EFTA01280297.pdf

5 651112 2012 7 Schedule K-0 Amended K-1 0M8 No. 1545-009 (Form 1006) Fa COWS,ye. 2012. Cic Part IH Partner's Share of Current Year Income, Department of the Treasury oestereba Deductions, Credits, and Other Items internal Revenue Service nitro I ordinary business income (oss) 16 Credits Partner's Sham of Income, Deductions, Credits, etc. O. See separate nstructions 2 .44 Meth POO .as IrOteC COlj I 0. 1 -14,807. 16 Foreign transactions 3 Tier net rental Income (loss) Pi tt Information About the Partnership dentlIcadon number 4 Guaranteed payments 9 Partnerships name, addreacIty,Mte. and ZIP code 6 Interest income MIDWAY TRIAD, LLC tie &dug dividends 270 LAFAYETTE STREET, SUIT 409 17Mo-chines nYn tax (ANT) items NEW YORK, NY 10012 6b Cruailled dMdends A 2,554. C IRS Center were partnership filed return E-FILE 7 Royalties 18 Tax-exempt Income and 0 CO:adrift* Is a nubbly traded prthershIP (PIP) 8 let short-term capital gain (Ion) nonclenoctible expenses et long-Inn capital gain (loss) ISIff Information About the Partner E Partners laentrylnp number 9b recbtles (28 Join (Ion) 10 Oistittiotona 7,510. F Partners name. address. cly, stab, and ZIP code Os Urrecaptured SIC 1250 gain 20 Otter tdormation BLUE CHIP CAPITAL LLC 10 Net section 1231 gain (loss) 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 11 Other income floss) 13 lip Omenl partner of LLC LIU United partner Of other LLC member-manager ember H Domestic partner C Foreign partner T1 What 1700 cf entity 4 thts padner? PARTNERSHIP 12 Section 179 deducted 12 If this partner is a retirement plan (IFIATSFP/KaogiVetc.), check here J Partners share of profit, los, and capital: 13 Ogler deductions Beginning Ending W*I STMT Profit 1.1346999% 1.1346999% LOSS 1.4641288% 1.4641288% capg3i 1.4641288% 1.4641288% 14 Self-employment earnings Goss) It Partner's share of liablilttee at year eat rt 0. Harmonise 3,652. Oualifted nomecourse financing 135,488. ilSere attached statement for addhisnal in ormation. Recourse 6 0. t Partners capital account anslysle: Beglimbo capital accouM S 45,696. Capital contributed during the year S g Current year Increase (decrease).. S -14,753. 5104 A Withdrawals 8 dstributlorts Ei 7/ Ending capital accouM $ 23,433. CET Tax basis U GAAP ESI, Section 704(b) book Other (expialn) IA Did the partner contribute property with a buit-A gain or.oss7 Ei yes MN* if Nee attach statement isee instructional ol-os.ra L.MA For Paperwork Reduction 141 Notice, see Instructions for Form 1066. IRSgov/form1026 Sclimilule K-1 (Form 1006) 2012 5 13060311 758241 21146.212 2012.03011 MIDWAY TRIAD, LLC 21146_B1 CONFIDENTIAL SDNY_GM_00033168 EF1'A_00143779 EFTA01280297  MIDWAY TRIAD, LLC 45-2929589 a SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT DUES & FEES 3. PROFESSIONAL FEES 19. TOTAL TO SCHEDULE K-1, BOX 13, CODE W 22. SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES) DESCRIPTION AMOUNT TOTALS RENTAL REAL ESTATE INCOME (LOSS) -14,807. SCHEDULE K-1 INCOME SUBTOTAL -14,807. OTHER DEDUCTIONS -22. SCHEDULE K-1 DEDUCTIONS SUBTOTAL -22. NET INCOME (LOSS) PER SCHEDULE K-1 -14,829. MADISON - PREPAID RENTS - CY -66. MADISON - PREPAID RENTS - PY 132. WILLOW BROOK - PREPAID RENT CY -24. WILLOW BROOK - PREPAID RENT PY 34. OTHER INCREASES OR DECREASES SUBTOTAL 76. TOTAL TO SCHEDULE K-1, ITEM L -14,753. PARTNER NUMBER 5 13060311 758241 21146.212 2012.03011 MIDWAY TRIAD, LLC 21146_B1 CONFIDENTIAL SONY_GM_00033167 EF1'A_00143780 EFTA01280298  5 .c.119C1110 K-1 (Form 1355) 2012 Page 2 Tnis Ilst Identifies the codes used on Schedule K-1 for all partners and provides summarized reporting Information for partners who file Form 1040. For detailed reporting and filing information. see the separate Partners instructions ter Schedule K-1 and the Instructions for your Income tax return. Cam Pao.: ..10 Omlery tans -avr. Coat 01norrnno Melee 0 issOoS J YAM Oppaluntty welt Plena 1Draosa rc oar of ION 'Sr in &Oa K Disaol4KI wan rKKO: L Freasmont zo, • rid memo cornets orroIorrom met t'••• Potroes bolr.elcni Flocat on IA Crook for 'noway name Feat as Soo pie Porn/8 bevy:1r ocl.Vbes Piano loon sari[ west Wire lth matly Sollockso 4 la 24 we 0 . 01 b erVISS F40,10.4ohy Ion el SO sale. o Napolonto .ore 9000.61 lea calve O Ellekopelleer4Vig 2. Not 08110 IS atm loss SO Illoo thsPrtnes In&Jo•Jono P Olercoolli t MSS .wt Woo- 0So* 10 Rat IlMoe0O-0 NM Intorno &NSA, F. fro 24 court (cc Hot Ian See to near@ ;i40rAturta A Nee el gamey or U R 4 Ocrocolo 'no 20 cokem p010•1114,1 Otanand Onsob } FOily 1110 PAO I -geed Iron vor' 'Cal to So • 0/0•0 isorno ten W eve* Fo-r 1040. S,• So • &ow Income rural Sarre St Ovary ON arils A* ea OM to *Apra Far 1044 e, 9b T. gorier SeocaF, .I•I• F00021Eroup Imam soureal St Renee P wY le t sert-lorn =obi got- :**0 Sciesul• 0. Oat, Pool.Morey So. • lomi-deer can't sr tea PAWS O. Ilar 12 E ann. CalpreY Fro 11, t Pet Ocerapeo 2854) On ;ol nas Rea GSii Woria4 Ins 4 F ate fad/ea D menoloal OP LIsr000ptad abet 1931 pan Fa Tai traes lecicebis 300hCbril •ECC•30 eV aPootrod at par Ulo, ate 'al mato 123* oat cao Soo 114 Potreo keouetno o lane ammo rin IVI, Pt I 11. Oflercono(loo0 14 Otte Faun 11,11k Put Cob Delvotono accobio red Kocrolcr nal id ortatilp &M an @WM A etre pato ‘o =mo(ale) SOD IN /4~ • ritawfcve B Imola co-vorea Soo the Panne • wavolons I Nave alfloY C Soo '2e8 <abets *boccie Fam 0781.11m1 Goeld nay } Four 11119 Prig O VION OxPais:a cab moan Soo NO 630 K Ott F Crest tea °lad Foe 12.40. 1r4 21 a Rs 942 F Ott erg 02610 • tNKKetrat• [nersions Obw ofomatrOg L Tofu bee BARR OW Form lilt Pitll Sector 179 c1Kre‘oo Sea ens Peres Iran/mon M lee Into ea venue! Fr 1111 Pair Ler acluctIone irognomo, Iva gala* aeo,t Fan 11141, 12 O :' 0•09 1 Pang o.00 Fan an 1 A Coe Gov:muton (ROW P Ea.t.vws :tate accaon ForntS73 0** collate, 0916) O Oterbirolan ITOODSCTII Eats Panto Inamolles C Vona" con>looScro r5C141 C Noncom cto:, :ort ad 0010 Soo Ow Parl*Ner Morita ore Cabla son omportno a 6014 IT Artometho Mfaran out 1AM0Porro or n&, 0:730 A Pr.44.12011doome11/101 WeiuseAM 1 F Goad godo repay 20%) 8 AoIaolse ale or nos Ea Om Needs O Grvlbutarts(10C•KI C Comae (one, tan logs tresuotono are F' -avian mar more Tan 4412. Sno 1 no roop,..i.ono tor o Cl, sec gooTorral • crow Income Doducboe ea, 1-ocao SdedJ.4 Pro 19 • Or. Le. a noun,vmag - *axe env Pr 0201 .., Salop *00 40,0 4-4 11-el Boo Poittoto lamathro F Gee AMT inns K Caootta • portkin ,2% coal 58110.40 A, lbw 22 L 11•Pace0 • Po.