EFTA00593209.pdf

2011 TAX RETURN Client Copy Client: DS12-002 Prepared for: ANDROCYTE LLC. AVENTURA, FL 33180 Prepared by: Steven M. Samuels Steven M. Samuels CPA, PA PARKLAND. FL 33067-4420 Date: August 30, 2012 Comments: Route to: FDIL2001L 05103111 EFTA00593209  prepared for: AVENTURA, FL 33180 PARKLAND, FL 33067-4420 EFTA00593210 Steven M. Samuels CPA, PA Client DS12-002 August 30, 2012 PARKLAND, FL 33067.4420 ANDROCYTE, LLC. IIIIMI AVENTURA, R_ " FEDERAL FORMS Form 1065 2011 U.S. Return of Partnership Income Schedule B-1 Information on Partners Owning 50% or More Schedule K-1 Partner's Share of Income, Deductions, Credits Form 7004 Automatic Extension of Time to File Form 8879-PE IRS e-file Signature Authorization FEE SUMMARY Preparation Fee EFTA00593211 2011 Federal Income Tax Summary Page 1 ANDROCYTE, LLC. 45-1804323 TRADE OR BUSINESS INCOME Total income (loss) 0 TRADE OR BUSINESS DEDUCTIONS Taxes and licenses 173 Other deductions 201,296 Total deductions 201,469 SCHEDULE K - INCOME Ordinary business income (loss) -201,469 Interest income 47 SCHEDULE K - OTHER Nondeductible expenses 2,447 Investment income 47 SCHEDULE L - BALANCE SHEET Beginning Assets 0 Beginning Liabilities and Capital 0 Ending Assets 80,002 Ending Liabilities and Capital 80,002 EFTA00593212 2011 Federal Balance Sheet Summary Page 1 ANDROCYTE, LLC. 45-1804323 ENDING ASSETS Cash 47,122 Intangible assets 32,660 Less accumulated amortization (0) 32,880 Total Assets 80,002 ENDING LIABILITIES & CAPITAL Loans from partners 23,871 Partners' capital accounts 56,131 Total Liabilities and Capital 80,002 EFTA00593213 2011 Florida Income Tax Summary Page 1 ANDROCYTE, LLC. 45-1804323 ADDITIONS TO FEDERAL INCOME Total additions 0 SUBTRACTIONS FROM FEDERAL INCOME Total subtractions 0 Sub-total 0 Partnership income adjustment 0 EFTA00593214 2011 General Information Page 1 ANDROCYTE, LLC. 45-1804323 Forms needed for this return Federal: 1065, Sch B-1, Sch K-1, 7004 Carryovers to 2012 None EFTA00593215 Form 8879-PE IRS e-file Signature Authorization for Form 1065 CS.10 N2. 1545.2042 For calendar year 2011, or tax year beginning . 2011. 2011 ending Department of die Treasury Internal Rerenue Service II, See instructions. Do not send to the IRS. Keep for your records. Name of partnership Employer identification number ANDROCYTE, LLC. 45-1804323 Part I Return Information (Whole dollars only) 1 Gross receipts or sales less returns and allowances form 1065, line 1e) 1 2 Gross profit form 1065, line 3). 2 3 Ordinary business income (loss) (Form 1065, line 22) 3 -201,469. 4 Net rental real estate income (loss) form 1065. Schedule K. line 2) 4 5 Other net rental income (loss) (Form 1065. Schedule K. line 3c) 5 Part II Declaration and Signature Authorization of General Partner or Limited Liability Company Member Manager (Be sure to get a copy of the partnership's return) Under penalties of perjury. I declare that I am a general partner or limited liability company member manager of the above partnership and that I have examined a copy of the partnership's 2011 electronic return of partnership income and accompanying schedules and statements and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts shown on the copy of the partnership's electronic return of partnership income. I consent to allow my electronic return originator (ERO), transmitter, or intermediate service provider to send the partnership's return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission and (b) the reason for any delay in processing the return. I have selected a personal identification number (PIN) as my signature for the partnership's electronic return of partnership income. General Partner or Limited Liability Company Member Manager's PIN: check one box only I authorize Steven M. Samuels CPA, PA to enter my PIN 4 91 2 7 as my signature on the ERO firm name do not enter all aeries partnership's 2011 electronically filed return of partnership income. As a general partner or limited liability company member manager of the partnership, I will enter my PIN as my signature on the partnership's 2011 electronically filed return of partnership income. General partner or limited liability company member manager's signature Title • Date I. Certification and Authentication ERO's EFINIPIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 602 4 31 2 2 2 2 2 do not enter all zeros I certify that the above numeric entry is my PIN. which is my signature on the 2011 electronically filed return