EFTA01114674.pdf

Foini 8858 gley. December 2013) Information Return of U.S. Persons With Respect To Foreign Disregarded Entities Ile Information about Form 8858 and Its separate Instructions Is at vAvw.Irs.gov/form8858. OMB No. 1545-1910 Oepartment of the TleavoY Information furnished for the foreign disregarded entitys annual accounting period (see instructions) Attachment Internal Revenue Service beginning JAN 1 .2013 . and ending DEC 31 . 20 1 3 Sequence No. 140 Name of person filing this retu n Filer's identifying number LEON D. & DEBRA BLACK Number. stree and room or suite no. or P.O. box number it mail is not delivered to street address) Filer's tax year beginning JAN 20 13 , and ending DEC 31 .2013 Important Fill in all applicable lines and schedules. All information must be in English. All amounts must be stated in U.S. dollars unless otherwise indicated. to Name and address of foreign disregarded entity bey, if any JMWT TOPCO LIMITED REGENTS WHARF, ALL SAINTS ST b(2) Reference ID number (see instructions) LONDON FC N1 9 UNITED KINGDOM c Country(ies) under whose laws organized and entity type under local tax law d Date(s) of organization e Effective date as foreign UNITED KINGDOM CORPORATION 09 28 12 disregarded entity 09/28/12 f If benefits under a U.S. tax treaty were claimed with respect to income g Country in which principal h Principal business I Functional currency of the foreign disregarded entity, enter the treaty and article number business activity is conducted activity INVESTMENT UNITED UNITED KINGDOM INVESTMENT KINGDOM,POUND 2 Provide the following information for the foreign disregarded entity's a counting period stated above. a Name, address, and identifying number of branch office or agent (if any) in the b Name and addrmn Mowing corpecatO depalment. It amenable) of person(e)with CIAStOdY or the b00kd cgOortZ: Ct tha ttypOn adeggardni entity. and the location al such bOOKS United States and records. i1°event ANDREW PRICE REGENTS WHARF, ALL SAINTS ST LONDON, FC N1 9PA UNITED KINGDOM 3 For the tax owner of the foreign disregarded entity (if different from the filer) provide the following: a Name and address b Annual accounting period covered by the return (see instructions) c(1) U.S. identifying number, if any 02) Reference ID number (see instructio s) f?% d Country under whose laws organized 4 For the direct owner of the foreign disregarded entity (if different from the tax owner provide the following: a Name and address b Country under whose laws organized e Functional currency JMWT ACQUISITION LLP REGENTS WHARF, ALL SAINTS ST UNITED KINGDOM LONDON, FC N1 9PA UNITED KINGDOM if any I d Functional currency 'UNITED KINGDOM,PO 5 Attach en I:idolization,' chart that identities the name. placement. percentageof ownership. tax classification. andcounty cd organization of all entities in the chain of ownership behtten the tax Peeler and the loreIgn disregarded entity. and the chore ol ownership between the loreir dieregarded entity end each entity In which the Welch disregarded entity Ninth% or more direct or :Wiwi Interco'. See inelluclicne. SEE STATEMENT 77 For Paperwork Reduction Act Notice, see the separate instructions. Form 8858 (Rev. 12-2013) 312411 12-10.13 LHA 518 13061007 133415 T-1009 2013.04030 BLACK, LEON T-10094 EFTA01114674  LEON D. & DEBRA BLACK Form 8858 (Rev. 12-2013) Page 2 lSchedule C [ Income Statement (see instructions) Important Report ail information in functional currency in accordance with U.S. GAAP. Also, report each amount in U.S. dollars translated from functional currency (using GAAP translation rules or the average exchange rate determined under section 989(b)). If the functional currency is the U.S. dollar. complete only the U.S. Dollars column. See instructions for specialrules for foreign disregarded entities that use DAS TM. If you are using the average exchange rate (determined under section 989(b)), check the following box Functional Currency U.S. Dollars