* ‘3 (Mel edad.411. 25 tL tash•PPIIicornesno noncloa xi bio weed IA Aran* pal h' ,roca.1 Svelte Sow0444 las 1 or Form 1040. lano 20 A la-sornpt ,bat lawns Fr 1010, no do *SWVSa. baits 130.010PeatWo O One boxeSTP1 Man Soo To 'nye,' •ootscel000 O Ceinclatoro Loreto Rom 2441. Inv 12 • NaddailbIliocareos Ere to Pees monactorta P P•Oroacet oefou =Ins* Sala PRenoto ehk-tkno 10. C/Walbotkno O Corers 1w Iwabr ,:lonacdoi 34*Fr 2682 to uctr loom rental ma corn or... , be A Canal rnotaboolo ae•-•41a A Prow Ma 11/As asno Pttn'. Vstr.ctono B 0644140os sajoo:Io mete 73) } S.a to !Imes/ a Ireeltb ,.• • IlobetstIo., wen dieJo0or Soo eo Parlret• letycolono O Colnorpoopely T DerIeetc prOC.000. actIletop 5the. From, aal 4, 47sotao 20. 00wleternsta Intanafol A Mears mare Form 4852. Ire 4. U Roo wo:ItAnce or.are more Fr 0903 Ivo 7, B Immanent seines Form 41252 Ines ✓ 0-pbyes Foe Vb2 eel Form 0903, Ire '7 o Fo0 prooM1rbrObal Foe 4135 S,. 114. P•ertmes Tol/LCOOTO O Ot.0 Vitilesetrietpeltne• Paw to , reel AS elits116 Sr Me Peer. inn:CO:al E Oath Of Inn/ 0.0pry Bev. Potato Inatnttcoo 14 901.4roiloymal atnIngo pool F !Yeepa-no ev.Ircomonowirg Plots era Nov • actor 179 Csa Ior pry pOr leas SSAa • so, *rat (cocboa 42an Foe 5611. Ole a 0', Prfers ma..cbons oda conor400 weal%€ • Pecootse sow -Tecate Va/112 A Not onIngo ):.f Rte Scree. o Et. Noce" A oe eIret (Ma) Fameel1.IMS ar.erpoym H Fleenbao *Pant/rat 5,91 Soo Foe 42E6 O Cmoo Iry co Ilsd*Q ran Sr to Pr oe• Ira:vox-a I FIetoftro olOIEW ben Soo Cre Pelee. IrsoncRoa O rol-Irm 'non Sr The Pie's Irstrucbcrs J Leak-bile. Iltrea • crying iong.tonr cram Ea Fr RSV 15. Clals K loolt-bock Waal • knots Wee! rated Soo Fan BM A LaeIncorro noising woe pa20:19 L Deletions of 'ropey Mm snow. cane euhlIngs mike '79 <waxer:ea • Low-Ircomo euvino tacit ioRm9 14 Kocoptve &sector '010.0.iclon Iron pro2C0111A/rIoIrsco 11 Moira: tirant60 C .04, 1r.00mo Masa tacit 1..21o. o Sacco 403f)% WIrrr ghee 422A1 ten bal.2C07 0.1.dtros P Soctkr 46.1A10 rrVomeloo O L70.61Ourna Nowec malt Ow! See Ts Ps•Trge• cortrWecns o OKolvt 'MO) Non.= Pr pool 2277 W 1.31r90 • MIMIC el 0004 ID oraceze Soo se PrOw's E (MAW Inlib Irian Open:atm./ apnea* ▪ otrtelca 0T41.2 ••:00 • COF reValtled **damn 1 F 0:1110 WIZ WI anted ends Opedon Ithrooca • cl rod sr O Me ell a•Stp U Arwilleor "Anita", aide ▪ LelebIbt, .d oaktol gm -• oalJt Fr 1040. Ire 7'. led bop. V .:,•ffeatacl Wawa mar. won. 6 Axed aro (elute c SOW low Saab Porlaeolnie..car• W .Imoorwlo.Iet goInte4.0 aerie X Sego,. 01)0I femur ✓ 071a1nloreKol 211202 01.03-I3 5 13060311 758241 21146.212 2012.03011 MIDWAY TRIAD, LLC 21146_81 CONFIDENTIAL SDNY_GM_00033168 EFTA_0014378 I EFTA01280299  SCHEDULE STATE OF NEW JERSEY 1019 NJK-1 (Form NJ-1065) PARTNER'S SHARE OF INCOME 2012 2012 end train; For Calendar Year 2012, or Fiscal Year Beginning PART I General Information r Pietwe's 99 t etFPS EN Patinerip's F000rs RN 20-3161309 45-2929589/000 Puma/.Nor ParawsNces Nino BLUE CHIP CAPITAL LLC MIDWAY TRIAD, LLC