 deduction 12. 12.
13 OrnerdeductionslaWM50: SEE STATEMENT 13. 76. 13.
14 Tax preference items for minimum Vex 14. 684. 14.
Identify:
15 Net earnings (loss) Porn seeemployment 75. 15.
16 Tax-exempt woo= and nondeductible expenses 16. 16.
17 Distributions - cash and marketable securities 17. 17.
18 Distributions -caw property 18. 18.
19 Other tams not included above that are required to be
reported separately to partners 19. 4. 19.
identify: SEE STATEMENT
Partner's share of New York modifications (see ktstructions)
20 New York State addrocns
Number A - Total amount B - New York State allocated amount
20a. E A-
200. E A-
20e. E A-
20d. E A-
20e. E A-
20f. E A-
21 Total add lien modifications (total of column A, Aims 20a through 20Q 27.
1182111019
15052
• Please file this original scannable form with the Tax Department. IIII IIIIIIIIIIIIIIIII
CONFIDENTIAL SDNY_GM_00032951
EFTA _00I 43564
EFTA01252655
IT•204•IP ;2011} Page 3 of 4
Partners share of New York modifications (continued)
22 New York State subtractions
Number A • Total amount 6- New York State allocated amount
22a. E S-
22b. E S•
22c. E S-
22d. E S.
22e. E S-
221. ES-
23.
23 Total subtraction medications (total of column A Aires 22a through 220
24 Additions to federal Xeroxed deductions
Letter Amount
24a.
24b.
24o.
24d.
24e.
241.
25.
25 Total additions to federal itemized deekictions (add fines 249 through 240
26 Subtractions from federal Itemized deductions
Letter Amount
26a.
26b.
Mc.
28d.
280.
261.
27.
27 Total eutitractiors from federal Itemized deductions fadd Cries 26e through 260
28.
28 New York adjustments to tax preference items
Partner's other Information
23a. 4.
29a. Partner's share of New York source gross Wont
2£6.
29b. MC1D allocation percentage (see Instructions)
Partner's credit information
Part 1 - Pass-through credit bases and factors
redevelopment tax credit (Form IT-6I I or rr-6il.l)
A form tT•811 Et • corm 3-611.1
30 site preparation credit component 30. so.
31. 31.
31 Tangier° property credit component
32. 32.
32 Onlite grandwater remediation credit component
1183111019
s?.)1,<• Please file this original scannable form with the Tax Department.
CONFIDENTIAL SDNY_GM_00032952
EFTA_00 I 43565
EFTA01252656
Pepe 4 of 4 IT-204-IP (2011)
Partner's credit information (continued)
EZ capital tax credit (Form rr-602)
33.
33 Contributions of money to EZ community development prolects
34.
34 Recapture of credit for 'nvestments n certified EZ businesses
projects 35.
95 Recapture of credit for centAuuta-is of money to EZ community development
QEZE tax reduction credit (FamIT-604)
36.
36 DUE employment increase factor
37.
37 OEZE zone allocation factor
36.
38 OEZE benelt period factor
Excelsior Jobs prosaism tax credit (Form IT-607)
39.
39 Excelsior fobs tax crack component
40.
40 Excelsior investment tax credit component
41.
41 Exoelskx research and development tax credit component
42.
42 Excelsior real property tax credit Component
Farmers' school tax credit (Fpm IT-217)
43.
43 Acres of quailed agricultural property
44.
44 Acres of qualified conservation property
45 E6gble ached district property taxes paid
46.
46 Acres of qualified agricultural property converted to nonqualified use
Other pees-through credit bases and factors
Credit bases
Code Amount Coda Amount
47a. 47d
47b. 470.
476 471.
Croat' factors
Factor Code Factor Code Factor
Code
47g. 471. 47k.
47h. 47j. 471•
Part 2 - Pass-through credits, addbacics and recaptures
48.
48 Lorg•term care Murano° credit (Form IT-249)
(acOding employment attentive credit end historic barn rahabRitation croak Form IT-212)49.
49 luvatmentcredit
50.
50 Research and development • investment Credit (Form 17-212)
51 Other passthrcugh credits
Code Amount Code Amount
51a.
51b. 811.
510. 51g.
S1d. 5111.
52 Addbacks ot Delta and recaptures
Code Amount Code Amount
52a. 52d.
52b. 52e.
52c. 52f.
1164111019
p
1245-11 Please file this original scannable farm with the Tax Department.
IIIIIIIIIlIIIIII1111IIul
CONFIDENTIAL SDNY_GM_00032953
EFTA_00 143566
EFTA01252657
MIDWAY TRIAD, LLC
NY IT-204-IP OTHER DEDUCTIONS
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION SCHEDULE K-1 AMOUNT
76. 0.
PROFESSIONAL FEES
76. 0.
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13
NY IT-204-IP OTHER ITEMS REQUIRED TO BE REPORTED SEPARATELY
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION SCHEDULE K-1 AMOUNT
4. 0.
INVESTMENT INCOME
4. 0.
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 19
PARTNER NUMBER 5
CONFIDENTIAL SDNY_GM_00032954
EFTA _00143567
EFTA01252658
(39) 0M1PaiineesShamot
NC K-1 and Credits
.(0-403) N.C. Income, Adjustments,
Kole Caraea Depr hurt of Reven ue
end suing 12 31 11
rat fiscal year bepfinIrg 08 08 11
c41,11a, gar
Federal Em !eye/ ID Nunber
Putnit's leen5tying it mbe r
Pulsemillia Nuns, Address, aid ZIP Coda
Partners llama, Address, and ZIP Code
MIDWAY TRIAD LLC
LLC
BLUE CHIP CAPITAL 270 LAFAYETTE STREET
SUIT 409
TEC H BOU LEV ARD NY 10012
27 HIGH NEW YORK
THOMASVILLE NC 27360
dNidoata Filing Form
0-400 Er eel Annul Os:
Moat
Putnetiblp's Pio Rita Stele Herm
AilParton -4061
(loss)
1. Sfre of permemhp mcvMe
2. Maims io Inxima (ces) 1324 Nil 3. tins 38
a. Add:Ion kr bonus deprecation 0 Page 3, Li% 40
b. Olher additionsto income (loss)
5. Ded gloms tom Dooms (lose) 0 Pape 3, in 48
a. Deduct:II far bonus Direction 76 Papa 4.Eno 52
STMT
b. Other deductons From PCOITIO (1058)
ottax 64001 14r SmellR mlnes ses That Pay Form 0-400C
L. a. Mara 0
Untnuloren1Insurance 0 Form 0-4001C
b. Stare of otlwx tax credits
compensaeon Pace 2. Line. IS
D Sham of ,ax withheld from flowage 0
pam for pefsonal services perlorm ed it N.C.
NaeresIdeats Oily 0 Pap 4, Lino 54
income (loss)
6. Nonte310errs Share of N.C. taxabb
the manager Page 2, Line 20c
7. Nomesitlents Shy' of net tax pall by 0
of toe craluvrehip
'00201
CONFIDENTIAL SDNY_GM_00032955
EF-ON_00I43568
EFTA01252659
MIDWAY TRIAD, LLC
L TAXABLE INCOME
DEDUCTIONS FROM FEDERA
NC SCH K-1
AMOUNT
DESCRIPTION 76
PROFESSIONAL FEES 76
, LINE 3B
TOTAL TO SCHEDULE K-1
PARTNER NUMBER 5
CONFIDENTIAL SDNY_GM_00032956
EFTA_00143569
EFTA01252660
CONFIDENTIAL SONV_G1,0069.57
EFTA,I03570
EFTA01252661
651111
SoItedul. K-1
(Form 1085) fa vt.prea. Nn 20". cctu
2011 nPartFM.III Partners Share
K--. Amend«, K-1
E Ofra No, Isescregg
of Current Year Income,
Deductions, Credits, and Other Items
Depeameet of the Tanury yew bureinp APRIL 21, 2011,
Hemelseem.. &tyke exenu DECEMBER 31 2011 tOrdhary business hcome (bus) 15 Credits
Partner's Share of Income, Deductions, I 0,
Credits, etc. I> See mums inviadoms, 2 Ns, ma ri«. enenema...0.4
I —6.349. 15 Foreign Demotions
9 Stet ne rem Income Dusa)
Part I Information About the Partnership
A ernershp's employs. idortitoillon nunber 4 Curia- leed payment
I
B PartnereNeS rime, settees. ter. slate, and ZIP :ode 5 Interest iron.