I Gross receipts or sales (net of returns and allowances) 1 2 Cost of goods sold 2 3 Gross profit (subtract line 2 from line 1) 3 4 Other income 4 5 Total income (add Ines 3 and 4) 5 6 Total deductions 6 7 Other adjustments 7 8 Net income (loss) per books 8 Schedule C-1 I Section 987 Gain or Loss Information (a) (b) Note. See the instructions if there are multiple recipients of remittances Amount stated in Amount stated in from the foreign disregarded entity. functional currency of functional currency foreign disregarded entity of recipient 1 Remittances from the foreign disregarded entity 2 Section 987 gain (loss) of recipient 2 Yes No 3 Were all remittances from the foreign disregarded entity treated as made to the direct owner? 4 Did the tax owner change its method of accounting for section 987 gain or loss with respect to remittances from the gweign disregarded entity during the tax year? Schedule F I Balance Sheet Important Report all amounts kt U.S. dollars computed in functional currency and translated into U.S. dollars in accords with U.S. GAAP. See instructions for an exception for foreign disregarded entities that use DASTM. Assets Beginning annual End of annual accounting period accounting period I Cash and other current assets 1 2 Other assets 2 44,449,838. 45,404,959. 3 Total assets 3 44,449,838. 45,404,959. Liabilities and Ova y 4 Liabilities 4 "iv y N , 5 Owner's equity 5 44,449,838. 45,404,959. 6 Total liabilities and oymer's equity 1 6 44,449,838. 45,404,959. Schedule G I Other Information Yes No I During the tax year, did the foreign disregarded entity own an interest in any trust? X 2 During the tax year, did the foreign disregarded entity own at least a 10% interest, directly or indirectly, in any foreign partnership? X 3 Answer the following question only if the foreign disregarded entity made its Section to be treated as disregarded from Its owner during the tax year: Did the tax owner claim a loss with respect to stock or debt of the foreign disregarded entity as a result of the election? 4 If the interest in the foreign disregarded entity is a separate unit under Reg. 1.1503(d)-1(bX4) or part of a combined separate unit under reg. 1.1503(d)-1(bX4)(ii) does the separate unit or combined separate unit have a dual consoidated loss as defined in Reg. 1.1503(d)-1(b)(5)(10? N /A If 'Yes: enter the amount of the dual consolidated $ Answer question 5a. Form 8858 (Rev. 12-2013) 519 13061007 133415 T-1009 2013.04030 BLACK, LEON T-10094 EFTA01114675  LEON D. & DEBRA BLACK Form 8858 (Rev. 12-2013) Page 3 Schedule G I Other Information (continued) Yes No 5a Was any portion of the dual consolidated loss in question 4 taken into account in computing consolidated taxable income for the year? If "Yes; go to 5b. 'No; skip 5b and 5c b Was this permitted domestic use of the dual consolidated loss under Reg. 1.1503(d)-6? If 'Yes, see instructions and skip 5c. It"No," go to 5c c If this was not a permitted domestic use, was the dual consolidated loss used to compute consolidated taxable income as provided under Reg. 1.503(d)-4? If "Yes; enter the separate unit's contribution to the cumulative consolidated Taxable income (cumulative register) as of the beginning of the lax year Ne. $ See Instructions. 6 During the tax year, did the foreign disregarded entity pay or accrue any foreign tax that was disqualified for credit under section 901(m)? 7 During the tax year, did the foreign disregarded entity pay or accrue foreign taxes to which section 909 applies, or treat foreign taxes that were previously suspended under section 909 as no longer suspended? 