EFTA01280219.pdf

651112 Schedule K-1 (Form 1055) Department of the Treasury '.dagencutrynt20/2, atm 2012 , Final K•4 I I Amended K-1 it Partner's Share of Current Year Income, 0MB No.1545-0099 year bolinr Internal Revenue Service Deductions, Credits, and Other items oxiMg 1 Ordinary business income (loss) 16 Credits Partner's Share of Income, Deductions, Credits, etc. 0. Is See separate instructi ons. 24wwwmflomailow —13,669. 16 Foreign transactions Information About the Partnership 3 Otter net rental income (loss) A P • erldentratien number B Partnership's name, address, city, state, and ZIP code 4 Guaranteed payments -± 6 Interest income MIDWAY ASHLEY CROSSING, LLC 270 LAFAYETTE STREET SUITE 409 Ba Ordinary dividends NEW YORK, NY 10012 17 Atonally* min tax (AMT) Items C IRS Center where partnership fled Mum 58 Ouskted dividends 2,024. E-FILE —6. 7 loyalties a L7 Check If this is a publicly traded partnership (PIP) 18 Tax-exempt Income and 8 tit short-term capital gain (loss) "L nondeductible expenses 2. NW Information About the Partner 9a Net longterm capital gain (less) Liter 91) Collectibles (28%) gain (loss) 19 Olshtutione F Partners name, address, city, state, and ZIP code 3,290. 9c Uinmeaptured sec 1250 gain BLUE CHIP CAPITAL LLC 20 Other inforMation 10 Net section 1231 gain (loss) 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 —68. 11 Other income (loss) G t_J General partner or LLC IL limited partner or other LLC member-manager member N 0onestic partner 11 What type of entkly is this pa rhter? PARTNERSHIP C] Foreign partner _r 12 Section 179 deduction 12 If this partner is a retirement plan (IRNSEPAreogiVe tc.), dieck here J Partners share of mit, loss. and caPMII 13 Other deductions Be0inning BMW I9* STMT Prat 1.3548951%1 1.3548951% Lon 1.7482520%! 1.7482520% aC ts' 1.7482520%) 1.7482520% 14 Self-employment earnings (loss) K Partners share of kabllitieS at year end: A 0. Nomecourse 2,609. Qualified nonrecourse financing 92,108. 'Sea triads te farad on 1informa on Recourse 0. L Partner's capital acCoollt allaVsb : Beginning repeal account $ 47,413. Capital contributed during the year Current year increase (decrease) 11 8 $ —13,943. Wadrawars & distribudons k 3,2904 Ending capital account $ 30,180. r Tax basis GMP El Sedan 704(b)90k Li Other (ersolaln) M Did the partner contribote property with a built-In gain or loss? L— Yes Moo It 'Yes'. attach statemer.t (sea Instructions) Co; Ca-IS LHA For Paperwork Reduction Act Notice, see Instructions for Form 1086. IFISGovirorm1085 Weenie (Form 1000) 2012 08320312 758241 21146.213 6 CON FILDIENT A tOSSING, LW 21146 Al SDNY_GM_00033079 EFTA_00143692 EFTA01280219  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 -6. TOTAL TO SCHEDULE K-1, BOX 17, CODE B -6. 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 -2. PARTNER NUMBER 6 08320312 758241 21146.213 CROSSING, LLC 21146_Al CONEllbrNtrA SDNY_GM_00033080 EFTA_00143693 EFTA01280220  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,..ANciblE1/411gYfROSSING, LLC 21146 Al SDNY_GM_00033081 EFTA_00143694 EFTA01280221  SONIC& K-1 (Flinn 1065) 2012 This list Identities the codes used on Schedule K-1 for all partners and provides • Page 2 Form 1040. For detailed repotting and thing Information, see summarized reporting Information lor partners who file the separate Pannen Instructions for Schedule K-1 and the Instructions for your Income tax return. Cede Pegen O-diroy o7sness roond era Cohen de Mee!