65'1112
Schedule X-1
(Form 1066)
Department of the Treasury
Far(.(w, o.ry,w20'?. 0''...
2012 I -1 Amended
Part III Partner's Share of Current
OMB No 1$4-0099
Internal Revenue sendce
yon, beginnIN Year Income,
Deductions Credits, and Other Items
Partner's Share of income, Deductions, 1 Ordinary business ininoMe (ION)
11 010019
Credits, etc. k See 0. I
separate instrullens. 2 'et motelit aver boor*Nap
r 9 —13 669 .
Prat I , 16 Foreign transactions
Information About the Partnership 3 Other net rental Moon), (inse)
A Partners:do's employer Nonni,Sinn
number
4 Guaranteed payments
9 Partnership's name, adores& city. state, and
ZIP code
6 literetit Income
MIDWAY ASHLEY CROSSIN
G, LLC
N Ordinary dividends
17 Aterna6ve nen Mx (AMT Kura
ft Quadded WY/lends )
C IRS Center where partnership fired return
0
F -FILE
Check it thh is a paMcry (faded partners,* (PTP)
7 Rony 2,024.
18 Tax-exempt income and
—6.
8 Net shod-term capital gain (loss)
nondeductible expenses
*
Information About the Partner 2.
Net Inag-term carkl gain (lose)
E Partners kis number
90 loileCtibles (28%) gain (leoss) 19 Distalbutione
F Parteer's name. address. city. state.
and ZIP code 3 290.
BLUE CHIP CAPITAL LLC i .kirecaptured sec 1250 gain
10 Net section 1231 gaki (loss)
20 Other Information
-68.
O General partner or I.LC tr Carthcomo (loss)
Limited partner or other Lig
member-manager
mentor
°mastic partner
El Foreign partner
II What type es entty le bids partner/ PAR
TNERSHIP
12 If MIS partner is a retirement Mart 12 Section 179 deduction
OFWBEPNeoghletc.), check here
.1 Partners share of profft. loss, and molter
13 Other deductions
BogInnIng Ending
Profit 1.3548951% STMT
1.3548951%
Lou 1.7482520% 1
1.7482520%
ia .___ 1.7482520%1
1.7482520%
K Partner's share of kabilitles at year end: 14 Sell-eMplernent earnings (loss)
tionreootoSe A H 0.
$ 2,609.
Quaked nonrecourse financing
92 , 108 . Irks at
Recourse statement for ado al remits
O.
I. Partners coltal aocount anabsit
Beginning capital account ....... . ........
. ........... $ 47,413.4
Capital contributed du Ong the year
2
Current year In crease (decrease)
WAhdrawars ti distributions
S -13,943. J
• 2( 3,290 4 le
Ending ca$al account
$ 30 , 180 .
Cr Tax basis E.] GAAp C Section 704(b) book
C Other (explain)
M Did the partner cabbala prop. web
a built-In gab or loss?
Ei Yes LAU Re
It Yes' attach statement We instructions)
orco-is L4A For Paperwork Reduction Act Notice
, see Instructions ios Form 1065.
IRS.goiriform1065
Ssliedele 6-1 (Form 1066) 201
08320312 758241 21146.213
2012.03011 MIDWAY ASHLEY CRO 6
SSING, LLC 21146 Al
CONFIDENTIAL SDNY_GM_00031917
EFTA_00142530
EFTA01280097
MIDWAY ASHLEY CROSSING, LLC
SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
ACCOUNTING FEES
15.
MISCELLANEOUS
4.
TOTAL TO SCHEDULE K-1, BOX 13, CODE W
19.
SCHEDULE K-1 ALTERNATIVE MINIMUM TAX, ADJUSTED
GAIN OR LOSS, BOX 17, CODE B
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
ORDINARY GAIN OR LOSS SEE FORM 6251 INSTRUCTIONS
TOTAL TO SCHEDULE K-1, BOX 17, CODE B
SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 18, CODE C
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
NONDEDUCTIBLE EXPENSES - SEE IRS SCH. K-1 INSTRUCTIONS
PASSTHROUGH
2.
