EFTA01280113.pdf

.3 651112 Schedule K-1 (Form 1065) Fcr ; away yaw 2•0•2, 7 rs, 2012 I-1 Anal K-1 ]Amended K-1 ohge No. 15454099 ?jinn:. Partners Share of Current Year Incom e, Deurrnert a The Treasury ,.... sn,,,,,ne Irturnal Regende service Deductions, Credits, and Other Items eldN 1 Ordinary business s'ome (loss) 16 GredItS Partner's Share of Income, Deductions, I 50,213. Credits, etc. 1 See separate inane:net 2 hie renter real Woe torn pppel _.. . . . — 6 , 518. I 19 Fannon tentedicns Part.I Information About the Partnership 3 Other net rental income (10M) denNication number 4 Guaranked PaymentS B Part4ershp s name, address, cry, stale, and ZIP mde r---I 5 Interest hcome SV AMERICA HOLDINGS, LLC 2,576. Se Ordinary artclends 42 HIGH TECH BLVD ! THOMASVILLE, NC 27360 17 Alternatta rein tax (M.17) 'errs SD Qualified dividends 1 4 7 C IRS Cobs where partersnIpMed ran IC —FILE 7 Royalties 0 In end( :t tills is a cubecly traded partnership (PIP) IS Taximimpt Income and 8 Net shcrt-term Capital gain (boss) nondeductible °vanes I * STET 019ffillt Information About the Partner 9a Net long-term nodal win (loss) E Partner's Went renter I 9b Gollenteles (28%) gain (loss) IS OiStrtutions F Partners name,address, cily, state, and ZIP code 12,671. So "recaptured sec 1250 gain BLUE CHIP CAPITAL, LLC 329 SEABREEZE AVENUE PALM BEACH FL 33480 1 10 Net section 1231 gain I (Mae) 130. r ___-, 20 Odier aroma:ion 2,576. 1f Other Income Doss) G U General partner a LLD Ix] Limiled partner or other LW member-marega neater H LI Domestic partner SI Foreign partner It What typo of endN is this palm? PARTNERSHIP 12 Section 179 deduction 12 'IlYs partner is a ter m pkn 0RMEPINeogiVetch tiled( hare Li J Partners share &profit, toss, and conk 13 Other deduction BegInnieg Ending A Pion 67Q. 3.6001880% 3.6001880% Loss 3.6001880% 1 3.6001889% I Cap tal 3.9261080%j 3. 9261080% 14 Seif-ernpiornent earnings (loss) K Partner's sure of Sanas al year ant A 0. Nenrecourse $ 283,514. Quailed racecourse nnanchg $ 'Sea attached statement la adeln nal in amaticn atX01$56 S 0. I. Partre's coed./ account analysis: Beginning capital account ...., . $ CapIMI contributed during the year $ 500,000.g4 Current yes increase (decrease) $ 2.416. Withdrawn & OStrihuLloris ..............,.. ._ $( 12,67142 Ending capital =cunt $ 489,745.1 Tax tan 0 SW 0 Section Taro) bock r....._, -1Otter (Wain) IA CM the partner mature property with a Ou et-in oath or loss? FT Yes Odra ra II Yes' attach suterrent (see instrudNes) lowser/a LHA For Paperwork Redaction Act Notice. are Instruction of Font 1066. IRSdovitarr.1065 Schedule K-1?Form 10851 2012 22560411 137428 7386.003 2012.03030 SV AMERICA HOLDINGS, LLC 3 7386.001 CONFIDENTIAL SDNY_GM 00031942 EFTA_00142555 EFTA01280113  SV AMERICA HOLDINGS, LLC SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 18, CODE C DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT EXCLUDED MEALS AND NONDEDUCTIBLE PORTION ENTERTAINMENT EXPENSES 537. OFFICERS LIFE INSURANCE 22. TOTAL TO SCHEDULE K-1, BOX 18, CODE C 559. SCHEDULE K-1 FOOTNOTES TO REDUCE THE PAPER DOCUMENTS WE CIRCULATE, WE OFFER THE FOLLOWING... INSTRUCTIONS IN