MIDWAY-CAROLINAS LLC I 6.
C/O MIDWAY INVESTORS Ift OrdnarychMeres
I 17 A amaam rah tax (MT) Name
270 LAFAYETTE STREET STE 409 782.
NEW YORK, NY 10012 19 Goalie° clhroenck
I .re 8.
C IRS Cenar Mime eyelash. lb. return
CINCINNATI. OH 7 &tittles
I 18 TaxixemPlIlleeme and
D ILI Chick fr the is a publicly tided matentip (PIP) 8 ifeel torl-Men arnica n (bes) nondetuctiale expensas
Ila N long-Barn metal gain (loss)
Part II Information About the Partner I
E Parters 0enehleg Miner 96 COleetibitt (28%) ge:n (loss) 19 Dietebullons
I it 1,357.
F Penn«. nano. adOren, dry, rare, and BP cos 9e Immeapturode.e 1250 geM
I 20 alter .'ombol
10 Nei sodion 1231 gain(Ins) A 6.
BLUE CHIP CAPITAL LLC 8.
27 HIGH TECH BOULEVARD B
TSOMASVILLE, NC 27360 11 Other -ncome (oss)
et I General owner or U.0 (xi try* pur beer or other ILC
member-nareger member
H III Dameset pater IL Foreign career
I What type or eery 15 fil patal? PARTNERSHIP 12 Salon (79262x:son
.--
J %Ines S`Ire Ofpra loss, and went 18 Otte. neductIons
Beglosis. Min 0
Bore 1.3478261%1 1.3478261% ‹, 87.
Less 1.7391304% 1.7391304% 1
Caaell! 1.7391304% 1.7391304% MS.84-100)440dearKINB(X5)
K i-tatneeS sham( Wedeln at mar °nit A 0.
ef°meows. $ 4.320.
Doabled nonrecouree iinancisii S 78.414. *See flinched stale-lent lei aidliWai InDn.
flexure. $ 0.
I. ea rors alpha axon! waled.:
Begiini%cepta accoult $ 2.
Capitt. ore trite. Duero Um year $ 50.000. 8
Wren:year Increase (decrease) $ —6.582.!
Witte ab 8 estabutiens SE 1.3574 2
Ending eagle account $ 42.061. 8
Tax basis IJ GNP C Section 701(b) book
• On« (explaln)
Al ex tre wffner co nebula e-operry wire. bull-.n gain et ass?
_ Yes. IS_ No
II We. dare Stitaff Sit ;St' illsrUCtiOnSe - - . --- ..... .._. . ...— .............
WS. .. _ - _ .
of &pelvic C "11C - Oft . — - CO,I .
5
13500322 758241 21146.210 2011.03020 MIDWAY-CAROLINAS LLC C/0 MI 21146_91
CONFIDENTIAL SDNY_GM_000329SB
EFTA_0014357I
EFTA01252662
MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTOR
SCHEDULE K-1 OTHER PORTFOLIO DEDUCTIONS, BOX 13, CODE L
DESCRIPTION PARTNER PILING INSTRUCTIONS AMOUNT
PORTFOLIO AMORTIZATION SEE IRS SCH. K-1 INSTRUCTIONS 8.
TOTAL TO SCHEDULE K-1, BOX 13, CODE L 8.
SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
PROFESSIONAL FEES 87.
TOTAL TO SCHEDULE K-1, BOX 13, CODE W 87.
SCHEDULE K-1 OTHER ALTERNATIVE MINIMUM TAX (AMT)
ITEMS, BOX 17, CODE F
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
ADJUSTED CURRENT EARNINGS SEE FORM 4626 ACE WORKSHEET
INSTRUCTIONS 8.
TOTAL TO SCHEDULE K-1, BOX 17, CODE F 8.
SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES)
DESCRIPTION AMOUNT TOTALS
RENTAL REAL ESTATE INCOME (LOSS) -6,349.
INTEREST INCOME 6.
SCHEDULE K-1 INCOME SUBTOTAL -6,343.
PORTFOLIO DEDUCTIONS -8.
OTHER DEDUCTIONS -87.
SCHEDULE K-1 DEDUCTIONS SUBTOTAL -95.
NET INCOME (LOSS) PER SCHEDULE K-1 -6,438.
FORETSDALE - PREPAID RENTS CY -124.
PARTNER NUMBER 5
13500322 758241 21146.210 2011.03020 MIDWAY-CAROLINAS LLC C/O MI 21146_91
CONFIDENTIAL SDNY_GM_00032959
EFTA _00143572
EFTA01252663
45-1814195
MIDWAY-CARCLINAS LLC C/O MIDWAY INVESTOR
-19.
CHIMNEYS - PREPAID RENT - CY
-1.
FORESTDALE MEALS
-144.
OTHER INCREASES OR DECREASES SUBTOTAL
-6,582.
TOTAL TO SCHEDULE K-1, ITEM L
PARTNER NUMBER 5
2011.0302 0 MIDWAY-CAROLINA S LLC C/O MI 21146_91
13500322 758241 21146.210
CONFIDENTIAL SDNY_GM_00032960
EFTA _00143573
EFTA01252664
. 5
Szbegute 4-1 (Form IC€61 2)11 Fage 2
Tels Ist Identifies die codes end on &Affile K-1 for ail partners nid provl des ounimarized reporens information for pianers Mo file
. Form 1040. For dendled reparties sid filins Information, sse die separate Penn sr s Inelrubons fer Schelale K-1 and the Inslamli et
lor gour inoo me tex rature.
Cole P m.,- ri.
I >dinars cars norme Va Darda vrettir te rentra/ te J 'Me Octet. -0,/cr.L1
OMM Ce trouera ire tra )0.0 lente lelleire. K ', baba axa* ante
L Bettatryal . ene
eennenity OTterra 1 a le .1 Sa ea °errera innericee
ECCE 0 ,
M Cnide Increary ratera
anehalm Sa TEP/nefs tan% ce Ø1p
.tter va Moore Schalele E. ro 26, caser KI ♦ Gel erel.Tow tealt teseallb
Norpstolet Schaula E. le•24 Ø h ad Velouta las
ficeparant rata Stade E. Ire YB coin. • Berfectaredavy eut Ke0. Ine 42
2. Ne grta atl dam Wons tee Se la Pende. reteestical o Otr enta Sao ta Ferres wrouctirts
I Or a al ana gnon tata
BentIvi•E Ira 33 oct..mn Im • Il %rate brisera
NM Men
lon Say te 951aea rental
A ter &mire /t'U.S. •
d. Puma« Mimait Berwail•C lm Moere W Mania
I
300Stiœntlice avote For me %Ti
▪ botterecern. Fem '040. lais
Ion '040. enfla C 3 .ca Mettre meet« st taire
le Ordinant09*ra NAI
Ott Oue/Aftel enta FOn:040.na Et.
