EFTA01280150.pdf

N Final K-1 0 Amended K-i CND •.o. 1545-CC99 Schedule ft-1 (Form 1065) 2012 For (Swat yew 2(112, a Ilu ak.r 139 Partner's Share of Current Year Income, Deductions, Credits, and Other Items DIconvert of IN Tremary ON 0WIW0 , 20I3 1 : Ordinary business income (loss) 16 Credits Worn, Fiww Sena OM tv2 —72 2 INK rectal red estate lame0ns) Partner's Share of Income, Deductions, Credits, etc. • see separate instructions. 3 Other net rental tricorns (loss) 16 Foreign transactions - t" Information About the Partnership WMP 4 i Guaranteed payments A Partnership's employer identification number 26-3172589 5 Interest Income B Partnership% name, address, city, state, and ZIP code Level Management, LLC Gal Ordinary hi/stands 19401 Old Jetton Road Cornelius, NC 28031 60 Qualified &viten& C IRS Center vinery partnership filed return 7 Royalties Cincinnati, OH D EiCheck if this is a publicly traded partnership (PT') 8 . sheritawt head gel (loss) iNkftli,11 ,, Information About the Partner 9s, Net long-term capital gain (loss) 17 Alemelivemnimun to(NAT) lens E Partner's identifying number 9b Co'cobbles (28%) gain (loss) 20-3161309 F Partner's name, address, city, state, and ZIP code 9c Untecapturod section 1250 gain Blue Chip Capital, LLC 27 High Tech Blvd. 10 Net section 1231 gain (loss) 18 Tax-exemot income and Thomasville, NC 27360 nondeductible expenses 11 Other income (loss) G .0 General partner Of LLC 1. Limited partner or other CU rnemberimanager iell LLC member H 3 Domestic partner Foreign oartner II It Vat Isle M entry is his patted (see nsli)En t attiko - bi t, 12 .1 this panrer is a retirement plar (IRA/SEP/Keogh/etc), ,---, 19 Distributions check here (see instructions) U 12 Section 179 deduction J Partner's share of profit. loss, and capital (see instructions): Beginning Ending 13 Other deductions Profit 25 00000 % 1 20 Other information 25 00000 % Loss 25 00000 % 25.00000 % Capital 25. 00000 % 25.00000 4 X Partner's share of liabilities at year end: Noreecouto $— ------ 41 Self•employment earnings (loss) Gushier; nonrecowse finanhng... $ Recourse $ - -72 ' - - L Partner's capital account analysis: Begriming capitai account $ 947 'See attached statement for addit onal information. Capital contributed during the year . $ i Current year increase (decrease).. . . .. $ -72. R 0 Withdrawals and distributions $ r Ending capital account $ 875 : N Tax basis Other (explain) OGAAP OSection 704(b) book M Oid the partner contribute property with a built-in gain or loss? u E o li ves EN0 r It 'Ws. Mr USWTam (w nentau) BAA For Paperwork Reduction Act Notice, see Instructions for Form 1065. Schedule K-1 (Form 106$) 2012 PTPA0312 01/02(13 CONFIDENTIAL SDNY_GM_00032832 EFTA 00143445 EFTA01280150  Schedule WI (Form 1065)2012 Blue Chip Capita:, LLC 26-3172589 Page 2 This list Identifies the codes used on Scher:Sale for all partners and provides summarized reporting information for ambers who file Form 1040. Fr denied reoorticg and filing intimation, see the separate Partners Instructions for Schedule Kl and the instructions for your Income tax return. 