8 Answer the following question only if the tag owner of the foreign disregarded entity k a controlled foreign corporation (CFC): Were there any intracompany transactions between the foreign disregarded entity and the CFC or any other branch of the CFC during the tax year, in which the foreign disregarded entity acted as a manufacturing, selling, or purchasing branch? Schedule H Current Earnings and Profits or Taxable Income (see instructions) Important Enter the amounts on lines 7 through 6 in functional currency. I Current year net income or (loss) per foreign books of account 1 2 Total net additions 2 3 Total net subtractions 3 4 Current earnings and profits (or taxable income — see instructions) (Iine 1plus ire 2 us line 3) 4 5 DASTM gain or loss (if applicable) 5 6 Combine lines 4 and 5 6 7 Current earnings and profits (or taxable income) in U.S. doNars eine 6 translated at the average exchange rate determined under section 989(b) and the related regulations (see instructions)) 7 Enter exchange rate used for line 7 ► 40;7 Form 8858 (Rev. 12-2013) 31,413 V-10.13 520 13061007 133415 T-1009 2013.04030 BLACK, LEON T-10094 EFTA01114676  Information Return of U.S. Persons With Respect To Foreign Disregarded Entities I Foini 8858 December 2013) Ile Information about Form 8858 and its separate Instructions Is at vAvw.irs.gov/form8858. OMB No. 1545-1910 Oepartment of the if esan Information furnished for the foreign disregarded entitys annual accounting period (see instructions) men Internal Revenue Service beginning JAN 1 .2013 .and ending DEC 31 Name of person filing this retu n LEON D. & DEBRA BLACK number if mail is not delivered to street address) Filers tax year beginning , 20 13 , and ending DEC 31 .20 13 Important Fill in all applicable lines and schedules. All information must be in English. All amounts must be stated in U.S. dollars unless otherwise indicated. to Name and address of foreign disregarded entity b 1 U.S. iden " n number if any JMWT MIDCO LIMITED REGENTS WHARF, ALL SAINTS ST b(2) Reference ID number (see instructions) LONDON FC Ni 9 UNITED KINGDOM c Coo ntry(ies) under whose laws organized and entity type under local tax law d Date(s) of organization e Effective date as foreign UNITED KINGDOM CORPORATION 09 12 12 disregarded entity 09/12/12 1 If benefits under a U.S. tax treaty were claimed with respect to income g Country in which principal h Principal business I Functional currency of the foreign disregarded entity, enter the treaty and article number business activity is conducted activity INVESTMENT UNITED UNITED KINGDOM KINGDOM,POUND 2 Provide the following information for the foreign disregarded entity's a counting period stated above. a Name, address, and identifying number of branch office or agent (if any) in the b Name and addrmn Mowing corpecatO d.palmant. appladable) 01person(S) with CufStOclY CA MO bOOkdani .A0OftZ: CI Cho ttypOn LICAggard9CI entity. and the Iccallon a such WOKS United States and recycle. if afferent ANDREW PRICE REGENTS WHARF, ALL SAINTS ST LONDON, FC Ni 9PA UNITED KINGDOM 3 For the tax owner of the foreign disregarded entity (if different from the filer) provide the (okaying: a Name and address b Annual accounting period covered by the return (see instructions) c(1) U.S. identifying number, if any c(2) Reference ID number (see instructio s) P d Country under whose laws organized 4 For the direct owner of the foreign disregarded entity (if different from the tax owner provide the following: a Name and address b Country under whose laws organized e Functional currency JMWT TOPCO LIMITED REGENTS WHARF, ALL SAINTS ST ITED KINGDOM LONDON, FC Ni 9PA UNITED KINGDOM c U.S. identi n number, if any K TFunctional currency ITED KINGDOM,PO 5 Attach an cifprizatronal chart that identifies the note. placement. percentage of ownership. tax asssilication, and county of crganization of all entities in the chain of ownership betwaen the tax owner and the lorggn disregarded entity. and the chain al CumerilhiP between the loreigi disregarded entity and each entity In which the foreir disregarded entity hese 10% or more direct or :Wiwi 'Mortal. See inatiuclicns. SEE STATEMENT 78 For Paperwork Reduction Act Notice, see the separate Instructions. Form 8858 (Rev. 12-2013) 312411 12-10.13 IHA 521 13061007 133415 T-1009 2013.04030 BLACK, LEON