ELECTRONIC FORMAT FOR SCHEDULE K-1 MAY BE FOUND AT: HTTP://WWW.SMITHLEONARDCPAS.COM/RESOURCES/TAX-CENTER/ CHOOSE TAX FORMS & PUBLICATIONS ENTER KEYWORDS "K-1 INSTRUCTIONS TAX FORM 1065." IF YOU WISH TO HAVE A PAPER COPY OF THIS DOCUMENT, PLEASE CALL US AT PARTNER NUMBER 3 22560411 137428 7386.003 2012.03030 SV AMERICA HOLDINGS, LLC 7386.001 CONFIDENTIAL SONY_GM 00031943 EFTA_00I 42556 EFTA01280114  3 Scheduk (Fnrm 1065) 2r2 Pace 2 Tbis fief Identifies the codes used ou Soudoie K-1 for ail purren mnd provider turemartred redonne, Informelion foi paniers who file Form 1040. For detailed repordno and filin° information, tee Mt sapante Permets instructions for Schadule K-1 and the instructions for your 'atome tu rature. Code %sen ol 1. Calta buillnea booms :ose >et var • 'esta ba tirer 0,44) .1 Won operbey nat casers rame. rc rll4 ab taon K Dabån noces an* L Ernprarra =rani Nang sael CatreunKy entarn1100211 Sa ms Pirates Ingestion* ana91040 Osa the Erres Ineucaw 1.1 CAKE? lor Manne aine ..sial laye Sohn/J0 E. N 2e.Ø ahrta (0 Panamas N Car a acas Set% ereclarE, cotnne0 %annale/03MB lad /Ancre na Sena E. er•741, cana() 2. a mal ne Sa bain Den O Sent.* •iveslang Bas UN Pana aheon• P Oh« 5•610 3. OONMNIIW Ølbil at 2140a Seseclule E, mn. 20. coller ,a) Io Pane, armera NKbN us MePanes Inirabr4 A 'na ce CO217/ e U 4, Guaraaid eyras *bane, 'ne la Mann a penne 0. ara lame rem 1040. fre BA B Ciao Ibn an al sapas } Fan Il% Pal I Os. Carry cintra rom 1040. Won C Orne ban ganse 24 pan Ø Cuira eedni. rra 1040. la Pb Iner 7. Raya SeeduletlIne I star gogos tore =non e prtrwree IetN 5. eari.lern men en ;on, Scande 0, Inie • Se4,140 D. M 12 D Pars ana ,/ Os %el nier mole pir )044/ E Cern/cØ Fam • 1IO, Pan 1 Ob. Colonies 0.4m)o•kl oomi, 2n• Rro atn Wrait. Ine 4 • oln ISOneN 0 banane OC. laniend enta 1220 en Ses aPelealrereceere Denefee nrGRMald sprnlonel st pan lia IO. 1nt inee 1221 ar fa) S49 In MenteInitrucen O oient »prao Fan 1110, Pal 11 Oer hnonsuloss) H Oew Pare 1118. an Code A ce. comble ncem• Une De:bers sana an 40Para K Oanre kal blair , 00/rr 8•• ta are, albeees «Ma • aranry arases Ste a pana hoiln:trie C Sa 1220 cornas I. sine« I ...HW 00101.” ken O/III. les I D Mnhp espbaten ~erratum Sel Pub. 536 ▪ 3tand anal/ ), Emin 11te Part 1 E Craie= cldcl Fan 1040, Ce 21 a Fr" 982 K 011e • Oar cars tut Sn a Prats lat a.. Othe Marna, 12 L Tala bar Na pad Foie 1116, PM I Sera I79 aber see a arma let-utiles M Total /air Na 'M'ad Fan 11.0, Pat '2. Olar defalone N Redue°, Kota sa ab anll Fan 1110. 1n• A Cie orebrorb 51714) O FI:tee:060M Groom reor• Rra, N73 • Que ccrebtial• /KM) P Centerlen ben «mima Erre 8173 C ‘orpte. catItufrore 03911 O Ont air nalotlano Sa n'ana braellcre O Vasa convitutla (1011) } Sr a aines .n4Y-8311..n Capa Wn paerly 10 • 8014 Altornea Wray" a Van Ina caviar 00%) j F Cao« en Ornely012091) A P041.1060 eoricaten nana' • Centrbueone(WOM ▪ Mumed ;g,' ce Io« Sa se Anna antan ara erra anm 40.2.4n I C Danos /par en cd. pr 1114111/enne ta I DaKtIone • font/ rima W14s.0,eID D 01. a å mana • gong InccnIe 1b0 Inaaeore 1« 819,83/130(1)7) esperaltne Sot ne errer', rainai ore E OC. es. noltenal - cabeal Fan nom K Damas • peren Santa A. MN 23 • Car /Ar /tas lexj L 0441..ceta - poralbefia fkaan A. M 2, IO. larent nennie reenate0 nenni M Non! Pari for aulal bene tenue A. Ire 1 e Ers 1040 Ye 20 A Tas nervi ln!