1 Ordinary huskiest bonne "W. Dele—n. *ether Ina 'we" 1055) 5 ~be Cr ~ewe are etr or your rater as Styes Code Report on Report an J Wert coPertinfiy creole Patine loss Sea te rese.r.WOrn K Danai ?WM crab Pawn run Plebes ne Noneassms meon. Schedel: E. lino 74. oak-.r Scrod le E. lea a firkin' (1') Scfictkeee E. ' no a Ch3rh I) L Empowerment Øe ide weed cerreasny erriderseltbode M fade let notteing 'ebb& whiten L See re randers restarbent 2 Net natal reel eØ Income gets) See re »ratters Irateficonl N Credit SY sØ We. lea eng 3 Ober net rental beano cooed "ban boos It team 0 ~UP ell~e5 Scerdle E. :ire 25. coin-. (g) P tie: ins °poi croon See be »44ttere lebrrnes 16 'mil« transactions 4 Guarenteed paymenle Seeable E. :Ire 28. colorer (I) A Name ci party a V.S. aoSS°931an 5 Interest bled% Ferry INC. abets B GIG« born ironn a I sources 6a Ordinary dividends F 'on 1116,,arl I Fan '040. Ina 9a C Ores tame two% a: canner tere, 6 b gurgled "bends ECM ICAC. c,a ge Foreign gross income sourced et partners/lip level 7 Royalties SchneJe E. sea D Panra :Wiry 8 Net theerlenet cbatall gain goes) Schackile D. It» 5 E csirirat ernriry 9 a N« len¢Mrm cop" gain goes) F . corm »an I Stock D. ale 12 F 9 b ColleedWn (2811) tarn(bee) 28% Robe Gtr ~Wet TIM Deductions allocated and appereoned arpertner level 4 (Seed" D front*" C thwerefieurerd auction 1250 gain See de Panpipe!. Interwar* G htesesl °keen* form 1116, Par! . 10 11•I salon 1231 gain doss) Sea the Partners ~AC" H Clef ram 1116. Pan i 11 Oh«Income Bus« Deductions allocated and apportioned at partnership level to Code foreign source diCOM0 A Ober teddobr Income :tas) I »abbe oaten See re Paring's ireb.ettel J General ainapin B reTurfiWy contemns See tie Prbeis 'eankclers r— Far 1116. Patti K otter C Section '256 ortbot and treacles ram6fu.lne' D 14 -du era 01K or ccell retarkee Otlar information Sae PID 535 E Conerleite «dent L "Val kvecr SoteS cad Prot/II II IS, Pel II roan 1043. ne 21 or Farr 992 M 'ob 'cretn tares "bee Fro 1115, Fan II F caw incur., ;big) See re Payers III/VPKIC/%5 N RNattam h/ *Sae ere b# le ceedl 12 snarl in &auction Fore /116. ene 12 500 g,. POstneff .runetnee 0 geeejn YacinG eons receipt; Farm 8873 13 Other deduction& P EØ91/1”/III eacii."Ke Fate 8873 A Cabs cong>bbons (5") Q on, brew YLIMIPILNIIII See be Parrett :nsiketicel B Cat> balrbtions (3010 17 Attemelve nenImLen let (AIM hems C N.-ix/Jab ea bid:lions (5") A »ost '966 ~dada-) aoydrbet D Nolan a»keutons (Kb) ..— See re Isabres IrerraceceS B masted oat. cr ase E Cagnal era n Proneeb le a 5C% C 'Scathe- (o'er rare al 4, uns) , See de Parboil obsoe zaten (30%) »ebb:Lions ard F Cape& Bat peepety CB% D c.. ga. A atnettenral gibs be untktbcort lot G coarabutces 00094 E Cer, fibs. 4 Øreral deabetbat Form Cal H levearen: eneanset °bens* For, 4952, line I F 07e. AMY Sews 18 Taxeonompl Interne and nonefeaucebb expenses I Deducbool — royally flare ScreedJes 5, ate 19 .1 Sieber 5nbe)(2) excenekres A Tax -99390: ftert. 9939.1 Form 1043, Ihe See the bonnets Instr-ct cat B One lax-exempt intone K Deduanrs - pvtlt he (21) der) Sdeedis A. lire 23 See trePIIIrrel nsYLabm C Notbeerate ereenses See de Partners bgb~S osip,n," — comb (alle() Savea A. Ide PS 19 met:neutrons M tbrobnb pod icr -,.tiul ~mile A Ina 1 or A each and 9999tabio eery". ~wee Fern IØ. Lie 29 N r dixoteral rentinoe tee It 0 Deperient care :en,* P Preprouidno Devon ?lawmen See the Porters "excites Fan 2441. Lee '.2 See che Price" ',bobble B tdorrobeo bbee:1 lo umiton 737 C Other pfeeerly 20 Ober intormatIon A irnarerrent tØ k See 1' 8 'jabs" rnseblines Fern 49Q lib 4e Q Cannetrai tofitalkeb: SNUG on bon, rents real ~In activeres See Fan "12 :bauble% B ~end °brims Ben 4952. the 5 R NeserS erC IRAs See Ile Parberb nstsubd-os C ba "di Yoruba Ben 4136 19erfleellen ewense Sire fie Probere O Ckfirbed refiaboutem (ochre T Obretac red-chcr eNvb nforrxen See 8933 l-tni9 fibre ~1 bid estate) See be Partners nartetotra Fenn U (,lubin% prosublan actnntles loco" PCT. 8303. 