TOTAL TO SCHEDULE K-1, BOX 18, CODE C
2.
SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES)
DESCRIPTION AMOUNT TOTALS
RENTAL REAL ESTATE INCOME (LOSS) -13,669.
SECTION 1231 GAIN (LOSS) -68.
SCHEDULE K-1 INCOME SUBTOTAL -13,737.
OTHER DEDUCTIONS -19.
SCHEDULE K-1 DEDUCTIONS SUBTOTAL
-19.
NET INCOME (LOSS) PER SCHEDULE K-1 -13,756.
NONDEDUCTIBLE EXPENSES
PARTNER NUMBER 6
08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146_Al
CONFIDENTIAL SDNY_GM_00031918
EFTA 00142531
EFTA01280098
MIDWAY ASHLEY CROSSING, LLC
PREPAID RENTS - CY -198.
PREPAID RENTS - PY 13.
OTHER INCREASES OR DECREASES SUBTOTAL -187.
TOTAL TO SCHEDULE K-1, ITEM L
-13,943.
PARTNER NUMBER 6
08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146_Al
CONFIDENTIAL SONY_GtA 00031919
EFTA 00142532
EFTA01280099
Schedule K-1 (Fe'rm 1065) 2012
This list WentMet the code' used on Schedtle K-1 for
• Page 2
all partners and provides summarized reporting
Form 1040. For 'mailed reporling and Mind IntoneIlan, In torrnalion tar partners
see the separate Pannell Instructions for Schedule
Ille wile
tor your Income tax return. 4-1 and the Instructions
Cx. ØM
~airy bun nose orate* Paw* r.Nawny.”otozwor r. Warne
~ 1 4 Woo( zranto,y ado
~hoot mores** aid wag on your me.... es NC"
• 0 saga, as awe
toorawanteat tora etc "Neal
Riper: a" conn.- /1y *oval veal
Paean as ••4 M.1.1r.r2 PoC~19 Sr Po Nrour • iretr.craos
Ws be ~Fe eau...Iona
Parnalee town* ecr.dJ.E Ins 211. opium- to
Nonesweve ne ~sass E re 2/1. cobra de N ~It enceyer ~or fl atly
Norsseeor rØ Sceociel• E, 4n• 219 «aeon era Meeker, is ..
2 Ad torts reel ~Me Scone Oceo) • Seca..0 wrracl .4
Si. Dot ~Wee ~graces
3. Owe net art. imorm few, P Over mete
tea raw* 8Øl• In29abnnze le echoer getwerao*
Net as See toe ~I Insti.Clers A Kern/ ~by er.1.9
I
4. Ourertead errs &r..0.218 E. err 29 trana I Dome:~
a. InbretC ban 'arm 1Ø,1,. 9 Onilel iteore kne an source Panel Illk girl
It °colony WØ Ara 1040, 11,o Si C Grose ~re wag, *1pew
eb. 0/4911.0411owerree Fawn 1340. er• OP
7. lionelse Saab. I Has 4
e. isatirart.Nnu oneltel piffle« 34~ Poser grew Tarawa totted at seareseCo
D. Il eslwell
ea Net begin G&W sew rast) gehecule O. r.12 D Pseelve C•1•00"7
as. C~1 161211E:gele0o4o/ 28% Rite Gan Ws/SW ilea Gnu oancey
F Ø Fran 1119 Pert 1
Witedino D IneInnkne)
eirecepbecleleatca 12110 9« M Pesaro~ran
13 N.X section 1231 gas, earl DELIC:Cni. ~fleet rd •DooMonee k pator Ws«
11. ineraramo El Mess: 'Ions
00orIncecniragel Far Ills, aril
N duer
Ca» Fern '119~1
A 0~ ~lb boonwraW) Seeti ~tries ~Sao Ce:lurin stsccated aM eopooloola a pa-new»
lwel 61 beige source
• rector oar~bra
C See 12011 centric% lagoalse
So 'flange. _ote cØ %mow*
Foment lbw 1 1 %solve vslogory
o larks empainon reopea See PLO 603 .1 On* awry } Fem 1, 16 Pel
Coronado, o• does Fem 104s, Isei 21 w F01111 912 K One
✓ Celt Morns Orael
Sew DiePaten leagodone Odow fl oret.