7. Psoas Sceathre. Free mes lima «ana ee patarello
S. Na errant, ear te tan Fout BdefbO.11»S ▪ Pesereraberf
la Pat tartre geai ;rein> Samba D. ben E Ektiera CEMFEY FTem IO. en I
et. Oeta boa (291410sr kat 2W Ria Oie Viodutera Ires ▪ Ottrer
(Sergel'Dherione
Oa Urneersald AtclIcr 260Y Sm la ont, naucticro Date- Ocre albriled and •ECOTIC000 erre lime
10. rsermaiorisa- »transi Br 1» Non" relerticra o nierai deepmae Faut 1114. owl I
11. 00« Narré »la H 02w Pam1116.Pal
Oeta Defelba dace ralettltencral garerait rab tallait adule*
A Otree morAS o rare (bue Ste es Perharg Feut rera Won
▪ rearbry Cerweraa's Ste ro Potier.. herneteo-et I Porta categeeY
C Be • 2111 cernes & erseleu J Gant aine } Pan Il /0.Pa
D lar9apbaawaanwa. Sr Ka 036 K Oaer
▪ Cactallyt el dal Penn e043,119 21 es For. 912
F &a atome :kat Se• paiement a Pau:Bons Ore Irloterden
L Tan:Mg tau pal BOTE •• Et PrI
12. Steen" 79cleselen SaFePrnrtlnmaØs M Tete! lente liter mea, Fra • • Itt Pte
14. 0114e «auto» N %duce= hW.* stabat b cade Ton V.10 TM tel
O 'Colle t+elreeCtereCelfra Fee en
A Ca* oretebellene OC%)
I
P b ottant:api rasa areate Fore MS
B cap oonirbeleretteit)
C Cl.** Redan IrrAacticee set Ta Perea•Vœltettall
C Nana carottera MO
1) Tenon, ccnBanon•pOrA) Sa Va Peel natualenp
E Calta, [ph repart ro a eiPle NverealveruiLwr ta Waluters
ana an seret) A Pr-M.161e deaveratta se.al .nent
BIEBI ;topent :MT) B ACASI en celas Saaient.%
G Ceerbenne(1.1071) Cep «ta . 'erre Pr 0.6 COE WinetIces ord
nverreet net« *rat« Ferre 4901L liai th* fl eur kea Ire
C CIL la a goerana - vat beeme
I DOCIJUICI• • royalty hart Behalule E. nla 10 rani WEI
OP. )seà minera - çailetella
J Sale, tette apereleate Sa • Peintre lablettoil
Cree /Affame
K Delycrire • ver* c Ott lori Unau,* A. Pliai)
Decherker • pore le tar et SO•au.I, Jinan Tes tore rame re erteteluallta afflues
II Ana ett 00 7a. Media, Murera Seealute Ilee 'verse * UC. Ica» A TIEveritel lares , han roen «se h. 9D
ed»rCbamaa -CeDrbnb - Se* er ner-o Pusey:Ion B °BAI tixeceiTot FOC?* Sena PaIreeet htteyebana
O Daman ore are,* erre 7441. 'T. 12 C 'armait...arme CEE ImPaincia hstuactis
• proprallavie xnad pains tha •TallaralEsinx}cre
19. Dtirett.ora
O Conatned ravi isba <barn Sec For 0:02 rra e -. one
i
Peer rab mainate pelleta A Øa4lrlsaÅbbeaJla
▪ DtotostateAtteot ea: 737 t Sm Ove Obtefele fauteon.
Ft Natte and FIA• • e-• -retro nsteciany
O 01W ginerte
S Rekralatœ agas *duce:. • tto :errer te ranatre
T Owen mouflon Pearta Serran bats nurnayie De* hferaa
bon*" A errata. Pen Fore 406.2. Item
U Caria Feoduct:ce tavela Lemme Faro INe3. rra ity R veyeettnat toponao Fein 4002.1µd
✓ &paya% Fan W. 2 ben .ene aC3. ' re 17 • radlmvaRrlbmaYa em 4190
"Y Cari aftekeet Ste ro Puera haute tee C CU% .Ned1 ronbrisen apache*.
Bey tårl rerel reent Sara evererninauelkai
e Ben °tommy panne SE* Ce Etna BOIVES:TB
14. arroi Boat
✓ Kaaba d briment Mirai
Mea Il you Irae saler 17,1 noierai r mye artreplevel dermes m :yeaby 42(00 Foin 1611. Fere
ta Portera rAincter aéra card•Ong Sate1a SE G °tomber la-Yecene Sala"
A Net *limbe Cala roe End* <Cet rae,0611, 're
Sarre.> œ. Salir. A tx B
reerherea Magnare r «genre esse Seo >or ose
Sa St Mettre Paneton, I %calte ohyter enler• &KM:ruts'. harectne
B Grue arma , taro Insane
C trocs neerto heure Seo thIPterele• • laTEa.taa4 mate • orroleic
ØØe.* Star , ' Per
1S. exalta K :ta -a... Nara • retro tata
matod SEIbErTITTEE
A Loracare !baril den
I
I. Ilepeattera centre et.
»En la i C.X55 bis readt clorlMen
Wba taelee
• Lealetoret Orant raft KT« M Raceobta of meut« ln *date
Iwo reitte$ tyd clef e H Mirait airEces b TETTfle
C LOS- Tan POIMPE >tait Erectke O
P
&ab, 402ea Tounicat
Pater. taator)lumer
4.20%) for ear.20/7 V, SOT
r rare Pane s* Muera O nreba • ØNReamlla
C. Laie reen•FoanG Oatt Pr«
itte aoa1.2027 bul • IIBMI km>. oroducc b: Sena Forer - y
C Galba nOtattbartert bancha, paperelteta t 'reac4:µ
raid ro« estes; • CCT 'cf pal ad *Bernis
F Othr ferlera ana ana T infonalor - rd oc
• Cfle- eu' Activent i • Arta Se et terrer et cote
• ekettelbeee Mahé Stans rect, 1C4) TI Ur.. Box ✓ Urriate Datai rtax•
I Mea rd colt trie cita tel Tet :ne Po- tee hadron
W Htv.-W.AnUvtxal
dock X lits, rAn
Y Ota Irr ar
5
13500322 758241 21146.210 2011.03020 MIDWAY-CAROLINAS LLC C/O MI 21146_91
CONFIDENTIAL SDNY_GM_00032961
EFTA_00143574
EFTA01252665
Schedule of Activities
;woud« nmer mrt it rajas **Wm APR 21 Y11. en; one.: DEC 31 2011
MIDWAY-CAROLINAS LLC
Kama: C/O MIDWAY INVESTORS
For. BLUE CHIP CAPIT
Deecripben
of
T
mevrry ',nos 't2h taxer N*
1
LLC
Parot
imilblp i°
FORESTDALE APARTMENTS LLC
Pads/ I
ACPrite • 1 I ActiVay Adity •
Ord•nary business Income (bee
Not rental real era ircne (loss) - .197.
Other eet tentai Income pots)
Interest inname 5.
DiVdends - CcdInary dhirbenos
-aalbed 6midends
—es
Net snort-term ca it& gain (loss)
Mt long•teryi capital gain (loss)
CollerbbIs (2815) gain (Iota)
• Umeantufed Sieben 1260 gain
Net »don 1231 gab (loss)
Ober pertloio income
Seenon 1256 contrasts and addicts
Otter bcom3
Section 179 deducilon
Crtriblfe contributions
Patio» ded.ietione
Investment interest expense
Pectic- 59(0)(2) expenditures
Other deductions
let earnbos from sell-emPlernelll
(idea farming or ilshirg noodle
Gross nonfarm Rome
LIN onadt - Senon 42()(5) partnerships
- Caber
Qualified rebate ration mdten3/11MS Mind brentetrol asos
Obis ism. credits
Credits related tool* ren0J ecliveires
Recapture of 1,14 credit -Seam 42(0(5)Palma
-Ober
OiYer c'edits
Post-1996deprecatior adjustment 368.
Kopsted gait or loss
Parton ot adjusted galMoss albnole b shoe-term gilMcss
Pollen of adjusted galMoss closable b long-ben gaindoss
Portion of edited palndossallocabb b melon 1231 palniloss
Depletion (ile- 'ar Wand gas)
011, gas and rrectr.ixmai r mocks • cress eiome
Oil, pas e-d gal nr proortss • deOactors
Met AMT items
Investment 'ncorne
Interment exconses
.70.-C1.11
5
13500322 758241 21146.210 2011.03020 MIDWAY-CAROLINAS LLC C/O MI 21146_91
CONFIDENTIAL SDNY_GM_00032962
EFTA 00143575
EFTA01252666
New York State Department of TaxatiCei and Finance
New York Partner's Schedule K-1 2011 IT-204-IP
• Tex Law - Artiste 22 personal Income Tax) 5
Final K-1
For calendar year 2011 or tax year bogInning 04-21-2011 and ending 12-31-2011 Amended K-1
Partners; Before completing your income tax return see Form I I -204-IP Partner's Instructions to, Purr; IT-204-1P ;:r.al sb'e at wewiesey.90.4.