aMeriArkInse PortnIpre Sine Ars 27 HIGH TECH BOULEVARD 270 LAFAYETTE STREET, SUIT 409 as, sem asses 14City *a Te Coq THOMASVILLE, NC 27360 EW YORK, NY 10012 Mg type of *say is partner? NP Eder Partners percentage of (see Instructions) Code (I) Before Owens (I) End of Year or Termination Date Partnar's interest in Partnership began: 08/05/2011 Profit Sharing 1.1346999% 1.1346999% Monti Off Var loss Shamir 1.4641288% 1.4641288% C Final NJIC-1 I= Hedge Fund Capital Oanershlp 1.4641288% 1.4641288% Cl Amended htlif.t 1 "lifter Of ComPoSIe PALM PART II Income Information NJ.1040 Films B. Net Jersey Income Classifications A. Total MatrIbullon Etter Amounts on NJ.1013NR Fliers Source amounts Line Shown Below 1. ParWershio income Ora) —14,669. _____ I 2. Nel Guaranteed Payrnenb 3 Partners 4010s) Contribution 4. Oistnbutive Share of Partnership r ___,.... Income (loss) us. 20, Page 2 I t Fr a 22. Papa 1 (ate I pus Line 2 minus Una 3) —14,669. I S. Pansbn Lite 19, Page 2 ,, 6. NO Gain (loss) from Oispostion I 1 of Assets as a Result of a Une 18. Page 2 Line Ia. Page I l o Liquidation L. PART III Partner's Information Lew 19a. Page 1 CBT-100 Line 10a, Pap 1 CBT-100S Lbw 8, PART-100 1. Nonresident Partners Share of NJ Tax 1 line 46, NJ-1C40118 lire 22. NJ-1080C _ tine 3m NJ-1041 2. Partner's KZ Deduction la ll4.474el4?.- 3. Partners Sheltered Workshop Tax Credit . PART IV SuPplomental Information (Attach Schedule) THIS FORM MAY DE REPRODUCED aaaan 1241-it 13060311 758241 21146.212 2012.03011 MIDWAY TRIAD, LLC 21146_81 CONFIDENTIAL SDNY_GM_00033169 EFTA_00143782 EFTA01280300  45-2.929589 MIDWAY TRIAD, LLC NJ NJK-1 GIT-DEP PRO-RATA SHARE AMOUNT TOTAL DESCRIPTION FEDERAL DEPRECIATION 0. NJ SECTION 179 DEDUCTION ALLOWABLE 0. NJ DEPRECIATION ALLOWABLE 0. 0. SUBTOTAL 0. NJ ADJUSTMENT TO FEDERAL 179 RECAPTURE INCOME NJ ADJUSTMENT TO FEDERAL GAIN (LOSS) ON DISPOSITION OF ASSET(S) 0. 0. SUBTOTAL 160. NEW JERSEY DEPRECIATION ADJUSTMENT PARTNER NUMBER 5 2012.03011 MIDWAY TRIAD, LLC 21146 B1 13060311 758241 21146.212 CONFIDENTIAL SDNY_GM_00033170 EFTA_00143783 EFTA01280301  2012 New York State Department of Taxation ar.d Finance New York Partner's Schedule K-1 IT-204-IP 5 Tax Law • Article 22 (Personal Income Tax) Final K-1 01-01-20 12 and ending 12-31-20 12 Amended K-1 For calendar year 2012 or tax year beginning Partners Instructions for Form IT-204-IP (available at iwne.tex.ny.go v). Partners: Before competing your floor* tax return. see Form Partnership's InforTnetien (see insatickm) Partnere/10's EIN Partnership's name (as shown on Form IT204) 45-2929589 MIDWAY TRIAD, LLC A Mark an ,K In the box if ether applies to your entity ED Publcly traded pi:entire-lip i Portfolio Investment partnership B Tax shelter ratintratrdn number, if any c Business ollmatior percentage . Partner's information (see AriefrVetion9) Partners tdentrhing number Partner's name 20-3161309 BLUE CHIP CAPITAL LLC Partner's address 27 HIGH TECH BOULEVARD DP code City State THOMASVILLE NC 27360 D The partrer Is a war. in X in renoiontria as4 0 General partner or LLC membermanager riu Limitedpartner or other LLC member an X In int onnnopaaaa OWL w - .) C Individual p EstateArest ila Pennant*, E What is the tax tlIrng status of the partner? raw F If the partner is a disregarded entity or grilmtor twat, F enter the tax ID of the entity or individual repotting the Income. If known a Yee — No I] G Did the partner sell its enure interest during the tax year? Beginning Ending H Pertnet's shored profit. 