12. %oral 170 ralutran Sea the ~Ws L Iota bog, lame ono Fran 11'9 Peril
Instivelfene M Tot, M1~1 Sum &nod
13. CAI.«meta., ern Ille, Pets
N Meo.puSer in »no ..elsols b. ern,
~isms molt
I
A Caw/ co- losnteC941 O Fr* Ytleg co». rw..ocrs Fan 9873
tl COW, cwelbutkell POF41 P Eat-ere:me ocono fAct.463.
C Nonce,: coraltweene (CO%) 1/173
O Crowing., nwoomon
• Nramill eor.butara1.3014 Eles tm ~Ore F11~8
se n ~a helmet",
E CaSea gin popery b • 6.3%
orgintwara PS0 If. Anent Meru,. taa 1, 011) • term
F Cash, giro Pnar114010
I
• PoeO1913009werilogt edlugtrnent
G Co.' trtualone 000%1 • Aditlaba OW Or bah Se On~Pt,
eat ape* Fawn 4262 ro • Dgpqmpri (claw Iran oll
mbi,C6Clil end
3•04con • rayte.rcocoo Eces944 9 Ws 111 D OW. goner* goes Inn PM ~COCO/ lb
4 %clan MC/ wliorare
• 54• lbe ~We houvolkef e Or, get peocerww cwouoton lwn. ea'
K Sabot/one Doe:~R. 901~ A. Es•23 F Omer AMY len
903,1
1. ~tole - serrello let« ScOblul•A Neal
N fl own wig lor ~cal ~en» :a 'n-glanipl ster» nald•FLCM60~0.1
Seloouo A. lie 1of Fran '043 Ins 29
N COJaaelewielerce A Tex-emenpt Nu!~ 1-ores Fang 1010, iwe
See be PerhewO neleuraona B Otter lenterrat ?en*
O 3.«gmt ciao ~Ole Foie 2441, a.12 Se• 94Fri/or'. OialiUraw•
P Pnereracen petal «penes O Nradoeuaftfi. swine
~Fa ~es Ins~ S«l.beArebatntatM
O Cornrow gooItetetbe ~ton la oismsuuss
Sap Swoot611.21netrradone
br mnal feelride a:Weal A ~arc, matelage ~OS
ft Prokyw en IRAs Eas 174. Pare Instrxdors 9 Dew ouran
S P.WceilMeban coonrou pecluelbo ~OP 737 ) Sags Parris, * Irytarawr,
Si. WePreen , .avta« C Olnerropor"/
I Oomaerarradolir ecohltles
see Swwl»03 Veit at Ors Irb,r•ifon
Irbernedon
preducla.woolfee loon A itweelouerr room*
Fore 11.33, Ill 79 Fore 4662. 9ne 4a
✓ €mporgon FanW.2 ooDeo For 2403. line 17 B Invneuent elvene« Fart, 4962. One 6
W Dee Seallear• C Foot lax rape 111crwha-
Fos be Parleac'ti ins~1 For, 4139
• OA, lied •itlyitl~a• es.o4crAtunt•
(raw Pen recW wateNe Se• ihe PerSw t.oretceone
le Self wnpopeenleetrIVe do* E %kw el worgy scrawly Ss Panwre Favour-coo
Nota yeas lee ~en 1//2 craucclee w try poirer-in ~Ka F Floseptrio el 'ow ~es n.o.a.og
se
toe Palmer'. Ow!Nolor• been catroad, d Ochra.14 9E. malt ;NCO>. 429(52 bon, eats. era I
O ~sea c1low-imon» 'rotary
A kW gNeriet• 00114 1an Screcb•SE. Secchn Au, cent loth.)