T-10094 EFTA01114677  LEON D. & DEBRA BLACK Form 8858 (Rev. 12-2013) Page 2 Schedule C I Income Statement (see instructions) Important Report all information in functional currency in accordance with U.S. GAAP. Also, report each amou —nitn U.S. dollars transla functional currency (using GAAP translation rules or the average exchange rate determined under section 989(b)). If the functional currency is the U.S. dollar. complete only the U.S. Dollars column. See instructions for specialrules for foreign disregarded entities that use DASTM. If you are using the average exchange rate (determined under section 989(b)), check the following box Functional Currency U.S. Dollars 1 Gross receipts or sales (net of returns and allowances) 1 2 Cost of goods sold 2 3 Gross profit (subtract line 2 from line 1) 3 4 Other income 4 5 Total income (add Ines 3 and 4) 5 6 Total deductions 6 7 Other adjustments 7 8 Net income (loss) per books 8 I-Schedule C-1 I Section 987 Gain or Loss Information (a) (b) Note. See the instructions if there are multiple recipients of remittances Amount stated in Amount stated in from the foreign disregarded entity. functional currency of functional currency foreign disregarded entity of recipient 1 Remittances from the foreign disregarded entity 2 Section 987 gain (loss) of recipient 2 Yes No 3 Were all remittances from the foreign disregarded entity treated as made to the direct owner? 4 Did the tax owner change its method of accounting for section 987 gain or loss with respect to remittances from the foreign disregarded entity during the tax year? .. Schedule F I Balance Sheet Important Report all amounts in U.S. dollars computed in functional currency and translated into U.S. dollars in accordance with U.S. GAAP. See instructions loran exception for foreign disregarded entities that use DASTM. ( Assets Beginning of annual End ofannual accounting period accounting period 1 Cash and other current assets 1 kiimut 2 Other assets 2 66,674,757. 68,107,438. 3 Total assets 3 66,674,757. 68,107,438. Liabilities and Car:nefifty % 4 Liabilities 4 22,882,533. 25,426,777. 5 Owner's equity 5 43,792,224. 42,680,661. 6 Total liabilities and owner's equity 6 66,674,757. 68,107,438. Schedule G I Other Information Yes No 1 During the tax year, did the foreign disregarded entity own an interest in any trust? X 2 During the tax year, did the foreign disregarded entity own at least a 10% interest, directly or indirectly, in any foreign partnership? X 3 Answer the following question only if the foreign disregarded entity made its Section to be treated as disregarded from its owner during the tax year: Did the tax owner claim a loss with respect to stock or debt of the foreign disregarded entity as a result of the election? 4 If the interest in the foreign disregarded entity is a separate unit under Reg. 1.1503(d)-1(bX4) or part of a combined separate unit under reg. 1.1503(d)-1(bX4)(ii) does the separate unit or combined separate unit have a dual consoidated loss as defined in Reg. 1.1503(d)-1(b)(5)(10? N/A If "Yes; enter the amount of the dual consolidated loss► $ Answer question 5a. Form 8858 (Rev. 12-2013) 31,412 12-10.13 522 13061007 133415 T-1009 2013.04030 BLACK, LEON T-10094 EFTA01114678  LEON D. & DEBRA BLACK Form 8858 (Rev. 12-2013) Page 3 Schedule G I Other Information (continued) Yes No 5a Was any portion of the dual consolidated loss in question 4 taken into account in computing consolidated taxable income for the year? If "Yes; go to 5b. 'No; skip 5b and 5c b Was this permitted domestic use of the dual consolidated loss under Reg. 1.1503(d)-6? If 'Yes, see instructions and skip 5c. It"No," go to 5c c If this was not a permitted domestic use, was the dual consolidated loss used to compute consolidated taxable income as provided under Reg. 1.503(d)-4? If "Yes; enter the separate unit's contribution to the cumulative consolidated Taxable income (cumulative register) as of the beginning of the lax year Ne. $ See Instructions. 