of partnership income for the partnership indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub 3112. IRS e-file Application and Participation, and Pub 4163, Modernized e-File (MeF) Information for Authorized IRS e-tile Providers for Business Returns. ERO's signature • Steven M. Samuels Date ERO Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So BAA For Paperwork Reduction Act Notice, see instructions. Form 8879•PE (2011) PTPA0S0IL I '22:I EFTA00593216 Form 7004 Application for Automatic Extension of Time To File Certain OMB No. ISIS MO (Rev November 2011) Business Income Tax, Information, and Other Returns File a separate application for each return. Department or tie Treasury Internal Revenue Service • See separate instructions. Norm klentilying nuntber Print ANDROCYTE, LLC 45-1804323 Number. street, and room or suite number. (If P.O. box. see instructions.) or Type City. town. slate, and ZIP code (If a (wenn address. enter city. province or slate. and country (follow the country's bee for entering postal code)). AVENTURA, FL 33180 Note. File lathiest for extension by the due date of the return for which the extension is granted. see instructions before completing this Wit Part I Automatic 5-Month Extension la Enter the form code for the return that this application is for (see below) 09 Application Form Application Form Is For: Code Is For: Code Form 1065 09 Form 1041 (estate other than a bankruptcy estate) 04 Form 8804 a 31 Form 1041 (trust) 05 Part II I Automatic 6-Month Extension b Enter the form code for the return that this application is for (see below) Application Form Application Form Is For: Code Is For: Code Form 706-GS(D) 01 Form 1120•ND (section 4951 taxes) 20 Form 706.GS(T) 02 Form 1120•PC 21 Form 1041 (bankruptcy estate only) 03 Form 1120•POL 22 Form 1041•N 06 Form 1120•REIT 23 Form 1041 -OFT 07 Form 1120•RIC 24 Form 1042 08 Form 1120S 25 Form 10656 10 Form 1120.SF 26 Form 1066 11 Form 3520•A 27 Form 1120 12 Form 8612 28 Form 1120•C 34 Form 8613 29 Form 1120.F 15 Form 8725 30 Form 1120•FSC = 16 Form 8831 32 Form 1120-I-I 17 Form 8876 33 Form 1120•L 18 Form 8924 35 Form 1120.ND 19 Form 8928 36 2 If the organization is a foreign corporation that does not have an office or place of business in the United States. check here •• — 3 If the organization is a corporation and is the common parent of a group that intends to file a consolidated return, check here _ If checked, attach a schedule, listing the name, address, and Employer Identification Humber (EIN) for each member covered by this application. Part III All Filers Must Complete This Part 4 If the organization is a corporation or partnership that qualifies under Regulations section 1.6081.5, check here. 5a The application is for calendar year 20 11, or tax year beginning , 20 , and ending , 20 b Short tax year. If this tax year is less than 12 months, check the reason: Initial return U Final return 9 Change in accounting period 9 Consolidated return to be filed 6 Tentative total tax 6 0. 7 Total payments and credits (see instructions) 7 0. 8 Balance due. Subtract line 7 from line 6 (see instructions) 8 0. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Fo m 7004 (Rev 11.2011) CPC20701L C0))0'11 EFTA00593217  U.S. Return of Partnership Income OAS No. 1545.0099 For. 1065 For calendar year 2011, or tax year beginning , 2011, Department or tie Treasury Internal Revenue Service ending , 20 • See se ate Instructions. 2011 A Principal business actmly D Employer identification number RESEARCH ANDROCYTE LLC. 45-1804323 B Principal product or service Print E Date business started or type. BIOMARKERS 5/01/2011 C Business code nuttier F Total assets (see in 541700 80,002. G Check applicable boxes: (1) X Initial return (2) ElFinal return (3) Dame change (4) Address change (5) ❑ Amended return (6) Technical termination — also check (1) or (2) H Check accounting method: (1) X Cash (2) Accrual (3) Daher (specify)," I Number of Schedules K-1. Attach one or each person who was a partner at any time during the tax year 2 J Check if Schedules C and M-3 are attached at a ova vary crame ta auataaaa tiara ea atm emir rasa tar rostra ra u's ra mow. aura co a saw s...unto muraratwoo. I a Merchant card and third-party payments (including amounts reported on Form(s) 1099-K). For 2011, enter -0- 1a O. b Gross receipts or sales not reported on line la (see instructions) 1b e Total Add lines la and lb 1c d Returns and allowances plus any other adjustments to