le.FFFFVFn Fan dill. LON,
H Swamo of r you're,: creen
B Geailm.Ca9wnlr,lØ See 541Forn's intNctina 94o err 4:955
%men Conoco-Ste
C Craw ~inn Iran* Sr the NIFW• ,Wacers See M Partner* Instnelloi•
J 1~-13.c. • tag ran:abaci
IS ~a IØlrr'nan!rr.M
Si. Fran 1927
IC Look.rack Wens:. loran* boong
A Lomwcore'cuclrGaØ roc"ra Sr For per
Noraor. 42C(90 /Ne
i Pr.2C“ L ob~:cwort~ty ver•
ti 'n 'QS
~boo 149 braoolons
B 1 ow-1,1~o~
loom DM4X0
crodit (cool • reuip^"..71«cvlon179~ Lab..
N lnlreal~wet be oorpont• ~ton
C LeisMriennit ho.ang c•sett 4eowe
O Secrau4E3O0;
420,53 Mom poet2007
• • ~eon 463/44 lubro14.^
Ilan* haul"; ~Pi leFvF1 Sr t‘e Pnier's r alnant.
O Slae :29C0.1 info/waxen
!ran pcoo2C07 bu000c•
Fl Wares? ago/flab Dmaxtbi
E OM led otoco ~on ~be« See M Pre*,
•Narlburo•
OrtN ra «WY -ors
• OCF ~quarto w erase
F OTsrrilnleeaipaaa
T tractor ~era, ard gee
O Other met/ ovalte
• tiaelbubil cap» gam Oral: U Agoarasoco of rarestattiet opt.
gyn. 1040, :ne 714 clock box • ✓ llerwalec buoneSe laarale intone
I ~Oland C•ti.afc Obeid oat.
Be. Pe Pwbots novae,* W iurecoaoovoco gab /owl
cowl
K %cow ICISIFF~
• Ole lebr.T.seen
2:1292
O1.Ø13
08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CROSSING, 6
LLC 21146_111
CONFIDENTIAL SONY_GM_000'31920
EFTA_00142533
EFTA01280100
6
SCHEDULE
STATE OF NEW JERSEY
NJK-1 ' 1010
(Form NJ-1065) PARTNER'S SHARE OF INCOME
2012
For Calendar Year 2012. or Fiscal Year Beginning _ _ .2012 aro 'riding
PART General Information
Firernets BSI cy /Axiom IN PrInnhars Nast. E'h
rAMIN IIIIIIL
Proles Nome /000
Narmaiwoum.
!BLUE CHIP CAPITAL LLC
IDWAY ASHLEY CROSSING, LLC
NP Enter Partner's percentage of:
(see instructions)
Cob 0) Soo Oecreass OR End of Year
or Termination
Dote Partners interest In Partnership began: 0 8/17 /2011 Profit Sharing 1.3548951 % 1.3548951 %
Month NV Yew LOSS Sharing 1.7482520% 1.7482520 s.
L...j Final IsUl(-1 C HEW Fund
r— Amended usimmemill 1.7482520% 1.7482520 %
N,X-1 El Member 0 CoM00a0 Return
1- fr ilri / IIMIII III0
II SIIIIIJTIIICIWIJII
NJ *10 4 0 Men
Income Clneldeellone A. Total Diseltivilon B. New ey
Enter Amounts on NJ-1040NA Filet{
k LM Shown Below SNIP AJersm
ounb
„ , •. ,
1. Pattnenhip Income gout —13 732. ' ' ‘'ssc.1.07 :. ...-
'
e..
2. Net Guaranteed Payments
3. Fanners 401(InContribuilar agi... e ' 411
4. Distributive Share of Partnership stir.k. • ,
Income (loss)
Una 20. Page 2
(the 1 phis Line 2 minus Line 3) —13 732. Una 22, Page 1
5. Pension . A
Ibis 19. Page 2
8 Net Gain doss) front Disposition
of Assets as a Result of a
Una 18. Page 2
Complete LidolttiOn We 18, Page I
PART III Partner's Information
L_ Line 19a, Page 1 C8T-100
Lire 10a, Page 100T-100S
1. Nonresident Patters Shan of NJ Tax Ole 8. PART-100
Line 48. ti -104,49
Um 22. NJ-1060C _v.]