Partnership's information (see instrctions)
Partnership's lame (as shown on Form IT-204) Partnership's EN
MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTOR
A Mark an X n the box if tattler applies to your entity Publicly traded pattnership Portfolio investment partnership
a Tax shelter registration number, d any B
C Business allocation percentage
Paineesimfonneonfteepoancuw4
Partner's name Partner's Identifying nJm ben
BLUE CHIP CAPITAL LLC
Partners address
27 HIGH TECH BOULEVARD
City state ZIP code
THOMASVILLE NC 27360
D The partner is in X Inne 3.174,7 a bo.( General partner er LLC member•manager X Limited partner ur other ISC member
E Whet is the tax filing status of the partner? aeoxerKir Ow aogopto a siox.-.) Individual Estate/trust X Partnership
F If the partner Is a disregarded entry or grantor trust,
enter the tax it) of the entity or hdlvidaal repatrg the income, a known F
CI Did the partner so its entire Interest dollen the tax year? CI Yes No X
Beginning Ending
Partners share of profit, loss, anc capital
1) Profit HI 1.3478 % 1.3478 r.
2) Loss 142 1.7391 % 1.7391
3) Capital H3 1.7391 % 1.7391
Partners share of labeller:a at the and of the yea
1) NonreCOurie 11 4,320.
2) Qualified nonrecourse financing 12 78,414.
3) Recourse 13
J Partner's cap eel account anahrsIs
1) Beginning capital account .J1
2) Cap tat contributed curing the yea -cash J2 50,000.
3) Coptsl conthouted during the year -property J3
4) Current year increase (decrease) .14 -6,582.
6) Withdrawals and &Animations • cash J5 1,357.
6) Withdrawals and cEstributions - property J6
7) Ending capita! account J7 42,061.
6) Method of accountng (rnto* an X in the approwiato box)
X Tax basis GMP Book Other (Basch oxplanatinn)
K Resident status (math an X k1e boxes that appi/)
NYS fuelear resident Yorkers Ioniser resident NYC ful-year resident
NYS parbyear resident `rankers part-year resident NYC part-year reskient
X NYS nonresident Yonkers nonresident
L If the parse, was included In a group retim, enter the special NYS Identification number, r known
1181111019
Please file Ills original scannable form with the Tax Deportment
CONFIDENTIAL SDNY_GM_00032963
EFTA_00143576
EFTA01252667
Page 2 of 4 IT-204-IP (2011)
M 1) Was Form 172868E tied with the partnership? Mt Yes No
2) Was Fenn MTA405-E filed vAth the partnership? In Yes No
N NYS estimated Utz paid on behalf of partner (horn Form 1T-2658) Date Amount
1) First installment NI
2) Second installment N2
3) Thkd installment N3
4) Fourth installment N4
Total NYS estimated tax paid on behalf of partner (add Ines N7 through N4) N
O Estimated MOTAT paid on behalf of partner (from Form PATA-405) Date Amount
1) First katallmem 01
2) Second Installment 02
3) Iliad Installment 03
4) Fourth instalment 04
Total estimated MCTMT paid on behalf of partner (add Ines O1 through 04) 0
Partner's share of Income, deductions, etc.
B - Federal K-1 amount 0 • New York State amount
A - Partner's distritutiye share items
I Ordinary business income (loss) 1. 1.
2 Net rental real estate income (loss) 2. -6,349. 2.
3 Other net rental income Fees) 3. a.
4 Guaranteed payments 4. 4.
S interest Wane 5. 6. s.
It Ordinary dividends 8. 6.
7 Floyardes 7. 7.
8 Net shed-tem capital gain (Ices) 8. a
9 Net longterm capital gain goes) 9. 9.
10 Net sentinel 1231 gain (ham 10. 10.
11 Other 'come (loss) Mondry: 11. 11.
12 Section 179 deduction 12. 12.
is Other deductions fdentffr SEE STATEMENT 13. 95. 13.
14 Tax preference items for mhimum tax 14. 790 . 14.
Wen*:
15 Not earnings (Joss) from selfarr.pecryinem It 15.
18 TaX&XeMpl Income and nondeductible expenses I& it
17 Distributions • cash and marketable securities 17. 1,357 . 17.
18 Distribution • other proper.). is. 18.
19 Other itoms not 'eluded above that are required to be
ropcited separately to partners 19. 14 . 19.
owner SEE STATEMENT
Partner's share of New York modifications um ustrucrkwu
20 Now Yak State ackhlichs
Number A - Total amount B - New York State allocated amount
20a. E A-
200. E A-
20c. E A-
20d. E A-
20e. E A-
201. E A-
21 Total addition nxxlMcations (tot& of column A W'es 70a through 200 21.
1782111019
lame
124«.11 Please Me this original scannable lawn with the Tax Departhient
CONFIDENTIAL SDNY_GM_00032964
EFTA_00143577
EFTA01252668
IT-204-IP (2011) Pope 3 of 4
Partner's share of New York modifications (continued)
22 New York State subtraction,
Number A - Total amount B - New York State allocated amount
22a. C S-
22b. E s-
22c. E S.
22d. E S-
22e. E S-
22f. E S-
23 TOM subtraction mediate:ions (10W Of COlurnn A Noes 22a through 220 23.
24 Adosions to federal itemized Oath-0one
Lotter Amount
24e
246.
24o.
24d.
24e.
241.
25 Total additions to federal bombed deductions (add Ones 24a through 240 25.
26 Subtractions from federal Itemized deductions
Lotter Amount
26a.
260.
260.
NUL
26e.
20f.
27 TOtal subtractions from federal utilized deductions (add Aires 26a through 260 27.
28 New York adjustments to tax preference items 28.
Partner's other Information
2gra. Partners share of New York SOurCO gross ncome 29a. 6.
290. MCT0 allocation percentage (see mu:racoons) 296.
Partner's credit information
Part 1 - Pass-through credit bases and factors
Brownfield redevelopment tax credit (Form i7-617 or IT-611.7)
A FormIT.611 Form IT.611.1
30 Site ossparat0n credit co-rpm:ant 30. 30.
31 Taugtoleproprtycredloemponert 31. 31.
32 Waite groundwater fCMCMatiOn credit component 32. 32.
1183111019
is R6C.
I2c4-1,1
1 Please the this original scannable form with the Tax Department
CONFIDENTIAL SDNY_GM_00032965
EFTA_00143578
EFTA01252669
Page 4 of 4 IT-204-IP (2011)
Partner's credit Information (continued)
EZ capital tax credit (Form IT-802)
33 Catteutions of money to E2 community development projects 33.
34 Recapture of credit for hveatmenta in certified a businesses 34.
35 Recapture of credit fa contributionsof matey to a community development projects 35.
OEZE tax reduction credit (Form IT-804)
35 OEZE employment Increase factor 36.
37 OEZE zone atocation factor 37
39 OEZE benefit period factor 38.
Excedirke jobs program tax credit (Form rri507)
39 Excelsior lobs tax aeon component 39.
40 Excedlor hvestment tax credit component 40.
41 Excelsior research and development tax credit component 41.
42 Excelsior real property tax credit component 42.
Fanners' school tax credit (Form IT-217)
43 Acres of citiaraied agricultural property 43.
44 Aaee of qualified consorvat on property 44.
45 Eligible school dstrict property taxes pad 45.
46 Axes of qualified agricultural property convened to ncnqualied use 46.
Other peas-through credit bases and factors
Credit bases
Code Amount Code Amount
47a. 47d.
47b. 47e.
470. 47f.