~ 0vbeen evr, 1O4O.11NiOO N anzeonet nesbent beau Si. affina', Ir wallons ▪ Oen• 'Asam« ana O Cserela nia Draa .Sm the %tees Imercene 1- cal 2444. tee lf C Nralen/11244 anima Sari a Praia Insexibn4 ' PrnaZI.C1Au pw11.1..asal *Ge4 a Parar* Iroevees O Carnet/ t/....neetn«taon Seo Paner greniers Dattilons henern A Ca al maltons na« cm -I ...nient ard See reucecne e oessenre me», )0 nee4"9 792 ) Si. OnPcner e émeutes • Fnammier aer-ce <Stace Sn Pelne's reactir C OtlX, Prcen0 I Overr produe r sienne SnFor 8033 rotin re arrnourin 0004 edierredon U 0-na0vco-cOon /Lean bons A Invellemen: incarne crn 41152. in 44 Fan 410e. Rn. 72 B Irfrourneit tearsgas ✓ Evelpkry tee I ri W-2 «el Ica ne. Ire t/ On't 4952,14,5 W OOeØaow C Eue orthe arancr Ergs 4030 Ses Be Prats nattben D Cana anodines expeetua lother ban (Are a sale) Ses Si. atn't rierte e. 14. SoldellnDYrIlet 4weVr0.0)000K) E Oins 011 srel yy reely 9•• Ib PØ'• InetiLe Nee.11you IVN e.eWs111pclecketen or an Fervw•lend .10Ktelirst Seo F Peau, of a -1r./...rehear e'ePanayaWaRaw ban nana end ;Aser 42:23a Erm. 851". Férus SonFAI St. O Noyer* of IO., rra,. ividen.; A As sable en.) ten Schs.:Le SE. Goret A e e Ø Cela Far, !Olt lhiS inleleterIIKK 11 Rouen of marner. ner. ;Ivevor 4255 B Cros laine %NaInce» tre Praia afruers I merlu. o/ car men Sean ,hanses n't -.? rs ' • Goes ree-gerrn han lha Petre• heIrkers J Lacets:. interr.: • acencbte: Irep -Item =rra«, 'a 1ce, 2027 13. Cab K LO:10-belc V•Ienral - Ixerm bene A Urir-,Ø hemilne one pan/ • Erm 8800 >par 42ty81 pr.-2008 L 01900ense cf preny wql tiaint mer 179 carnet • t0'Ø Nysprit nr) y na-Apitn N aber 170 denier tu, pre-20Ct bektee 1.1 tans Amen b• 3epre Me*, C .cet-larnl-calrg ace! nec, O ' 'MM nfonnetIon 42(B51tan ne.2007 D St P Oser 453A/c) Neate abonna reing mo o n," er) O Bab/ 1261A1>) aluralsor oce.20C7 >are R enta noua 1.9 voe.cen E Caen /ohnPline dunanse Ste a Piana cacabas nerveciris isa fiel 442n/1 • CEE al arasais • Oar rra rui ait, T INClotb•11.1•WIfflIre • cieeed • Desnie orna Arrar1.:43cr elesnieserl r.sts • Unilltrestad captif tell creat Form 1042. a 71. Ø box • ✓ Urreen Onan tata ircome I Abbe na ce liai, MILS tek Seo En•Panes atinnea W Wiccettelat, Olt lues) padl X actte 1041()Iree,a, Y Of« irdcnoeten 211202 O/.O11. 43 3 22560411 137428 7386.003 2012.03030 SV »MICA HOLDINGS, LLC 7386.001 CONFIDENTIAL SONY_GM_00031944 EFTA_00142557 EFTA01280115  IT-SS 2012 Schedule IN K-1 State Form 49181 (R12/8-12) Indiana Department of Revenue Partners Share of Indiana Minted Gross Income, Deductions, Modifications. and Credit. Tax Year Beg' e elfl9 01 01 2012 sad Ending 12 31 2012 Name of Partnership Federal Identification Number SV AMERICA HOLDINGS LLC Oleldbitions - Provide INK-1Meath partner. Enclose IN K-1 WM IT-65 return. For information on the acceptable assents data tile lomat, visi the DepartMents vitimite at wedwin.00vidorf3772.htm Prorate amounts for lines 1 through 26 of any nonresident patina mast be mu tiered by