2. Partners NE2 Deduction Line 311. NJ-1041
2. AD
3. Partners Sheltered Workshop Tax CrecIN
3. ND . 1
*..ci:P 44
PART N Supplemental Information (Attach Schedule)
THIS FORM MAY BE REPRODUCED
12.0412
08320312 758241 21146.213
2012.03011 MIDWAY ASHLEY CROS
SING, LLC 21146_Al
CONFIDENTIAL SDNY_GM_00031921
EFTA_00142534
EFTA01280101
MIDWAY ASHLEY CROSSING, LLC
NJ NJK-1 GIT-DEP PRO-RATA SHARE
DESCRIPTION AMOUNT TOTAL
FEDERAL DEPRECIATION
NJ SECTION 179 DEDUCTION ALLOWABLE
0.
0.
NJ DEPRECIATION ALLOWABLE
SUBTOTAL
0.
0.
NJ ADJUSTMENT TO FEDERAL 179 RECAPTURE INCOME
NJ ADJUSTMENT TO FEDERAL GAIN (LOSS) ON
0.
DISPOSITION OF ASSET(S) 0.
SUBTOTAL
0.
NEW JERSEY DEPRECIATION ADJUSTMENT
23.
PARTNER NUMBER 6
08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146 Al
CONFIDENTIAL SDNY_GM 00031922
EFTA 00142535
EFTA01280102
New Yak State Department of Taxation and Amerce
2012 New York Partner's Schedule K-1
Tax Lew - Article 22 (Personal Income Tex)
IT -204-1P
6
Final K•1
For calendar year 2012 or tax year beginning 0 1-01-2012 and ending 12-31-2012 Amended K-1
Partners: Before combating your income tax return. see Form fT•2344F4,
Partners Instnictions for Form 17-204-IP(evallable at www.tax.ny.gov).
Partnership's Information (see instruct/one
PertnenshIp's name (as shown on Form 11•204)
Partnership's FIN
MIDWAY ASHLEY CROSSING, LLC
A Mark an X in the box If either applies to your entity
Public% traded Partnership 0 Portfolio investment partneranIn
B Tax shiner registration number, if any
C Business °location percentage
Partner's information (see Instructens)
Partners name
Partners beatifying number
BLUE CHIP CAPITAL LLC
Stele ZIP code
NC 27360
The partner is a mew knurrernis use C General partners LLC membermanager EILLymited partner or other LLC member
E YPtat s the tax f of the partner? flea ion X In t,. •PPeCat•
F If the partner Is a disregarded entity or gtantor trust.
ere , . ,. Individual Estatertneat al Partnership
enter the tax ID of the entity or °Whit:lab reperting the income,
Ulan:win
0 Cld the partner sell its entire Interest during the tax year?
G Yes No LIC
H Partners share of profit, lose. and What Beginning Ending
1) Profit
H1 1.3549 96 1.3549 76
2) Lose
H2 1.7483 1.7483
3) Capital
H3 1.7483 96 1.7483
I Partner's shank of lablitke at the end of the yew
1) NonnecoUrs•
11 2,609.
2) at:riffled nonreccuree financing
12 92,108.
3) Recourse
LI
J Partner's capital account analysis
1) Beginning cabled account
2) Capital contributed during the yew • owl
J1 47,413.
3) capital contnbuted during the yew • property
J3
4) Current year Increase (decrease)
a -13,943.
5) Withdrawals and cgstrIbtlionli • cash
JS 3,290.