1011, and OWNS H1 1 . 134 7 % 1.1347 % 1) Prolh % 142 1.4641 % 1.4641 2) Lees % H3 1.4641 % 3/ Capital 1 Partner's share of bailie* at the end of the year 3,652. It 1) tionrecourse 12 13 5,488. 2) OuaThed nonrecouree Manning 13 3) Recourse J Partners capital account analysis JI 45,696. 1) Beginning capitaitcount J2 2) Capital contributed during the year -cash J3 3) Capital contributed during tee year • Pronely J4 —14,753. 4) Cuntmt year increase (decrease) ,15 7,510. 6) Withdrawals end attributions • cash Jo 6) Withdrawals and chatrIbutions • property J7 23,433. 7) Ending caPhal account . .. . .. 8) Method of accounting (ne& an XS, the appropriate COX) Cr Tax beets 0 GMP E ,l Book L__J Otter (submit excianadcn) K Resident status (ma* in X in a' boxes that apply) I NYS ruttiest resident Li Yonkers full-year resident El NYC full/war resident L'71 NYS puttee, resident 0 Yorkers pert-year resident C WC pert-year resident [Xi NYS nonresident 0 Yonkers nonresident If Imown L L It the partner wee included In a group return, enter the special NYS Identification number, 118 00112 1019 2Sa2S1 CONFIDENTIAL SDNY_GM_00033171 EFTA_00143784 EFTA01280302 Page 2 of 4 IT :204-IP (2012) M 1) Was Form IT•28584 Med vnth the partnership? M1 msEi No Li 2) Wee Form MTA-406E fled with the pertnemhip? M2 "a El No 0 N NYS estimated tax paid on behalf c4 partner (from Form 17.2668) Dale Amount 1) First installment N1 2) Second Installment N2 3) Third instansen1 143 4) Fcurit. Installment N4 Total NYS estimated tax paid on behalf of partner (addIdes NI through I44) N 0 Estimated MCTMT Pall on beta d miner (fromForm 147;4405) Date Amount 1) First Installment 01 2) Second installment 02 3) Third Installment 03 4) Fourth installment 04 Total erelmated MCTMT paid on behalf of partner (add Ones 01 through 04) 0 Partner's share of Income, deductions, etc. B • Federal MI amount C - Now York State amount A - Partnels distnbctive share items 1 Ordinary business Income (loss) 1 2 Net rental real estate Income (lose) 2 -14,807. 2 3 Other net rental income (loss) 3 3 4 Guaranteed payments 4 4 5 Interest income 5 8 8 Ordinary dividends 6 6 7 Royalties 7 7 0 Net short-term capital gain (ices) 8 8 9 Net longterm capital pain aces) 9 9 10 Net section 1231 gab 03so) 10 10 11 Other Income Goss) kaivir* 11 11 12 Section 179 deduction . . ......................... 12 12 13 Other decbctions identify: SEE STATEMENT 13 22. 13 14 Tax OfelefenCe Items for minlmam tax 14 2, 554 . 14 Identify: 15 Net eamnge (oss) from selfernployment . . 18 15 16 Tax-exempt Income and nondeductbie expenses 18 18 17 Cistnbutions • cash and markelatie *Kuria., . . 17 7, 510 . 