7^9 lb E Babb of or wpm*, Ste be Partners terneeters V E-mløe'ehsnWlrages renn 8903. IM 17 F ‘lactptor• 1,699 et". %aid) onset becton 42(1)(5)) Fern 5611. Ire a W Oder derdfirbers Sots the varma': !retnall^n G R9011:11,* of ibolroemelb~C red I(onda) Fon 66'1. be 14 Sellemployment «rings Qom) H Beene.* cl inestehre Crete See rans 4255 Nob, :firm rare a 'abbe /79 ~nee any ~~...sel et«lute's. ste Ste I Rico fits* it ode ebb b See No Panne?, Iblftercet r'anne M.n.ttan NAY* (^Ming Sorbet* SE lael,4»elt J enerleent c=c)d— Fi Øreled A rui WrBX/3 C919 .Ten 999999eynert Ube& • 5E. Stk...xn A or !I See :am 8697 B Sross foritire of fitning Name See re Parbeit Inststkres K yr itirx tires, ircorr. C Gen NIX9fitir MINN, See re Penner s ibbedszes «ail WM ok Sae norm 8866 15 Credit* L D ~an of :wiry aktn 179 dre-caele A Lon-intone »see ono, urban 420)(5)) RecarLee ed secten 179 ~roe hob ere-2Wt B Low-frame +.1.15in2 att (ota) 'an N .nerst ear". roc Wont, Prim, ere .2£09 bullets O Saber 4531)(3) ederrate, C Lem earns noun% 9691 batten 42(0(5)) P sector awa(e) gleenatinn ace, tos1.23C7 D Loefiareare robing cosedt MVO °an See Me Pieter e Q Serer 730(b) .moteialion Ø1J37 'adopt Inmates R lane, Mobs" fie reeve« erected:set See the Partre e Inaba". E *Baled heheb91I9D0.14lapertit991 (reetel 0:77 nonebilled veladranh selniob) F Oder eerie reed ester.° redb I Deepalsw Werrialficte — oa and On G Crher reeler 9999 U Atonvolicr of tleetlefen ceele H Vat/at/hired capital gars at" ram 1C40, be 71, check box a V :knew« bubseu rasa" ncorre 4~ and catec brake, hers credit See ntt 'Mn.'."Inc ons W Peecentobbtre Cal (na) X Serb," 103(,) beyrrayon Y Ober °donation ~eV 01872.fi, 3 SØØ e Kl(Form 1065) 2012 CONFIDENTIAL SONY_Gfut 00032833 EFTA_00I43446 EFTA01280151  NC K-1 (50) 2012 Partner's Share of (D-403) N.C. Income, Adjustments, and Credits 10.11.12 North Carolina Department of Revenue For calendar yea 2012 or fiscal year beginning and end n7 Partner's Identifying Number Federal Employer ID Number 203161309 263172589 Partner's 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 oadrership income (loss) —72 2 Additions to income (loss) a Addition for bonus depreciation Page 2, lire 35 b Oft &Mots to tome (oss) SEE SUPP INFO 51 Page Z Line 36 3 Deductions from Marne (oss) a Deduction for bonus depreciation 0 Page 2, Line 44e b Oiler deluders from iocone 0050 Page 2, Lire 49 4 Share of tax credits 0 Form D-400TC 5 Share of tax wittheid from nonwage compensation paid for cyclonal services performed in N.C. 0 Page 2, Line 23 Nonresidents Only 6 Nonresident's share of N.C. taxable income (loss) 0 Page 2, Line 51 7 Nonresident's share of net tax paid by the manager of the partnership 0 Page 2, line 24c SEE SUPPLEMENTAL INFORMA—ION nccaeder 01/10/I3 CONFIDENTIAL SDNY_GM_00032834 EFTA 00143447 EFTA01280152 Level Management. LLC 26-3172589 =ORM Dd403, SCI-EDWE NC K•1(BLLE CHIP CAPITAL LLC) SUPPLEMENTAL INFORMATION LINE 2 - OTHER ADDITIONS TO FEDERAL INCOME: STATE TAXES DEDUCTED ON CS RETURN 51 TOTAL 51 CONFIDENTIAL SONY_GM_00032835 EFTA_00143448 EFTA01280153