line la (see inst) 1d e Subtract line Id from line lc le 2 Cost of goods sold (attach Form 1125-A) 2 1 3 Gross profit. Subtract line 2 from line le 3 N C 4 Ordinary income (loss) from other partnerships, estates, and trusts 0 (attach statement) 4 M E 5 Net farm profit (loss) (attach Schedule F (Form 1040)) 5 6 Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) 6 7 Other income (loss) (attach statement) 7 8 Total Income (loss). Combine lines 3 through 7 8 9 Salaries and wages (other than to partners) (less employment credits) 9 s 10 Guaranteed payments to partners 10 E E 11 Repairs and maintenance 11 I 12 Bad debts 12 D Ns 13 Rent 13 E D Ry 14 Taxes and licenses 14 173. U s 15 Interest 15 C F T O 16a Depreciation (if required, attach Form 4562) 16al I R b Less depreciation reported on Form 1125•A and elsewhere on return 16b 16c N Li 17 Depletion (Do not deduct oil and gas depletion.) 17 S m 18 Retirement plans, etc 18 T A 19 Employee benefit programs 19 T 20 Other deductions o (attach statement) See_Statement.1 20 201,296. s 21 Total deductions. Add the amounts shown in the far ri ht column for lines 9 throw h 20 21 201, 469. 22 Ordinary business Income (loss). Subtract line 21 from line 8 22 -201, 469. Under penalties of pethay. I declare Dal I have examined this return. including accompanying!theories and statements. and to the est of nay knowledge and heber. it b true. correct. and complete. Declaration of preparer (other than gereral partner or breedliability company member manager) is based on all information of which preparer has any ImovAedge. Sign May the RS discuss this relish, Here with the preparer shown below li l. Signature of general partner or lotted liability company member manager III' Date (see instrs) N FIN. Yes Print/Type preparers ninth Preparers signature Date Check 12CJ if KIN Paid Steven M. Samuels Steven M. Samuels selfierrployed P00091086 Preparer nreSMarrle P. Steven M. Samuels CPA, PA FimesEIN • 65-1060270 Use Only Forf,,1=,-,..- PARKLAND, FL 33067-4420 Phone no. BAA For Paperwork Reduction Act Notice, see separate instructions. PTPAOIDSL 1D27/1I Form 1065 (2011) EFTA00593218 Form 1065 11 ANDROCYTE, LLC . 45-1804323 Page 2 Other Information 1 What type of entity is filing this return? Check the applicable box: Yes No a — Domestic general partnership b — Domestic limited partnership c X Domestic limited liability company d — Domestic limited liability partnership e Foreign partnership f Other ei.. 2 At any time during the tax year, was any partner 'n the partnership a disregarded entity, a partnership (including an entity treated as a partnership), a trust, an S corporation, an estate (other than an estate of a deceased partner), or a nominee or similar person'? X 3 At the end of the tax year: a Did any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, or tax•exempt organization, or any foreign government own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership? For rules of-constructive ownership, see instructions. If 'Yes,' attach Schedule B.1, Information on Partners Owning 50% or More of the Partnership X b Did any individual or estate own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of the partnership? For rules of constructive ownership, see instructions. If 'Yes,' attach Schedule B.1, Information on Partners Owning 50% or More of the Partnership X 4 At the end of the tax year, did the partnership: a Own directly 20% or more, or own, directly or indirectbc, 50% or more. of the total voting power of all classes of stock entitled to vote of any foreign or domestic corporation? For rules of constructive ownership, see instructions. If 'Yes,. complete (i) MI through (iv) below X (i) Name of Corporation (10 Employer (110 Country of (Iv) Percentage Identification Incorporation Owned in Number (if any) Voting Stock b Own directly an interest of 20% or more, or own, directly or ind'rectly, an interest of 50% or more in the profit, loss or capital ■ in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions. If 'Yes, complete (i) through (v) below X (I) Name of Entity 00 Employer (II) Type of (v) Country of (v) Maximum Identification Entity Organization Percentage Number (if any) Owned in Profit, Loss, or Capital P7PAD112L 1D727/II Form 1065 (2011) EFTA00593219 Form 1065 (2011) ANDROCYTE LLC. 45-1804323 Page 3 Ii i3 No 5 Did the partnership file Form 8893, Election of Partnership Level Tax Treatment, or an election statement under section 6231(a)(1)(B)00 for