Credit tatters
Code Factor Code Factor Code Factor
47g. 471. 47k.
47h. 471. 47I.
Part 2 - Pass-through credits, addbacks and recaptures
48 Long.len-n care insurance credit (Form IT-249) 48.
49 evestment 7Cdit (including encloymtnt Incenthe credit and historic barn eshalantation credit: Form IT-212)49.
50 Research and development • Investment credit (Form CT-212) 50.
51 Other pasethrough Credits
Code Amount Code Amount
51a. 51e.
511.
SM. 51g.
51d. 51h.
52 AdObacks of credits and recap heat
Code Amount Code Amount
52a. 52d.
526 520.
52c. 521.
1184111019
MOM
teen Please f de this original scannable form with the Tax Deparbnent.
CONFIDENTIAL SDNY_GM_00032966
EFTA_00143579
EFTA01252670
MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTOR
NY IT-2C4-IP OTHER DEDUCTIONS
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION SCHEDULE K-1 AMOUNT
DEDUCTIONS - PORTFOLIO (OTHER) 8. 0.
PROFESSIONAL FEES 87. 0.
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13 95. 0.
NY IT-204-IP OTHER ITEMS REQUIRED TO BE REPORTED SEPARATELY
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION SCHEDULE K-1 AMOUNT
INVESTMENT INCOME 6. 0.
INVESTMENT EXPENSES 8. 0.
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 19 14. 0.
PARTNER NUMBER 5
CONFIDENTIAL SDNY_GM_00032967
EFTA_00143580
EFTA01252671
NC K-1 (39) 2011 Partner's Share of
pom N.C. Income, Adjustments, and Credits
• 11.1)-11 bort I:aro:at leper rant ct lawns,
rot arena' yuat or fiscal hvar ha a nnY0 04 21 11 amending 12 31 11
Partners Identifying Number Federal Employer JO Number
Parear's Name, Address, and ZIP Code Partnership's Name. Address, and LP Code
MIDWAY-CAROLINAS LLC
BLUE CHIP CAPITAL LLC CO MIDWAY INVESTORS
27 HIGH TECH BOULEVARD 270 LAFAYETTE STREET STE 409
THOMASVILLE NC 27360 NEW YORK NY 10012
Individuals Filing Form
Pitaserships Pro Rau Share Items Amount D-400 Ester Amorist n:
All Parlous
1. Share of canners hia income (loss; -6343
2. Ade tors lo game (bas)
c. Addition Ice bonus dop•odatlon 0 Page 3, Lire 38
c. Other actions to income (loss) 0 Pace :cline 40
3. Dedsctiors from acorns loss)
a. eeductsn tor bonus &Fractal'? 0 Page 3, ins 48
b. Othet caductiors bow ammo (loss) STMT 95 Page &Sins 52
4. a. Share of Tax Dale Smal Buslnesees hat Fay
LC. linamployment Instance 0 Form 3433TC
b. Share cl other tax credits 0 Form D-433TC
5. SING of tax welshed from nonage compensate,
prod for personal serlais perch-ad in N.C. 0 Page 2, Line 19
Noir.sidenta Only
6. lionsidents share e Pit '.able income (zee) 0 Page 4, Lino 54
7. Nonresident's sham of not lox paid by therm...agar
of the cartmrship 0 Page 2, LMe 20c
60201
1241, 1
CONFIDENTIAL SDNY_GM_00032968
EFTA_00143581
EFTA01252672
MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTOR
NO SCH K-1 DEDUCTIONS FROM FEDERAL TAXABLE INCOME
DESCRIPTION AMOUNT
87
PROFESSIONAL FEES
8
AMORTIZATION ORGANIZATION COSTS
95
TOTAL TO SCHEDULE K-1, LINE 3B
PARTNER NUMBER 5
CONFIDENTIAL SDNY_GM_00032969
EFTA _00143582
EFTA01252673
• 1019 STATE OF SOUTH CAROUNA SC1385 K-1
r DEPARTMENT OF REVENUE
PARTNER'S SHARE OF SOUTH CAROLINA (Rev. 5/27/11)
5 INCOME, DEDU CTION S, CRED ITS, ETC. 3515
mamm a dl Sk. n__
For (attends, year 2011 a tax year beginning 04/2111 FEIN
nurnba Partnies Nif's ►
ft eafa'sldaa nt
Partnership's name, address and DP code
Partners name, address and ZIP code MIDWAY-CAROLINAS LLC
C/O MIDWAY INVESTORS
BLUE CHIP CAPITAL LLC 270 LAFAYETTE STREET STE 409
27 HIGH TECH BOULEVARD NEW YORK, NY 10012
THOMASVILLE, Nc 27360 Kit Monreaident
IC)
I (0)
04 Plus
I/3
or
)
Minus Amount s Not Amounn Allocated
Partner 's Share of Current Veer Federal *located a to SC
K-1 Amounts SC Adembrients a Apparticeed MSC
income Deduotions.Crecite. etc. I
STMT
1 1 1
I Ordinary business Income dose) 1
302. 2 -5.197. 2 -750.
2 Net rer.tin real estate income Oess) 2 —6.349. 2
3 3 3
3 Other net rental income (loss) 3
4 4 4
4 Guaranteed payments 4
6. 5 6 5. 5 1.
5 interest income 5
1 6 Dividends 8 a a 8
I 7 Royalties 7 7 7 7
a 8 8
8 Net shortterm capital gain Nei) _ 8
9 a :I
9 Net tongasrm capital gain Ooss) 0
10 10 101
10 Net Section 1231 gain (loss) ..... _ 10
11 11
11 11
11 Other Wayne 4009)
12 12 12
12 Section it 79 deduction 12
13 13 95.
:8 13 Other deCILICI1Ofill 19 95.13
_agg STATEMENT
. 'it"' 14 0.
14 Withholdrataxfornommodentpartner .. . .
a needed.)
last applicable South Camino tax meas. (Attach an additional sheet 15
15
18
t 16
.3 17
17
118
18
19 0.
19 Total South Carolina tax, credrs
fra21 06-11.1i
L 35151018
J
CONFIDENTIAL SDNY_GM_00032970
EFTA_00143583
EFTA01252674
MIDWAY INVESTOR
MIDWAY-CAROLINAS LLC C/O
SCHEDULE K-1 ADJUSTMENTS
SC• SCHEDULE K-1
AMOUNT
LINE NO. DESCRIPTION
402.
RECIATION
LINE 2 ADJUSTMENT FOR BONUS DEP
402.
SCHEDULE K-1, COLUMN B
TOTAL OF FORM SC1065,
OTHER DEDUCTIONS
SC SCHEDULE SC-K
COL C COL D
COL A COL B
DESCRIPTION
0. 95.
95. 0.
OTHER DEDUCTIONS 95.
0. 0.
95.
COLUMN TOTAL aaalaii=•=7:MC
PARTNER NUMBER 5
CONFIDENTIAL SDNY_GM_00032971
EFTA_00143584
EFTA01252675
CONFIDENTIAL SON,GN,0320,
EFTA,103585
EFTA01252676
651111
Selinden K-1 2011 r - gestic-1 'j Anrided <-1 c96i ith.1546-0009
Income,
(Form 1086) forcsemayeeMr oxtagg Part III Partner's Share of Current Year
ve.,..Kthiva MARCH 30, 2011 Deductions, Credits, and Other Items
Deponent ist the - reasury
Interne' Revenue Sergio fl* o DECEMBER 31, 2011 I Winery business mire (Ion) 16 Credos
Partner's Share of Income, Deductions, [ 0. j
Credits, etc. le See sonnets inflations. 2 lelUli r•ei ieilliOnGarn 0000 i
-4, 853. is Ftev Smash:es
3 Other nannies Income (ass)
Part I Information About the Partnership
A Parthershp's onazipir remit' n lumber 41Iuaranteed payments
B 'artrthrstsis name, address, cly, slate, and Mode 6 'merest more
I 7.