6) Withdrawals and ostrbutIons • property
J6
7) Ending capital account
CO Method or accounting (waken a
J7 30,180.
the appropriate bre°
XI Tax baaie Q GMP El Book 0 Other Ombra exPianarion)
K Resident status Imp* an X In fti bone that apply)
WS full-year resident 0 Yonkers ful•year resident C NYC fulyear resident
P NYS part•yete resident 0 Yonkers part-year resident 0 NYC parnew resident
DC NYS nonresident 0 Yonkers nonresident
L If the partner was included in a group return, enter the special
MIS !dent ficatIon number, If known I.
118007121019
288651
CONFIDENTIAL SONY_GM 00031923
EFTA_00142536
EFTA01280103
Page. 2 of 4 17-2044P (20/2)
M 1) Was Form I7-21358-E led %eh the partneraNp?
2) Was Form MTA-4055 filed with the partnership?
M1 Yee D No
14 NYS estimated tax pad on behalf of partner (fromFormIT-2658)
M2 Yes No E:
Date Amount
1) Fust installment N1
2) Second installment N2
3) Third Installment
N3
4) Fourth installment
N4
Total WS estimated tax paid on behalf of partner (aceIlnee NI through N4)
N
0 Estimrded MCTMT paid on Deficit of partner (fromForm MTA-405) Date Amount
11 First installment 01
2) Sicced instaihnent 02
3) Third hatatment 03
4) Fourth installment 04
Total estimated MCTMT 03.1on behalf of partner (add Ores O1 through O4) .
0
Partner's share of income, deductions, etc.
A - Partners dietreoullve share dents 13 - Federal K-1 amount C - New York State amount
I Ordinary business Income 009e) 1 I
2 Net rental real estate incOrne NOS) 2 —13,669. 2
3 Other net rental income (Ices) 3 3
4 Guaranteed payments 4 4
5 Interest income 5 e
8 Ordinary dividends e 8
7 Royalties 7 7
8 Net shod-terrn capital gan (toes) 8 a
9 Net long-term cap8al gag) Oats) 9 9
10 Net section 1231 gain goes) 10 —68. to
11 Other income (loas) Men*: 11 11
12 Ce...:ruc 179 de:Nalco 12 12
13 Other deductions kienoly: SEE ST/V2EMENT 13 19. 13
14 TeX preference items for minimum 18X 14 2,018. 14
I-
15 Net earnings (ices) from selfemployment IS 15
18 Tax-exempt income and nondeductible expanses . 18 2. 16
17 Distributions- cash end mares:able securities.... 17 3,290. 17
18 Distributions • other property 18 18
19 Other items not Inctuded above that are requesd to be
reported separately to partners . .. . .. . . 19 19
/dean/y.
Partner's share of Now York modifications (see Instructions)
20 New York Stale additiors
Number A - Total amount B- New York State allocated amount
20e EA- 16 133. 133.
209 EA-
20c EA-
20d EA-
20. EA-
20/ EA-
21 Total ackttion modflcations Cotaf of column A Lees 20e through 200 .
21 133.
118002121019
11111i(j UPVIII 118852
11.14.2
CONFIDENTIAL SDNY_GM_00031924
EFTA 00142537
EFTA01280104
IT-204-IP /2012) • Page 3 o14
Partner's share of New York modifications fcortinuedi
22 New York State subtractions
Number A - Total amount B - New York State allocated amount
22a ES- 21 110. 110.