~ le iroodle (weal is • Wo.d 0000'd. «ink'« rosate* end &ter or yn,r ree. :Co fd Ode. Cidde • K Dhoblerc exam creel, • Erocrordird 70f Dee neeirdd Paco:. on edewurry etrolnynen1coca Pooh** too M Cott Cot Irons eg mooch Ske the Peter's cor.itorns Sen ne dtetlef • eadIC1010 ~Ho IrEeno Sededule E. Ire 25 cc ern (go Whiter None/too cis SEC.*DO E. Ire 28 coin! Di N Croak et• ~owe wool eteXiety Noemove -tome Utedule E. ne 78, °Oro (2 old 1t*Derre teas 2. Detract/0o rerrO;ncorge (oes) • te Pitied* Vend:tee O Bea" wig OWN • 03. OP nob hone toe) P C!re Credits Net Income BOO. • E, Md2a, O Jrm (og It %Midi bireadbas \ et Ode Se* Of direlsoli A Mr* Of medley ee 4. GoredOrd Pf/T4'11, ScheduleE. Ina 2$ OCiarne: PaCeaealM C. Intro: Moro Fo-rn 1040, I rno ea B Goa Meer» bye SI some } Font 1110, Pet 1 es. CoIntry °Nerds Font 151.0, ilns as C Grose Horne ward et perloy eb. Doted OV.Orde Form 1340, One Do • hcolto Sena • E, Ono/ 8 \et shc,!.!rrr, Cdeldf Cde Cc.* &hole • El, Mee Foredo wee dotelfe sourced at patient p erred ate, ge I (ON SetedUes 0, to 12 U eetrOh' Ob. Coiectles OW gel Neel 28% nee CM Waterer, ere 4 L ~got Poo 1116, Per. c• ledule13 Ins:meda) F Othre Pe. UnnewLmc seabed 260 ge See to Panner's keno-lore W. NE octlen 1231 gage WO Deduclens alkeLtled and ecparJeew re panne' mw See to onetetrallordoes CY ',doe: open» 11. Cas &mum glos) Frio 1114 Poll on Olio Porn 1118, Poll Code A Cdher m114 / 60 bonePOO See he Patmee • tetrads. Dec actors Woad ere moot!~ et ponentle 1.0 IOW Owes B Irmelotary OfMelees Sea to Penns?, '.edr.stiCele Intone C Sc 12s3 codecte roc es Fcm1678' line' I Pooh. category ID Marko ~radon mete retaohre See PA> 535 J Ornot °Megan } For 1110. Peril E Cenceánter c' MC: corn '040. no 21 or f.crri 932 < Orde ✓ Ors! wore does) See Pe Penroe dsbLotoo Catter.aberaeor 12. Snnol 179 corwwen See the Partners hetwankes L boy ham pao For 11, 6, news Other deCu011One M Tote knew Sae decrad Few tilt Pole N Medea-We In twee Bedded Oar Credit Ertl" 18. do 12 A Corn cow' ocdos ro3%) O Foreign OwOrg roe ~Ws B Coe contitatices pou) Fenn $573 P ]IOabrtaa'ir,dpry,9exeusbn c \onme cormarsprei roose O Chrenkmean trimmillor • Fornsen 13 honors OCeMbutCns (30%) sae tlp Part-ote I nstamtiene See be Ins:voters E Caiole ddr property te e 5.)94 meeedeCedOOW 17. Altar salvo rehintern tax (Ain) ;Here F Card on oniony 20%; A Pos1-19138orodalket Oustncrot G Caw ed:bneel33/1) 9 Adjudge gale or OM ✓ See he Prods 14 nos:rent a- one expense corn 4952 Oro 1 C 3wWlon father !tan et dos) oboeens end I De:Lorene - Mealy $03,To get ode. E, We 19 D Ca." Egooderea on home kn Inetwelkne J Seceol 430.3/ alordfL Seethe Ponno's Instrootlem get I ~ors dedoctans Ern.MI I1d K Drethoenno porrelki (214 'cot) sclOwe A ire 23 • OtherAM• hems L Deduontne - Carona lotto) Soled de 11. '1e28 Arroan pdd la Tomcat-rot incone end nondealaL woes Todd& Moro Schoch A. . -nr of For '040. Ina 29 N Edocatand ~lame bernite A lexoerpt HOW none reoirC43. lino Cc Bee he Pettier a of:oleos B Cenze tetaracenot none O Dependent ore borers Form 2441, ere la Wee he Palnote nstrooder. P PrenrodooLve doled express C Needed needle expense See It,. Pathos .re'rJet one See he Partner's Insoteatlens O Commettla rote taken dedocebn ie. DletrOutOre kern MnronY real rate rota lies So Fenn b62 dOlvdene A Use and maltetable seetrlace ▪ Noon* ere Roe See tie Partners leatAmtbre • Ystr coder alleged !cr oo:kei 737 S fieteettel en axone oedwrinr See ns Pretrets -00votene ) See be Panned* hele.clone C OtWoropody T Dernbalc proc.otan ecEdues See cone 8903 Irdhogene 20 Other Infeenerne Wormelem J Ora fled redo:on ;whaled hai-ane A Inwetnent :roan, rani 4982. .'0 de Fern SSW, lln7b ✓ Employes Fern W-7 ogee Dam 5903. One '7 B leveentided Otedetre03 Coen 4902. Hr.