partnership-level tax treatment, that is in effect for this tax year? See Form 8893 for more details X 6 Does this partnership satisfy all four of the following conditions? a The partnerships total receipts for the tax year were less than $250,000. b The partnership's total assets at the end of the tax year were less than $1 million. c Schedules K-1 are filed with the return and furnished to the partners on or before the due date (including extensions) for the partnership return. d The partnership is not filing and is not required to file Schedule M-3 X If 'Yes,' the partnership is not required to complete Schedules L, M-1, and M-2; Item F on page I of Form 1065; or Item L on Schedule K-1. 7 Is this partnership a publicly traded partnership as defined in section 469(k)(2)' X 8 During the tax year, did the partnership have any debt that was cancelled, was forgiven, or had the terms modified so as to reduce the principal amount of the debt' X 9 Has this partnership filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide information on any reportable transaction' X 10 At any time during calendar year 2011, did the partnership have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? See the instructions for exceptions and filing requirements for Form ID F 90.22.1, Report of Foreign Bank and Financial Accounts. If 'Yes,' enter the name of the foreign country... X 11 At any time during the tax year, did the partnership receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If 'Yes,' the partnership may have to file Form 3520, Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts. See instructions X 12a Is the partnership making, or had it previously made (and not revoked), a section 754 election? X See instructions for details regarding section 754 election. b Did the partnership make for this tax year an optional basis adjustment under section 743(3) or 734(b)? If 'Yes,' attach a statement showing the computation and allocation of the basis adjustment. See instructions. X c Is the partnership required to adjust the basis of partnership assets under section 743(b) or 73403) because of a substantial ■ built-in loss (as defined under section 743(d)) or substantial basis reduction (as defined under section 734(d))? If 'Yes,' attach a statement showing the computation and allocation of the basis adjustment. See instructions X 13 Check this box if, during the current or prior tax year, the partnership distributed any property received in a like-kind exchange or contributed such property to another entity (other than disregarded entities wholly-owned by the ❑ partnership throughout the tax year) 14 At any time during the tax year, did the partnership distribute to any partner a tenancy-in-common or other undivided interest in a partnership property' X 15 If the partnership is required to file Form 8858, Information Return of U.S. Persons With Respect To Foreign Disregarded Entities, enter the number of Forms 8858 attached. See instructions ii- 16 Does the partnership have any foreign partners? If 'Yes,' enter the number of Forms 8805, Foreign Partners Information Statement of Section 1446 Withholding Tax, filed for this partnership. „. X —.I 17 Enter the number of Forms 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships, attached to this return . 18a Did you make any payments in 2011 that would require you to file Form(s) 1099? See instructions X b If 'Yes,' did you or will you file all required Form(s) 1099? X 19 Enter the number of Form(s) 5471, Information Return of U.S. Persons With Respect To Certain Foreign Corporations, attached to this return IS. Designation of Tax Matters Partner (see the instructions) Enter below the general partner designated as the tax matters partner (TMP) for the tax year of this return: Name of Identifying designated IMP ANDROCYTE MANAGEMENT, LLC number of TIIP 45-2038037 if the TI/P is an entity. name of Phone number 17.1P representative JAMES CLEMENT of TMP Address of designated TMP AVENTURA, FL 33180 Form 1065 (2011) PTPADII2L 1D/27f11 EFTA00593220 Form 1065 (2O11) ANDROCYTE, LLC. 45-1804323 Page 4 Schedule K Partners' Distributive Share Items Total amount 1 Ordinary business income (loss) (page 1, line 22) 1 -201,469. 