22b ES-
22c ES-
22d ES-
22* ES-
221 ES-
23 Tote/ subtraction mooroatIons (total of tauten A, lines 22a through 220 23 1 10 .
24 Additions to federal itemize° deductions
Letter Amount
24a
24b
24c
24d
244,
241
25 Total additions to federal .temttecf deductions (add Ones 24a through 240 26
20 Subtractions from federal imitated deductions
Letter Amount
26a
26b
262
20d
26e
28f
27 Total subtractions from federal nommic deductions (add Ones 26a through 260 27
28 New York adjustments to faX Preference items
Partner's other information
29e Partner's share of New York souroe woes income
20b NICTD allocation percentage (see Instructrons)
Partner's credit information
Part 1 - now-through credit bases and factors
Brownfield redevelopment tax credit (Fan, IT-611 or 17-611.1)
A - Form IT-811 B - Form IT-611.1
30 Site Preparation credit component 30 90
31 Targible property credit oomoonent 31 31
32 On-site groundwater remedial:on credit component
32
41111;illifilli Mal
1'.99.12
CONFIDENTIAL SDNY_GM_00031925
EFTA_00142538
EFTA01280105
Page 4 of 4 . 17•204-IP (201Z
Partner's credit information (continued)
EZ capital tax credit (Form IT-602)
33 Contribution of money to EZ community development protects
33
34 Recapture of credit for investments In certified EZ badness**
34
35 Recapture of credi for contributions of money to EZ community development
projects 96
QEZE tax reduction credit (Form 17--60,6
38 CUE employment increase factor
30
37 OEM tone alloadion facia
37
38 OEZE benefit period factor
36
Excelsior fobs program tax oredit (Form 1T-607)
39 Excelsior Jobs tax credit component
30
40 Excelsior investment tax credit component
40
41 ExcelScr research and development tax cacti component
41
42 Excelsior real property tax credit component
42
Farmers' school tax credit (Form 1T-2 I 7)
43 Acres of qualified agricultural property
43
44 Aces of qualified conservation property
44
45 Eligible school district property
taxes paid 45
46 Acres of qualified agricultural property convened to nonquatfied
use 46
Other flow-through credit bases and factors
Credit bases
Code Amount Code Amount
47a 97d
478 47e
47c 47f
Geoff `actors
Code Factor Code Factor Code Fodor
47g 471 4Th
47h 471 471
Part 2 - Flow-through credits, addbacks and recaptures
48 Long-term care Insurance credit (Form 1T-249)
46
49 Investment crag (inciticling employment incentive credit end
Moto& tutm rehabilitation molt form IT-212) 49
50 Research end development • investment credit (Pomp ff-212)
Bo
51 Other flow-through credits
Cods Amount Code Amount
51a 61e
Sib Si,
Sic 81g
bid 51h
52 Ada:eats of credits and recaptures
Code Amount Code Amount
528 52d
626 52e
520 521
118004 121019
2Seara
11..4-12
CONFIDENTIAL SONY_GM 00031926
EFTA_00142539
EFTA01280106
MIDWAY ASHLEY CROSSING, LLC
NY IT-204-IP OTHER DEDUCTIONS
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION SCHEDULE K-1 AMOUNT
ACCOUNTING FEES 15. 0.
MISCELLANEOUS 4. 0.
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13 19. 0.
PARTNER NUMBER 6
CONFIDENTIAL SDNY_GM_00031927
EFTA_00I 42540
EFTA01280107
NC k- (39). 2012 Partner's Share of
(D-403) N.C. Income, Adjustments, and Credits
:0.11.12 North Carolina Department of WON!,
For caanger year or fiscal year beginnng 01 01 12 and ending 12 31 12
Pannert bienel.aaa Federal Employer ID Number
453131018
Partners Name. Address. and ZIP Coda Partnership's Name, Address. and ZIP Code
BLUE CHIP CAPITAL LLC MIDWAY ASHLEY rRORSTMa T.T.0
Individuals Filing Form
Pertnenhla's Pro Rata Snare Items Amoont 0400 Enter Amount on:
MI Partner
1 Share of partnership Income (loss) —13737
2. Adddions to income (loss)
a. At/din:in for bonus depreciation 133 Page 2, Line 35
b Other additions to Income (loss) 0 Page 2,1.116 36
a. Dedonons from Mcomeposs)
a Deouctfon for bonus depredation STMT 110 Page 2, Line 44e
b. Other deductions DM InC01110 (loss) STMT 19 Page 2. Une 49
4. Share of tax credits 0 Form D-4001C
5. Share of tax Witilbekl from naming, compensation
paid for persona/ st*es performed In H.C. 0 Page 2. LMe 23
Nonresidents Only
6. Nonrestlents shall of Pd C. taxable Income (loss) 0 Page 2. Una 51
7. NO0 leSiderlYS sham of net tax paid by the manager
of the partnership 0 Page 2. Lir e 24c
12 2.; )2
CONFIDENTIAL SDNY_GM_00031928
EFTA ()(1142541
EFTA01280108
MIDWAY ASHLEY CROSSING, LLC
NC SCH K-1 DEDUCTIONS FROM FEDERAL TAXABLE INCOME
DESCRIPTION
AMOUNT
PROFESSIONAL FEES
15
MISCELLANEOUS EXPENSES
4
TOTAL TO SCHEDULE K-1, LINE 3B
19
NC SCH K-1 DEDUCTIONS FOR BONUS DEPRECIATION
DESCRIPTION
AMOUNT
ADJMNT FOR 1ST-YEAR DEPRECIATION ADDED BACK IN 2011
110.