MIDWAY MOUNTAINEER, LLC es Ordnary dividends
I 17 Moat im min 2% (AMT) 'tens
270 LAFAYETTE STREET, SUIT 409
Bb Qualified lividenes —1,426.
NEW YORK, NY 10012
C IRS :;e- tb - mere mutest 1p feed -*turn _I
CINCINNATI, OH 7 Royabies
I 18 Tax-exempt income and
8.I shotgun metal gain (ass) nondeductlbee opens's
0 NI Check 6 Ms is a publdy traded corniershila (PIP)
Is Net ion:elm capital gain Voss)
Part II Information About the Partner
IN Galatibles (28%; pan (bss; 19 Disat.tos
E Prthers Arryno aumisar
I A 2,500.
pc Unreoptrei sec '.25.1pain
F Partra's name, address. city, state, and DO code
20 Other Arran
BLUE CHIP CAPITAL LLC 10 Not section 1231 pat (icse) 7.
27 HIGH TECH BOULEVARD
THOMASVILLE, NC 27360
_I
it Other tone (kiss)
I
6 t__) Genera:Fanner or LLC ---- renitad patty setter IA(; I
memo-Meltivei "amber
II lil Domes* mther rl Forty partner
What type 01 wiry is nes partner? PARTNERS HIP 12 Solbn172deducion
I
J Princessham of prob.WMInd capte. U Other dedelbn$
Lass
ball
201%
Beginning
2.3484848%
3.0303030%]
3.0303030%
Eating
2.3484848%
3.0303030% I
3.0303030% 14 Sellampbyrreni earninpe (bee)
0.
K Peres ONO ol Rabbles at year and:
lirlArscoterrol S 1,898. A
oueinesrureaisset rinsing $ 'Seem strerront rat:100M. terns. n
WOMB $ Q.
L Parthers capital annum analysis:
noncing capital annual $
Capron contnbated during the year $ 75,000.!
Gummi yea' iraease(deveaSt) S 1,150 e 1
Wthrfraebls & thrbidons 8( 2,500;1
Odin capita leccurt S ni§M.
uc Tax basis Ili GAM) CI Section 704(t) book S
D Other (bob n)
IA Did the earner mrhibute croperty is lb a Cu II-11 pall or bss?
MI yes MK°
I' Yes', attach strewn (see rnsnuclors)
perm°
. - .LIG.. . . .. ..1
1406.11
4
2011.03040 MIDWAY MOUNTAINEER, LLC 21:46_131
10120414 758241 21146.209
CONFIDENTIAL SDNY_GM_00032973
EFTA_00143586
EFTA01252677
• MIDWAY MOUNTAINEER, LLC
SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES)
AMOUNT TOTALS
DESCRIPTION
RENTAL REAL ESTATE INCOME (LOSS) -4,853.
INTEREST INCOME 7.
SCHEDULE K-1 INCOME SUBTOTAL -4,846.
-4,846.
NET INCOME (LOSS) PER SCHEDULE K-1
MEALS -1.
PREPAID RENTS CY -659.
STEP UP AMORTIZATION FROM PASS THROUGH 1,986.
4,670.
STEP UP DEPRECIATION FROM PASS THROUGH
OTHER INCREASES OR DECREASES SUBTOTAL 5,996.
1,150.
TOTAL TO SCHEDULE K-1, ITEM L
PARTNER NUMBER 4
2011.03040 MIDWAY MOUNTAIN EER, LLC 21146_El
10120414 758241 21146.209
CONFIDENTIAL SDNY_GM_00032974
EFTA_00143587
EFTA01252678
PVC 2
fichedulaK-1 iron WWI 2`,:"
Ins list I dendfies the codes used on Sededule K-1 for ell pain ers and provides eummuized reponleg inlay &BOO fin partners wko file
Foam 1040. Foe dialled reporting and filing inlwmation, eee the separate Partners Instructions for Sodedule K-1 ad the instructions
lot your acorn', tax tetra.
C<C4 RepAri.A
t. Cea~y teals trnen CoUrrIr• whet it Ti. freer • pa* • J Tbaaeca.Rtyaedt
nerdy a me None and art« al ye,/ telyn es boa K Diba.11.4144XII Grim I
L tmcmwet Tel Una AM ~AA
cat
Prams Moro
1kromidee ors
Preen on
Sim 27e Fain*, Iretedrona
~le C. toda eoi-refleg
Remo% F. 114 211. Pd.,, tl
LI
N
Mart -Lty imp tierriAM MOM
GSM Ia IntAXAng march
@AN IM
CA:it 'CC OrPhAV KAM MOMeor
F ea iron:en been:Coe
Mid tht•I•An
1470~e - T/re Sclect • E ms2e. odder (1 O DtµDwtAddrO Pon 140, Rat
2 Mel rtneil 'Al arob ben 3ate Sate %teenInerruellen P Ore urac1 BMOCIn vi te 11*~RION.
3. Ctn. r• 1~4 keel
4. Fordo ~act ea
\el Re:~ ScndaeE.Ire a column fa)
A `drool eo.ley a Lit
Ka lees 51.711•Pannolnarxben
42:newle F. *DM ~Am 31 Coca."
4 0.4acial :Syron' ). Few If* Pall
Ion 1340, to id • Ckai• ~stem tiara*
d lam1w»
Fore 13410..iroll• C GM 'main.«CPO« Weir
Ca 011dery eideoecla Mee
ea. Ondlco *Made Forte ~O. Mae
• Proydres SeneeL•R be 717 Pon {p, seam 14on ~me at ear** 'en
• erren reciter pm 1, 51.1 Scnimet • C, ~6 D Puna celeorn
Sclic .4 e 14 C
W Val Rem ap72101117(12a: e o~ra tabor/ )7 hen 11id Pel l
Lb Canecks ele141911/100117 2516 Nee 3ale ~one* Inv 4 F C~
rearriem ~tan)
Co 7.1nnompArea rolla 1100 Gon Ste M Paw AMAactir• 0.0.4Mem W.Lmta and spenene r ern , kn.
C *Olen '29' dd. 0 1•1 SeMlwDaflsinFmelba 1J 1440 eeponea raw 1119
11 ~di Wane Cog 11 CC« Form 1I'd Pen
C— Dau.das e retrel end sopolene• earns`o MS to laorr taste
A CB • *Mot e iron leak, C44711wPrInn rented, 1-ccrne
• Ineeen cormeore See thePari+en 7mr7~7. I Peal,. oilAJMY
C Ric 1260 MSC,* e *MS, Veen err In • J 0 ~4 eceept4/ nrn 1110, 9411
D WOW we oadr ea* reond-c S..P.a,Ste I< OP.
e ~Ka el *et Feed 1010, In 21 a rem, 002
OM*1lerstrislil on
F Ceer Inane(eta 3••••Panws testa:ens
L /clal km 37 brae pad Finn 1111Para
12. ~on •79 *palm Se CS Prinne• hin‘clicr* M TOM tan+ UM iseamod Pam MIA Rind
13. DS dieeuMns N Renctra to" ~Mt. •I a, treat Pam • INK IN '2
O ram,- AtiAng r303.00.1121. ~BM
A Ce* anieb.tor• 100951 P EXIImieer,IcAM .r CO-* acchMen 7aa 5071
B Oat centr44.4"4190%
O Ober bog- 24, 7aed c•-• Swots P•irre". ~Vac
C ~ma onberods(441 11:
1
trend ~Pawn :37114: -} Sion Primed danctie•
e C1c14/ 00 ~414 1114 CAI • 7. A enara ere err UN VW/ 'M., *
ow ~It» RCM I A Peat.'ide eepncebtner2.7•14e,
F Copts gor Drapery Red S Jul* 1 use* mars
O Carelbuberts1111»: C ~tor (ille the 0 ear) heirraken erg
71 imam reercal orpe~ For:1052,1m • ren,orone
D DI pa geolwera wpm 1• syna
I Denuecers .171e7Y 111.7ne Soweee S. one, Fern 0261
e pee. A oNden • dezycl
J tkolly 51(2)17.14~ ern Sat.* eta 7nenAle-A
F 01401AIM OXIL3
▪ Dedioeces • prre7eo :RA ere* deal* A re 271
• DadJeWIS • p7redeo 1~1 *net* A. • r• Tkeenept ben me noneelueijele*Peradd
Id ~es pi7J TO note nano 9:44.4 A It • 1 ara1113a, In PP A - 10.40VIDICCIOR herreo 7r. 1242.11* Be
▪ eacefla Ruda:~ grebe Goo he ~wen bedeten B OtsrMtdl.TIKCIIN Se• the dinars Ire.eller•
O D.aMMrsaroeesllM Fern 244 r. -ea C 14neecloott • al:~ 64 .74 ,41.Nrelneructors.