* 5 W Cnter dedurelo-s Son C Fun tax cred". ~Or Fenn 4135 PartnwIr totwoSone • Ohellied onetrietaloi etendEen`a Haw Der orb rel otehg See the Pat's a .nsletacree 14 Salt oWkorgen1earn I xis goon E Ran Melon own %co If you hem a eactoi 179 deducdon or ary pryer kod F ~Ode ale* wane -outing See the vat. Inf'oweerte deducaens. see Me ~ono rehactlme begot cemOrt ng When* SF. ~WOO« 44150 Ferri $611. got G Drool" orlavolreow toeing A Net eertip, Coo) Yon Schedule SE Sevtr Ace Credit end, Fen sty stV-rep B Gross lenig er merry Stone H Hoopoe or .nennnert COS'. Se* Porn 4266 See the coon's kedructlors I Ree4pla Of oriel derte C Goo ron-!senIrate See the %tames hoodlum ach be carine+3 bereaves .1 lociotack 'tweed complain IS Codes long- oil ounneets See Fear 9697 < -oak- deck Wane! -lane Wooer A LoOeineade betting «edit netted So Eon" gated 1 Henke 420150 Fran pre 3008 L Ulapohon of piton. one bull~ riodlon 1/9 Ow :Begone B 1 ow-Incen•nolnindoc11:(oto) 81 Groapl,o ~SI Fig oeckecten *OM on-not &deign. \' 1r Went «pree for coots:* mews C Low-lreame hoo1na erode:mien 421159 groin post-200'7 :7401r9* O Socion 453(.Y0; ilernman 1r Settler 46.3.4k) Worrogar O Lor "care Jansen eneget Fond See heNOW* ~not ons O Seeger 12003» Wong«, non port-21;07 be Ti Intro' Mottle la weelacten E On led -boo testico ooreireres See Panen4tt ~arrow Field red sited Ireuctkrne S CCF ronqualirOvelherewes F °tor nine reel eratererodO T 2.•Hotonlneweet.or • ne IOC ote O Oein-^eedlOte.ta U Arne-Anton of recerestclee cots H +A betted ~del Ons odd For 1343, nne ' kernel end cielh ca0 &OM ruas creed to ✓ Unfolded business Home node Soft POMP.Innualors W Porno-Irma Or Or ,keel rc:t X Seakn'C8711rberMO Y Odor One on 711222 01-C3-13 08320312 758241 21146.213 ce5Kirrn 6 Y Tr/XI:ROSSINC , LLC 21146_A1 SDNY_GM_00033082 EFTA_00143695 EFTA01280222  6 SCHEDULE STATE OF NEW JERSEY ' 1019 NJK-1 (Form NJ-1065) PARTNER'S SHARE OF INCOME 2012 For Calendar Year 2012, or Fiscal Year Beginning _ 2012 and ending PART I General Information Parhoss SS. r Email EA Pmfremhirs Nelerai EIN 20-3161309 45-3131018/000 Panacea Kam Pahrokes Nemo BLUE CHIP CAPITAL LLC MIDWAY ASHLEY CROSSING, LLC MAEMime Pammist.p's Some/awn 27 HIGH TECH BOULEVARD 70 LAFAYETTE STREET SUITE 409 cl, as. ZP Gem City Stet za, C0Je THOMASVILLE, NC 27360 EW YORK, NY 10012 What type of entity is partner i NP Enter Partner's percentage of: (See instructions) Code (I) Before Decrease (I) End of Year or Temanation Data Partners interest in Partners,* began: 0 8 / 1 7 /2011 Profit Sharing 1.3548951 % 1.3548951 % Mmh Ory Wm Loss Sharing 1.7482520 % 1.7482520 % in Final KIK-I Hedge Fund Capital Ownership 1.7482520 % 1.7482520 % Amend d NJK-1 Member of C m os 4 Return PART II Income Information I 41.140411Pig income Miele:anon A. Total Ditirlavtloo EnlorAmounto on 8. New Jersey Source Amounts NJ-1040NR Filen Line Shown Below -1 1„Partnership Income gossi d.a en2 .iI 2. Net Guaranteed Payments 3. Partners 401 ) Contribution 4. Distributive Share of Partnership Income (loss) Line 20. Page 2 i.,:le 22 P2ge 1 Une 1 plus Una 2 minus Una 3j —13,732. 