the (ndiana edema nment percent, I/applied:A tom IT-65, line 4. Part I- Partners Ideillflestioa Section (a! If (farina Is an Individual (please pint c'early) SOCL,11 &corny Ndrrter. Last Name: FER Name: al a2 a3 (a) If Partner's en °tier Fmk/ (pease Dint deany) Federal Idendreation Number: iiarre: b I BLUE CHIP CAPITAL LLC C2 (c) Femurs Slate of Parldenm or Communal Domicil° c1 FL (d) Indiana Tax WitWleid for Nonrcsidert Partner (on W11-18) d .00 (e) Partnere Federal Pro Nan Percentage 3.60018.0 (0 Partner's Tax as Computed on I1.65COMP Column G .00 Part 2 • Distrketive Share Amount (use apportioned !Mures V nomesident partners) I. Ordinary business income (loss) 1280.00 2. Net rectal real estate Income (lass) - 166.00 3. Other nct rental income (toss) _ .00 4. Garanleed Palmas — .00 5. Merest Income 66.00 6. Ordinary divaends . 00 7. Royailies .00 8. Net short-term capital gab (loss) .00 9. Net longterm caPM1 darn (ass) .00 10. Net IRC Section 1231 gait (loss) 3.00 II. Other income (MSS) .00 47. Inc Secton 179 expense deiuteen . 00 12a. Portion of expenses reared to investment portfolio Income, ott.rdingl-nestrrent interest expense and ether (federal nonnemiaed) deductions .00 13b. Oiler Trot maim from fro 20 01 federal K-1 related to 'nvestraut Interest and tapecoes net etewNere .00 fa Total pro rata distribettoos tAal fines 1 through II: subtract fines 12, 13a, and 13b when ape:male.) 1183.00 Continued on next page Cu 2502'1 12-S3 '2 1019 NMI MIi iIPuu CONFIDENTIAL SDNY_GM 00031945 EFTA_00142558 EFTA01280116  IT-85 2012 Sendai. INK-1 Page 2 Pals - State Modification A43 or &Moan the following. Designate no distibutive share amount of each modification for Indana adjusted gross ncome from the 2 on the hoot of For. IT-65. For nonstudents, aoPlY apportioned I tin. (Use a minus sign to denote negatMs amounts) IS. State wow Was deducted . 00 18. Net bonus depredation allciserice . 00 17. Excess INC Seclfun 179 deduction . 00 18. Interest on U.S. obigatiens . 00 19. AddbadoeeductIOn Coco: . 00 20. Adelina/Deduction Code. . 00 21. AddbatleDeduadcn Code: . 00 22. AdcbactuDeductIon Code: .00 2a Addbac/Dedoction Code: . 00 24. AildbackAleduclon Code: ______ .00 25. Addback/DeductIon Code: . 00 28. Addbaciveteduction Coda: 27. Total distributive Niro of medications (add lines 15 through 26 and catty tod to Column B .00 on Schedue IT-65COMP) .00 Put 4 -Pro Rita Won of Indiana Pan-throvsh Tax Credits front Partnership 28. Enter the name of die tax creds program, its dwetudign ID COCK and the dollar amount of the parolees distributive share for each allowable credit Name of Credit ID Code: a b c .00 .00 g h . 00 29. Total casothrough ("odds (add lines At, a% arid 28i) . 