• erionlialmr *roe ~rm. 5144 Me erres in* zran9
diebtain
O Cerneas nr.411.204.7 ~vat Bee ran WIC rpn.<Caa
A Cate Ind nurvAxMe eavtee
(err W41ree oats wetntle•
B Denunen atone le ~On '137 )1 Sato Pa:~ • Dweruoro- a
A Cm...2u re HA, Ten ~Prate hetbeekes
Soe tee earemL ISIOtedre C Oer ;velure,
6 Rders~117.7 • Ranee ~IRO*
• Doemerld ~Rion ~bee Fail OKA ManICMMA de. Ora ntemelen
Inernear A 11,~ hAme rent ay. lb* la
21 Oa lee prelecten *IV' co Roan doenPM In lb tl IlvMArAW ~HO 124 era. dre
✓ Enloyer o Fenn V/.7 RAF» gym 1,203 ha 17 D rad taw atoll MyrovAben Frer..21.35
ve (1114744elier• Sae 44,Pan'. hatedois • atialeeci ref~Mon euieendl.nn
new ten 77 rid brae) Bee ea eau«. Irecellene
I Medic <tangy oroperty 8•017e Peen Inenakei
te. Sen-ercianran: ~le*
17:7») Wrenn or ~ roano 17~
ha Ilya dew a .ewer 179 &Mazer aa/7y anno-474 ~441tris. awe ere« Rornef eausse An OAR Me
no~ relit <dad cab. ecedderng Snodul• Ed. C
RIKAptin or boAre.rAt held**
Ram ter.. tea
P147•411rorr dialse..BS. Rata Au 71
A "deal - 14 RecopYro of Invaltart me.* Stefan 42,5
ber ernoloriert
Zee~ dartner's eeirJrace• 1 %war Olen coolla Soo re Panes beileaecle
• Oren %Inc et wag taant
da darn, . ramen . Lock•bedi nowt • oca•I
C Gress ler-~ infer*
<AGSM OMMIKM FAA .0n1Wel
le. Oorlile ▪ -eck•bed; Mina • hAVemb 0YMa
~42 Ss Far, 4005
A lee non haifl c-ed•
L Dice~lna diner/ NS
baled 43110111rorn at42074
Kellen 1/9 clatuden
44~31
B lowelnernekarebeerwle *41 ▪ Pralptur• Of flab, 179 ~dux.
IrII N eaasareee+lampuMarlma
p4200$ Wray"
.474-1Reorm howled 4aR112111011er O Bieber Addl£31reanahan
C
21/0111en e•17240712.111117* P Becton 45340 Woreeed
1) 4_ea-dreamproseate net whirl Sa 11.067tern krelvalleas O 54411a 12Coe4Inkrnaired
tan oefe-232/ AMMO. R mina ellocetee vow/en %oar P. -Are
Oiereetneelahrlicnepetwitteea torendear. 1417allen
•
~Id eetwel • DO -.47-42Pted «nano*
" Depla 71enrelkm • o. ede pae
F Orr roe* red ~No**
1.1 Moto, tr reneetalen noon
J
C Orr eat* =ace
14 ijnitierb21.21oaddel pda atdt Fan 10411. In 71: en** Dan ✓ Ureterne bane Watt noon
• PrittylrlDuMm or.A
I ~ha an, *Mao Mee* tee SOO t‘e ~Ian bilnolbris
Nye X ~b. MR krr7c
Y Dew nbernater
111202
.404•1•
4
10120414 758241 21146.209 2011.03040 MIDWAY MOUNTAINEER, LW 21146.$1
CONFIDENTIAL SDNY_GM_00032975
EFTA 00143588
EFTA01252679
New York State Department of Taxation end Remo
New York Partner's Schedule K-1 2011
IT-204-IP
4
Tax Law - Article 22 (Personal Income Tax)
Final K-1
03-30-2011 end lasting 12-31-2011 Amended Kiit
For calendar year 2011 or tax yes beginning
Form IT7044P I. Partners Instructions for Fon; 17-204-IP (av amnia at WIVIVALILIty.901
).
Partners: Begat oorraang your income tax return, see
PadnemtWairdomuitionominstrucumo Partnersnma EIN
Partnership's name (as shown on Form ff234)
MIDWAY MOUNTAINEER, LLC
PubliCly traded Woven p Portfolio Investment parthershp
A Mark an X in the box if either applies to your entity
B
B Tax shelter registration number, if any
ss
C firmness allocasScn percentage
PannOr8iM00718tIODIseeimtruchWS) Partner's identifying number
Partner's name
BLUE CHIP CAPITAL LLC
Partnets address
27 HIGH TECH BOULEVARD State Z:P coce
CRY
THOMASVILLE NC 27360
General partner or LW memberthenaae, X United partner a other LW member
D the partner is a r-rn ir X n e....esioaiier en.)
Inovidual Estate/trust X Partnership
E Mat stile tax fling statue of the petna7 yreti K in rarearessraistr. r r-orro
F if the partner Is a disregarded eray or grantor trust,
F
enter the tax ID of the entity or Indteklual reverting the Income. V known
Yes NO X
0 Did the partner sell its wire names: dang the tax year?
Beginning Ending
H Partner's share of profit, loss, and atonal 2.3485 %
1) Profit
H1 2.34615 %
H? 3.0303 3.C303
2) Loss
H3 3.0303 % 3.0303
31 Capital
Partner's share of liabdities at tne end of the year
It 1,898.
1) Komi:cone
2
2) Cuanned ncnrocouree ?rancho
I3
3) Recourse
Patina s capital account analysis
Ji
1) Beginning capital account
2) Caeca' contrbuted dunng the year cash
75,000.
3) Capkalcontritxrted du Mg the year -property
1,150.
4) Current year increase (ceerease)
5) Withdrawals and distributions • cash
.15 2,500.
J6
6) Withdrawals and distributkins • property
7) Ending capita; account
J7 73,650.
8) Method of accounting (mark an X In the appropriate box)
X Tax basis GAAP Bock Other (attach expianatotni
K Resident status (Math an X In al boxes that Awry)
Yonkers fultyear resident NYC fullear resident
NYS Milieu( resident
Yorkers pert year resident NYC part-year resident
NYS part year resident
X NYS nonresident Yonkers nonresident
number. If known
L If the partner was included n a group return, enter the special M'S IdertificaUon
1181111019
11, 80: I
12.36.11 Please tile this original scannable corm with the Tax Department.
CONFIDENTIAL SDNY_GM_00032976
EFTA_00143589
EFTA01252680
Page 2 of 4 IT•204•IP (2011) M1 Yes No
M 1) Was Finn tT•266&E Sled Mtn the partners M7 Yes NO
at2
2) Was Form MlAdOSE iced with the partnership? Date Amount
Form (7-2658)
N NYS estknated tax paid at behall of partner (from
NI
1) First installment
ra
2, Second Instalment
N3
3) Ind installment
144
4) Fourth entailment N
Mee NI through Ne)
Total NYS esrimeted tax redd or behalf of paten« (add Date Amount
Estimate d MCTMT paid on behalf of partner Morn FormMTA-405)
0
01
1) First installment
02
2) Second installment
03
3) Third Installment
04
4) Fourth installment 0
Noes O1 through O4)
Total estimated MCTMT paid on behalf of partner (add
Partner's share of Income, deductions, etc. B • Federal K1 fl irt C • NOW vet* State amutmt
A • 080513e5 distributive share Kerns 1.