1 5. Pension Line 19, Page 2 6. Net Gain (loss) from Disposition of Assets as a Result ot a Line 1B,Page 2 Line is. Page 1 Complete Liouldelon PART III Partner's Information Line 10a, Page 1CST-100 tine 10a, Page 1 COT-700S Line 8, PART-100 I. Nonresident Partner's Share of NJ Tax 1. Ilse 46, NJ-1040NR Lhe 22 i.I-1080C Line 31a, W-104I 2. Partners HEZ Deduction q, vas' 3. Partners Sheltered IP/OrathOo Tax Creak 2ant.1 THIS FORM MAY BE REPRODUCED 12.Ch i 08320312 758241 21146.213 coNnuarvistALRossiNG, LLC 21146_A1 SDNY_GM_00013083 EFTA_00143696 EFTA01280223  MIDWAY ASHLEY CROSSING, LLC 45-3131018 NJ NJK-1 GIT-DEP PRO-RATA SHARE DESCRIPTION AMOUNT TOTAL FEDERAL DEPRECIATION 0. NJ SECTION 179 DEDUCTION ALLOWABLE 0. NJ DEPRECIATION ALLOWABLE 0. SUBTOTAL 0. NJ ADJUSTMENT TO FEDERAL 179 RECAPTURE INCOME 0. NJ ADJUSTMENT TO FEDERAL GAIN (LOSS) ON DISPOSITION OF ASSET(S) 0. SUBTOTAL 0. NEW JERSEY DEPRECIATION ADJUSTMENT 23. PARTNER NUMBER 6 08320312 758241 21146.213 (::(!pqr21101E!1‘1-15f)5LROSSING, LLC 21146 Al SDNY_GM 00033084 EFTA_00I 43697 EFTA01280224  New Ycrk State Department of Taxation and Finance 2012 New York Partner's Schedule K-1 Tax Law - Article 22 (Personal Income Tax) IT-204-1P 6 Final K-1 For calendar year 2012 or tax year beginning 0 1 0 1 -2012 and encins 12-31-2012 Amended K-1 Partners: Before completing your Income tax return, see Form IT•2344P4, Partnera Instructions for Form IT-204•IP (avalabk at www.tetuw.gov). Partnership's Information (see instalcUons) Partnership's name (as shovm on Fcrm IT•204) Partnership's EN MIDWAY ASHLEY CROSSING, LLC 45-3131018 A Mark an X in the box if either applies to your entity IT: PublIGy traded partnership L3 Portfolio Investment partnership B Tax shelter registration number, If any C Business allocation percentage Partner's information (see hi/ructions) Partners name Partner's identifying number BLUE CHIP CAPITAL LLC Partner's address 20-3161309 27 HIGH TECH BOULEVARD City State ZIP code THOMASVILLE NC 27360 D The partner Is a hieli a, ark. s 000prn btu) 1: 1_ General partner or LLC mernbermanager X Limited partner or other LLC member E What le the tax filing status of tne partner? ern el X ht,. &layoff Ma box 'felon.) El Individual J Estats4rust al Partnership F If the partner is a disregarded entity or grantor trust, enter the tax 10 of the entity or individual reporting the income, If known 0 Did the partner sel its entire Interest during the tax year? O Yes 0 No X H Partner's share of profit, loss, and Capital Beginning Encino 1) Profit Hi 1.3549 % 1.3549 % 2) Lose 142 1.7483 % 1.7483 V. 3) Capital H3 1.7483 % 1.7483 % i Partners share of liabeties at the end of the year 1) Nonrecourse It 2,609. 2) Qualified nonrecourse financing 12 92,108. 3) Recourse 13 J Partner's capital account analysis 1) Beginning capital account J1 47,413. 2) Capital contributed during the year • cash 42 3) Capital contributed during the year - property J3 4) Current year increase (decrease) 44 -13,943. 5) Withdrawais and cfistributIors - cash a 3,290. 6) Withdrawals and distnbutions • property ,p; 7) Elding capital account J7 30,180. 