17 I8 Di:urban:Ons • other property 18 18 19 Other items not Included above that are required to be reported separately to partners 19 19 identify: Partner's share of New York modifications (see instructions) 20 New York State addilixis Number A - Total amount B - New York State allocated amount 20a EA- 16 425. 425. 20b EA- 20c EA- 20d EA- 20e EA- 20f EA- 21 Total Pilaw modifications (total of column A Ones 20a through 209 . . 21 425. BIIIII 1112112111 IIIII 2aaba2 190 CONFIDENTIAL SDNY_GM_00033172 EFTA_00143785 EFTA01280303  IT-204-IP 00: c. Pao* 3 of 4 Partner's share of New York modifications (ton tE,et) 22 New Yam State sub:rad:cr.u Number A- Total amount B • New York State allocated amount 21 265. 265. 22a ES- 22b ES- 22c ES 22d ES- 22o ES- 22f ES- 23 265. 23 Total subtracthoP mollfIcationa (total of coJuron A, fines 22a through 221) 24 Addition to tederol Itemized deductions Letter Amount 24a 24b 24o 24d 24e 248 25 25 Total additions to federeJ rtemled deductions (add Naas 24a through 241) 26 Subtractions from Mears) :tented deductions Letter Amount 26e 266 26c 26d 26. 268 27 Total subtractions bent federal itemized deductions (mid lines 26a tnrough 260 26 213 New York noluot mania to lax pretererce items Partner's other information 208 29a Partner's share of New York source gross Income 29b Wei 29b MCTD allocation percentage (see Instructions) Partner's credit Information Part 1 - Flow-through credit bases and factors Brownfield redevelopment tax credit (Porn IT-671 or1T-611.1) A - Form IT-611 B - Form IT-611.1 30 30 30 Site preparation credit component 31 31 31 Tangible property credit component 32 32 32 Onelte grour.dwater remediation credit component 2tISSI 141111112111il i 1, 912 CONFIDENTIAL SDNY_GM_00033173 EFTA_00143786 EFTA01280304  Page • of 4 IT-204-IP (2012) Partner's credit information (continued) EZ capital tax credit (Form IT-602) 33 ContnbutIons of money to EZoommunIty development projects 33 34 Recapture of credt for Investments In certified EZliceineeses 34 36 Recapture of credt for contnixidoca of money to EZ community development projects. 35 OEZE tax reduction credit (Form (7.604) 36 CUE employment Increase factor 36 37 OEZE zone allocation factor 37 38 OEZE benefit period factor 38 Excelsior jobs program tax credit (Form IT-607) 39 Excelsior jobs tax credit component 39 40 Excelsior investment tax credit component .. .. .. . . 40 41 Excelsior research and development tax credit component 41 42 Excelsior real property tax credt component 42 Farmers' school tax credit (Form 17--217) 43 Acres of qualified agricultural property 43 44 Acres of qualified conwystion property 44 45 Eligible school district property taxes paid 45 46 Acres of quaffed apiculture' property converted to nanquairfled use 46 Other flow-through credit bases and factors Credit bases Code Amount Code Amount 47a 47d 47b 47e 47c 47f Credit lectors Code Factor Code Factor Code Factor 47g 471 41k 47h 47j 471 Part 2 - Flow-through credits, addbacks and recaptures 48 Long-term care Insurance credit (Fern IT-249) 48 49 Investment credit (Including employment incentive crock aid historic ban rehabeitation credit; Form IT-212)49 60 Research and development • investment credit (Form IT-212) 50 61 Other flovnthrough credits Code