1.
1 Ordinary business ino0me ('ae)
2 -4,853. 2.
2 Net rental real estate income (loss) a
3.
3 Other net rental income (loss) 4.
4.
4 Guaranteed payments 7. 6.
6.
6 Interest Income 6.
6.
6 Ordinary d)vdends 7.
7.
7 Floss/bee 8.
s.
8 Net shpt-term capital gaM (Ms) 9.
9.
9 Net long-term capital gar (l053) lo.
to.
10 Net Section 1231 gain doss) II.
71.
t1 Other nestle (lon) Went* 12.
12.
12 &than 179 cieduCti0n IS.
It
13 Other deductions Wan*:
14, -1,426. 14.
14 Tax preference Item for minimum tax
Identify 15.
15.
15 Not earnings Goes) from seltempbyrnent 16.
s 18.
18 Tax-exempt Income and norbeductlbro expense 2, 500. 17.
ble securitie s 17.
17 Ontritxdiats - mtsh and marmta 18.
18.
18 Disutbuti0ns - oUle property
to be
19 Other Items not bonded above that are required 7. 19.
ly to cotters lg.
reported separate
Identity: SEE STATEMENT
Partner's share of New York modifications (we instructio
ns/
20 New Yak State additions
Number A • Total amount B - Now Yo* State allocated amount
20s. E A-
206. E
20e. E
20d. E A•
20e. E A-
284. E 01.
20e trough 200 21.
21 Total acknion modifications (tot& of cavars•t A *we
1181111019
Wane with the tax Department.
os t Please file this original scannable form
CONFIDENTIAL SDNY_GM_00032977
EFTA_001 43590
EFTA01252681
IT-204-IP (2011) Page 3 0 4
fronsofis0
Partners share of New York modifications
22 New York Stale subtractions amount - Now York State allocated amou
nt
Number A • Total
22a. E S-
22b. E S-
22c. E
22d. E Si
22.. E
22f. ES-
23.
220
(total of column A tines 22a through
23 Total subtraction modifications
deductions
24 Additions to federal Itemized
Letter Amount
24a.
24b.
24c.
24d.
240.
24f.
240 25.
ed deduc tions (add Wes 248 through
25 Total additions to federal Itemiz
l Itemized deductions
ze suotracticeIS from federa
Amount
Letter
26a
26b.
26c.
26d.
26c.
261.
27.
gn 261)
al Itemiz ed deductions (add Enos 268 Wrou
27 Total subtractions from feder
28.
palm ate dans
28 New Yak ad)Lztments to tax
Partners other information 29e.
SOUTC0 gross income
29o. Partner's snare of New Yon(
296.
(sect instructions)
296. Mat) alkxabon percentage
Partner's credit information
and factors
Part 1 - Pass-through credit bases
credit (Forint-PetI or IT-611.1) B • Form IT411.1
Brownfield redevelopment tax A Form 174311
30.
90.
component
80 Ste preparation credit 31.
31.
31 TalVrea property credit component 32.
diabon crest component 32
92 Coat e groun dwate r res.te
183111019
-651to Please file this original scann
able fain with the Tax Departmen
t. III'IIIIU!MNlllll9
12.0s•ii
CONFIDENTIAL SDNY_GM_00032978
EFTA_00143591
EFTA01252682
Page 4014 1T-204-111 (201, )
Partner's credit information (contkuree)
EZ capital tax credit (Font; 17-60
2) 33
EZ community oevetoment projects 34.
33 Ccrenbutions of money to
tments in cabbed EZ businesses
34 Recapture of credit for inves 35.
butiona of money to onowninity development projects
35 Recapture of credit for contn
/r-604)
QEZE tax reduction cr edit (Form 36.
Samar
36 QEZE employment increase 37.
37 QEZE zone aoCation factor 38.
38 0E2E benefit period factor
(Form 1T-607)
&cake jobs program tax credit 30
39 Excelsior jobs tax credit comp onent 40.
sior hvest ment tax credit conspcnent 41.
40 Excel
dover opme nt tax credit component
41 &pada researcn and 42.
real prope rty tax credit comp onent
42 Excelsior
Femmes' school tax atilt (Form /2-217) 48.
property
43 Acres of Qualified agricultural 44.
rty
44 Acres of unified conservation prope 45.
l destric t prope rty taxes paid 46.
45 Eligible schoo use
property converted to nonquathed
46 Acres of quaffed agricultural
and factors
Other pass-through credit bases
Credit bases Code Amount
Code Amount
47d.
Ca.
470.
471s.
47f.
47c.
Code Factor
Credit factors Code Factor
Code Factor
47k.
47L
47g. 471.
471.
47h.
addbacics and recaptures
Part 2 - Pass-through credits, 48.
nce credit (Form 1T-249)
4a Longterm care Insura end Work barn rehabilitation credi t RAT r7-21 2)49.
orient es:entry9 erode
49 investment reit (including emu/ 50.
invest ment credit (Form 1T-212)
50 Research and development •
h credit s Amount
51 Other pasS•throug Cods
Code Amount
51e.
Ste.
Sib.
Sig.
Sic.
51h.
51d.
recaptures
52 Addoacks of mats aid Code Amount
Code Amount
520.
52a.
52e.
52b.
521.
52c.
148802 form with the Tax Department.
Please file this original scannable
CONFIDENTIAL SDNY_GMJ)0032979
EFTA_0014359/
EFTA01252683
MIDWAY MOUNTAINEER, LLC
SEPARATELY
NY IT-204-IP OTHER ITEMS REQUIRED TO BE REPORTED
AMOUNT FROM NEW YORK
FEDERAL STATE
SCHEDULE K-1 AMOUNT
DESCRIPTION 7. 0.
INVESTMENT INCOME 7. 0.
LINE 19
TOTAL TO FORM IT-204-IP, PAGE 2,
PARTNER NUMBER 4
CONFIDENTIAL SDNY_GM_00032980
EFTA_00143593
EFTA01252684
(39) 2011 Partner's Share of
NC K-1 Credits
(Dalm) N.C. Income, Adlustments, end
Ko'th Carolina Cepa, trent o'
11.10-11
03 30 11 and credo° 12 31 11
For calendar yea' cc fast yoar teghlIng
Federal Employer ID Welber
Partite Ideally's Wombat
ZIP Code
Ps troterstIpl Name, Address, and
Coda
Parsers Name, Address, and NP
MIDWAY MOUNTAINEER LLC
BLUE CHIP CAPITAL LLC T 409
270 LAPAYETTE STREET SUI 10012
27 HIGH TECH BOULEVARD NEW YOR K NY
THOMASVILLE NC 27360
Individuals Filing Form
D-400 Enter Aroma on:
Amount
Patin ettliip's Pro Rata Share Items
All Parton —4846
t Sham V gerthersokr mama (css)
Papa Line 38
2. Addltions lc Yuma Coss) 484
a. AeiIIto for bonus depatolabon 0 Page 3, Line 40
0M-sr iltomet;lossi
Page 3, Una 46
3. Ded.;etioss tool (come (loss) 0
a. DedoW.cn for boats derectabol Pap 4, Line 52
0
b. Other Oath:0mm !lora income (loss)
smilausr asses Mal Jay Foam 0-40010
4. a. Stars of Tax WO for 0
N.G efierparneet fr:stranoe 0 Farr 0-400TC
C Sham °lathes tax crag*
ge ersarlon Ng 2, Lino 4.9
5. Stare Cl tax w'hherg horn nona co(c 0
pat kr baronial sevints perlotmeo m
Paw 4, Etna 54
NoaraNdents Only 0
;roam luso)
5. %cormorant's sPara c' N.G ramble
7. Ncros sidr Fs stye ol net Pa'd by :be rremeges 0 uaGla 2. Una 200
el :Ns pertnersblp
11029'
CONFIDENTIAL SDNY_GM_00032981
EFTA_00143594
EFTA01252685