8) Method of accounting (mcvk an X in the appropliste box) IX Tax basis L__I GASP 0 Book 0 Other (submitexp/anatIon) K Resident status (mar* an X in as boxes that appl0 li NYS full-year resident U Yonkers ful•year resident fl NYC full-year resident O NYS pallear resident DC I—J Yonkers pan-yew resident 0 NYC part•year resident NYS nonresident L7 Yonkers nonresident L If the partner was included In a group return, enter the special NYS identlication number, If known • 118001121019 IIIIIIIIII10111111 HI111IIIIII111 CONFIDENTIAL SDNY_GM_00033085 EFTA_00143698 EFTA01280225  Page 2 of 4 IT-204-IP (2312) M 1) Was Form I-1.266SE filed with the partnersh:p? 2) Was Form MTA.405-E Wed vAth the partnership? M1 Yee E1 **El N NYS estimated tax paid on behalf of partner (fromFormIT-2658) M2 Yee 0 No C Date Amount 1) Fest Instalment 2) Second Installment 142 3) Third installment NI 4) Fourth Installment N4 Total NYS estimated tax paid on behalf of partner (addInes NI through N4) 0 Estimated MCTMT paid on behalf of partner (from F0IMMTA-405) Date Amount 1) First Installment 01 2) Second installment 02 3) Third installment 03 4) Fourth installment 04 Total estimated MOTMT paid an behalf of mew; (addinn O1Utrough O4) 0 Partner's share of income, deductions, etc. A - Partner's dishibutive share Items B - Federal Kel amount C - New York State amount 1 Ordinary business Income Goes) 1 1 2 Net rental real estate Income Oces) 2 —13,669. 2 3 Other net rental income (loss) 3 3 4 Guaranteed payments 4 4 5 Interest income 5 5 8 Ordinary dMdends 6 8 7 Royalties 7 7 8 Net ehort-term capital gan (loss) 8 8 9 Net long-tern capital pain (toss) 9 9 10 Net section 1231 gain Qom) 10 —68. 10 11 Other income Oces)Identify: 11 11 12 Section 179 deduction 12 12 13 Other deductions identify. SEE STATEMENT 13 19 . 13 14 Tax preference items for minimum tax 14 2,018. 14 kktntifr 15 Net earnings (loss) from self-employment 15 15 16 Tax-exempt Income and nondeductible expenses 16 2. 16 17 Distributions • cash and marketable securities 17 3,290. 17 18 Distributions • other property 18 18 19 Other items not Included above that are required to be reported separately to partners . 19 19 Identity: Partner's share of New York modifications (sse instructions) 20 New York State addtt ions Number A - Total amount 8 - New York State allocated amount 20a EA- 16 133. 133. 2% EA- 20c EA- 20d EA- 20e EA- 201 EA- 21 Total addition modfIcationa (total of colUmn A, lines 20a through 20f) 21 133. 118002121019 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 288602 11,19-'2 CONFIDENTIAL SDNY_GM_00033086 EFTA_(()143699 EFTA01280226  11-204-IP (2012) Pago 3 of 4 Partner's share of Now York modifications (continued) 22 New York State subtractions Number A - Total amount - New York State allocated amount 22a ES- 21 110. 110. 22b ES- 22c ES- 22d ES- 22e ES- 22f ES- 23 Total subtraction modifications (total of COkintn A, lava 22a through 220 23 110. 24 Additions to fedeal itemized deductions toner Amount 24a 24b 24c 24d 24e 24f 25 Total additions to federal itemized deductions (add Cries 24a through 240 26 28 Subtractions from federal itemized deductions Letter Amount 26a 26b 26c 26d 26e 281 27 Total subtractions from federal itemized deductions (add Ones 26a through 26!) 27 28 New York adjustments to tax preference Item 28 Partner's other information 29a Partner's share of New York source gross income . 29e 29b MGM allocation percentage (see