00 250212 NIL ,'INII VIII kill allrill 1243-12 1019 136121210'19 I CONFIDENTIAL SDNY_GM 00031946 EFTA_00142559 EFTA01280117  NC K-1 (39) 2012 Partner's Share of (D-403) N.C. Income, Adjustments, and Credits 1C-11-17 North Carolina Department of Revenue For calendar year 2012 or hscal year boptnnind and ending Partner's Identifying Number Federal Employer ID Number Partner's Name, Address, and ZIP Code Pi dnership's Name, Address, and ZIP Cods BLUE CHIP CAPITAL LLC SV AMERICA HOLDINGS LLC 329 SEABREEZE AVENUE 42 HIGH TECH BLVD PALM BEACH FL 33480 THOMASVILLE NC 27360 Individuals Filing Form Partnership's Pro Data Share Items Amount 0-100 Eater Amount on; All Pe/there t. Share of canrershlp income (loss) 46401 Additions lc income (.pm) a- Addition fa bonus derrectstion 1363 'age 2, Line 35 b. Other additions to income (loss) 0 Page 2, Line 36 3. Deductions train ',come (ions) a. le:motion for bows doweation 0 Page 2, L 4/e b. Other deduct:ins from Income (loss) 0 Dade 2, Line 49 4 Share of tax credits 0 Forma-40CE C S Share of tax %Infield from nonsapis compensation paid tor persona', services pertorned lo N.C. 0 Page 2, I inc 23 Nonresident Only 6. flonessident's share or L.C. !arable income (loss) 35594 Pape 2, I ine 51 I. Nonresident's Oars of net lax paid by dm manner of the palteemtep 0 Page 2, L' 24c AFFIRMATION ATTACHED CONFIDENTIAL SDNY_GM 00031947 EFTA_00142560 EFTA01280118  NC-NPA(39) Nonresident Partner Affirmation O-403 io,;;;) .:arckna Doan meet pt Revenue 8-05 3 MooresId eat Partners Identifying Number Partnership's Federal Employer ID Ilemho f lonresident Partners Name, Address, aid ZIP cpds PIMesMlo's Name. Address rod ZIP COO LOH CHIP CAPITAL LLC AMERICA HOLDINGS, LLC 329 SEABREEZE AVENUE 2 LL4 HIGH TECH BLVD BEACH FL 33480 PHOMASVTLLE Delo nomeoldent became NC 27360 partner le peraffitebio 12/20/11 Pennon Tax Year Partserstdp's Tax Year 01/01/12 12/31/12 01/01/12 12/31J12 beginning (MM-Cally aiding 01.44-DO-Y12 beginning (MM-00-YY) ending (NM-00-YY) Wee of Partner: Q Ca/Morahan s Corporation 011 partnersito n estate or Trust (ntin applicable cackg Notn. 77uS form is not applicable ro nonresident partners who are individuals or grantor trusts. I Mini that 1. The entity above Is a nonresident pa-Mer in the partnersh sham ip above, and 2. I vnll frosty Me the cnntys applicable Income tax return and pay the tax iMpOSed by North Carolina on the eMitys share of the partnership incomt ffigeeture of Manager, Officer, or Fiduciary Mite I affirm mat he en.I ty above s a nom ident partner in Pie Nffneiship shorn above. i Signatare of lifeeeplep Pettier Date General Instructions In a partnership having one or more nonresident partners. the tramping partner n responsible ter reporting the share of li e Income oath nonresident pa-trier. however, if the nonresident partner is a corporation, paMoish and paying rho lax due lot p, trust or mtge, the managing partner is not renueed to pay on that partners share of the partnership inome provided the the tax partrer tors Mrs Noerealdeet Partner Affirmation affirming its corporation, par AnUhl', halo; estate incorre :Wm. that the partner vial nay the tax with This form must oe attached Ic me par Inersenp return of the partnersh form le not applicable to noorrieldent partnere vim are indivklea ip shown ahem. (Motor Title ls or grantor ban.) Payment of the tax sue by she manapinp partnerships, busts Cr estates Malang partners does not relieve partner on behalf of corporadOrs, the partner from Itfrg a North Carolina tax return. 20464i 0501.12 CONFIDENTIAL SDNY_GM_00031948 EFTA_00142561 EFTA01280119