TOTAL TO SCHEDULE K-1, LINE 3A
110.
PARTNER NUMBER 6
CONFIDENTIAL SDNY_GM_00031929
EFTA_00142542
EFTA01280109
II 101,
r
6
• STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
PARTNER'S SHARE OF SOUTH CAROLINA
801086 K-1
(Rev.
INCOME, DEDUCTIONS, CREDITS, ETC. 3515
For calernSa r rtai2012 a 10X IM119 01/01/12 and ending 12i 31/12
Partner's identifying number la Partnership's FEIN
Partners name, address and ZIP code Partnership's horns. address and ZIP code
BLUE CHIP CAPITAL LLC MIDWAY ASHLEY CROSSING, LLC
Cheek if anaficebe: ;.1; U Final K-1 R1 I._ Amended K 1 J 4 NonrSdsnt
Partner's Share of Current Year (A) (C) (D)
Federal Plus or Minus Amounts Not Amounts Allocated
Income, Deductions, Credits. etc. 101 Amounts SC Adjustments Allocated or AppatIoned to SC
Cr Apportioned to SC
STMT
1 Ordinary business Income (lose) . 1 1 1
2 Net rental rea! estate income Qcea) 2 —13,669. 2 30. 2 2 —13,639.
3 Other net rental income doss) 3 3 3
4 Guaranteed payments 43 4 4 4
I 5 Interest income 5 $ 5
I 8 Dividends 6 6
7 Royalties 7 7 7 7
8 Net shorrterm capital pain Qoss) 8 8
9 Net long-term capitol gain floss) 9 9 9
1C Net Section 1231 gem doss) 10 —68. 10 10 10 —68.
11 Other Income nose) 11 11 1 11
12 Section 179 deduction 12 12 12 12
C
13 Other deducrtions 12 19. 19 13 13 19.
SEE STATEMENT
le Withholding tax for nonresident partner 14 0.
List applicable South Cumin tax credits (Attach en additional Ghat if needed.)
15 16
-1 16 16
17 17
18 18
19 Totei South Carolna tax onticitts .. 119 0.
777521 00.02-12
L 35151018
CONFIDENTIAL SDNY_GM_00031930
EFTA 00142543
EFTA01280110
MIDWAY ASHLEY CROSSING, LLC
SC SCHEDULE K-1 SCHEDULE K-1 ADJUSTMENTS
LINE NO. DESCRIPTION AMOUNT
LINE 2 ADDITIONS FOR BONUS DEPRECIATION 30.
TOTAL OF FORM SC1065, SCHEDULE K-1, COLUMN B 30.
SC SCHEDULE K-1 OTHER DEDUCTIONS
DESCRIPTION COL A COL B COL C COL D
OTHER DEDUCTIONS 19. O. 0. 19.
COLUMN TOTAL 19. 0. 0. 19.
PARTNER NUMBER 6
CONFIDENTIAL SDNY_GM_00031931
EFTA_00142544
EFTA01280111
CONFIDENTIAL SONV_GN,a918,12
EFTA,10.2543
EFTA01280112