6 During the tax year, did the foreign disregarded entity pay or accrue any foreign tax that was disqualified for credit under section 901(m)? 7 During the tax year, did the foreign disregarded entity pay or accrue foreign taxes to which section 909 applies, or treat foreign taxes that were previously suspended under section 909 as no longer suspended? 8 Answer the following question only if the tag owner of the foreign disregarded entity k a controlled foreign corporation (CFC): Were there any intracompany transactions between the foreign disregarded entity and the CFC or any other branch of the CFC during the tax year, in which the foreign disregarded entity acted as a manufacturing, selling, or purchasing branch? Schedule H Current Earnings and Profits or Taxable Income (see instructions) Important Enter the amounts on lines 7 through 6 in functional currency. I Current year net income or (loss) per foreign books of account 1 2 Total net additions 2 3 Total net subtractions 3 4 Current earnings and profits (or taxable income — see instructions) (Iine 1plus ire 2 us line 3) 4 5 DASTM gain or loss (if applicable) 5 6 Combine lines 4 and 5 6 7 Current earnings and profits (or taxable income) in U.S. doNars eine 6 translated at the average exchange rate determined under section 989(b) and the related regulations (see instructions)) 7 Enter exchange rate used for line 7 ► 40;7 Form 8858 (Rev. 12-2013) 31,413 V-10.13 523 13061007 133415 T-1009 2013.04030 BLACK, LEON T-10094 EFTA01114679  Information Return of U.S. Persons With Respect To Foreign Disregarded Entities Form8858 0a.ey. December 2013) lb. Information about Form 8858 and its separate instructions Is at vAvw.lrs.gov/form885& OMB No. 1545-1910 Department of the Treasury Information furnished for the foreign disregarded entitys annual accounting period (see instructions) Attachment Internal Revenue Service beginning JAN 1 .2013 . and ending DEC 31 .20 13 $80taance No 140 Name of person filing this return Flier's Identifying number LEON D. & DEBRA BLACK x number it mail is not delivered to street address) Filer's tax year beginning JAN , 20 13 , and ending DEC 31 ,2013 Important Fill in all applicable lines and schedules. All information must be in English. All amounts must be stated in U.S. dollars unless otherwise indicated. la Name and address of foreign disregarded entity 6(1) U.S. identifying number, if any MARLYEBONE RETAIL LIMITED REGENTS WHARF, ALL SAINTS ST b(2) Reference ID number (see instructions) LONDON N1 9PA UNITED KINGDOM e Country(ies) under whose laws organized and entity type under local tax law d Date(s) of organization e Effective date as foreign UNITED KINGDOM CORPORATION 10 03 12 disregarded entity 10/03/12 If benefits under a U.S. tax treaty were claimed with respect to income g Country in which principal it Principal business I Functional currency of the foreign disregarded entity, enter the treaty and article number business activity is conducted activity RETAIL BOOKS UNITED UNITED KINGDOM KINGDOM, POUND 2 Provide the following information for the foreign disregarded entity's a counting period stated above. a Name, address, and identifying number of branch office or agent (if any) in the b NAT,. and adotwn Procuring corporato dapxtrnant. It applwab90 01PerS0001with mated/ 44 tne books are records of the tenser, oegegardeci entity. AM MA location 01 such books United States - amirecvos.uoe4gem ANDREW PRICE REGENTS WHARF, ALL SAINTS ST LONDON, N1 9PA UNITED KINGDOM 3 For the tax owner of the foreign disregarded entity (if different from the filer) provide the following: a Name and address b Annual accounting period covered by the return (see instructions) e(l) U.S. identifying number, if any e(2) Reference ID number (see instructio s) d Country under whose laws organized e Functional currency 4 For the direct owner of the foreign disregarded entity (if different from the tax owner provide the following: a Name and address ti Country under whose laws organized PHAIDON PRESS LTD. REGENTS WHARF, ALL SAINTS ST UNITED KINGDOM LONDON, N1 9PA UNITED KINGDOM e U.S. identifying number, if any IJN Functional currency ITED KINGDOM,PO 5 Attach an organizational chart that identities the name. placement percentage of ownership. tax dassilication. wadcountry of organization of all entities in Ihe chain of ownership between the tax ma and the foreign disregarded entity. and the cheil of ernership between the lorelgi disregarded entity end each entity In which the Sorelr disregarded entity Wise 1094 or more direct or ndieci nterest See. instructions. SEE STATEMENT 79 For Paperwork Reduction Act Notice, see the separate instructions. 1- 07118858 (Rev. 12-2013) 512411 12-10.15 IHA 524 13061007 133415 T-1009 2013.04030 BLACK, LEON T-10094 EFTA01114680  LEON D. & DEBRA BLACK Form 8858 (Rev. 12-2013) Page 2 Schedule C I Income Statement (see instructions) Important Report all information in functional currency in accordance with U.S. GAAP. Also, report each amou —nitn U.S. dollars transla functional currency (using GAAP translation rules or the average exchange rate determined under section 989(b)). If the functional currency is the U.S. dollar. complete only the U.S. Dollars column. See instructions for specialrules for foreign disregarded entities that use DASTM. If you are using the average exchange rate (determined under section 989(b)), check the following box w Functional Currency U.S. Dollars 1 Gross receipts or sales (net of returns and allowances) 1 160,322. 2 Cost of goods sold 2 73,344. 3 Gross profit (subtract line 2 from line 1) 3 86,978. 4 Other income 4 5 Total income (add Ines 3 and 4) 5 86,978. 6 Total deductions 6 109,200. 7 Other adjustments 7 8 Net income (loss) per books 8 -22,222. 'Schedule C-1 I Section 987 Gain or Loss Information (a) (b) Note. See the instructions if there are multiple recipients of remittances Amount stated in Amount stated in from the foreign disregarded entity. functional currency of functional currency foreign disregarded entity of recipient 1 Remittances from the foreign disregarded entity 1 2 Section 987 gain (loss) of recipient 2 Yes No 3 Were all remittances from the foreign disregarded entity treated as made to the direct owner? 4 Did the tax owner change its method of accounting for section 987 gain or loss with respect to remittances from the foreign disregarded entity during the tax year? .. Schedule F I Balance Sheet Important Report all amounts in U.S. dollars computed in functional currency and translated into U.S. dollars in accordance with U.S. GAAP. See instructions loran exception for foreign disregarded entities that use DASTM. Beginning of annual End of annual accounting period accounting period 1 Cash and other current assets 1 6,572. 28,824. 2 Other assets e 2 38,038. 32,871. 3 Total assets 3 44,610. 61,695. Liabilities and Ov:n filty %C O 4 Liabilities 4 547,898. 599,168. 5 Owner's equity 5 -503,288. —537,473. 6 Total liabilities and owner's equity 6 44,610. 61,695. Schedule G I Other Information Yes No 1 During the tax year, did the foreign disregarded entity own an interest in any trust? X 2 During the tax year, did the foreign disregarded entity own at least a 10% interest, directly or indirectly, in any foreign partnership? X 3 Answer the following question only if the foreign disregarded entity made its Section to be treated as disregarded from its owner during the tax year: Did the tax owner claim a loss with respect to stock or debt of the foreign disregarded entity as a result of the election? 4 If the interest in the foreign disregarded entity is a separate unit under Reg. 1.1503(d)-1(bX4) or part of a combined separate unit under reg. 1.1503(d)-1(bX4)(ii) does the separate unit or combined separate unit have a dual consoidated loss as defined in Reg. 1.1503(d)-1(b)(5)(10? N/A If "Yes; enter the amount of the dual consolidated loss► $ Answer question 5a.