2 Net rental real estate income (loss) (attach Form 8825) 2 3a Other gross rental income (loss) 3a b Expenses from other rental activities (attach stint) 3bl e Other net rental income (loss). Subtract line 3b from line 3a 3c 4 Guaranteed payments 4 5 Interest income 5 47. Income 6 Dividends: a Ordinary dividends 6a (Loss) b Qualified dividends I 6b I ii 7 Royalties 7 8 Net short-term capital gain (loss) (attach Schedule D (Form 1O65)) 8 9a Net long-term capital gain (loss) (attach Schedule D (Form 1O65)) 9a b Collectibles (28%) gain (loss) e Unrecaptured section 1250 gain (attach statement) I Sc I 10 Net section 1231 gain (loss) (attach Form 4797) 10 11 Other income (loss) (see instructions) Type l• 11 12 Section 179 deduction (attach Form 4562) 12 Dedue- 13a Contributions 13a tions b Investment interest expense. 13b e Section 59(eX2) expenditures: (1) Type 1.- (4 Amount 1" 13e (2) d Other deductions (see instructions) Type I. 13d Self- 14a Net earnings (loss) from self-employment 14a EmPlot b Gross farming or fishing income 14b ment e Gross nonfarm income 14e 15a Low-income housing credit (section 42()(5)) 15a b Low-income housing credit (other) 15b e Qualified rehabilitation expenditures (rental real estate) (attach Form 3468) 15e Credits d Other rental real estate credits (see instructions) Type • 15d e Other rental credits (see instructions) Type • 15e f Other credits (see instructions) Type • 15f 16a Name of country or U.S. possession.. b• . r b Gross income from all sources 16b e Gross income sourced at partner level 16e Foreign gross income sourced at partnership level d Passive category • e General category • f Other 0' 16f Foreign - - Trans- Deductions allocated and apportioned at partner level a actions g Interest expense .. h Other 0' 16h Deductions allocated and apportioned at partnership level to foreign source income M I Passive category • j General category 8. _ _ _ _ _ _ kOther 0' 16k I Total foreign taxes (check one): IN- Paid ❑ Accrued Er 161 mReduction in taxes available for credit (attach statement) 16m n Other foreign tax information (attach statement) AM IME 17a Post-1986 depreciation adjustment 17a Alternative b Adjusted gain or loss 17b Minimum e Depletion (other than oil and gas) 17e Tax ( d Oil, gas, and geothermal properties — gross income 17d RAC) ems e Oil, gas, and geothermal properties — deductions 17e f Other AIAT items (attach stmt) 17f 18a Tax-exempt interest income 18a b Other tax-exempt income 18b Other Infor- e Nondeductible expenses 18e 2,447. matron 19a Distributions of cash and marketable securities 19a b Distributions of other property 19b 2Oa Investment income 2Oa 47. b Investment expenses 2Ob e Other items and amounts (attach stmt) BAA Form 1065 (2011) PTPA01341 OST/6/11 EFTA00593221 Form 1065 (2011) ANDROCYTE, LLC . 45-1804323 Page 5 Analysis of Net Income Loss 1 Net income (loss). Combine Schedule K, lines 1 through II. From the resu t, subtract the sum of Schedule K, lines 12 through 13d, and 161 1 -201,422. 2 Analysis by (0 Corporate (II) Individual 010 Individual (Iv) Partnership (v) Exempt (vi) Nominee/Other partner type (active) (passive) organization a General pariners... . b ltrntled —201,422. path,,,. . . Schedule L Balance Sheets per Books Beginning of tax year End of ax year Assets (a) (b) (e) (d) 1 Cash. 47,122. 2a Trade notes and accounts receivable b Less allowance for bad debts 3 Inventories 4 U.S. government obligations 5 Tax•exempt securities 6 Other current assets (attach stmt) 7a Loans to partners (or persons related to partner* b Mortgage and real estate loans 8 Other investments (attach stmt) 9a Buildings and other depreciable assets b Less accumulated depreciation 10a Depletable assets b Less accumulated depletion 11 Land (net of any amortization) 12a Intangible assets (amortizable only) 32,880. b Less accumulated amortization 32,880. 13 Other assets (attach stmt) llf IP 14 Total assets 80,002. Liabilities and Capital 15 Accounts payable 16 Mortgages, notes, bonds payable in less than I year.. . 17 Other current liabilities (attach stmt) 18 All nonrecourse loans 19a Loans from partners (or persons related to partners) 23,871. b Mortgages, notes, bonds payable in I year or more 20 Other liabilities (attach stmt) 21 Partners' capital accounts 56,131. 22 Total liabilities and capital 80,002. Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return Note. Schedule M-3 may be required instead of Schedule M-1 (see instructions). 1 Net income (loss) per books -203,869. 6 Income recorded on books this year not 2 Income included on Schedule K, lines 1, included on Schedule K, lines 1 through 2, 3c, 5, 6a, 7, 8, 9a, ICI, and 11, not 11 (iitemize): recorded on books this year (itemize): a Tax-exempt interest . . $ 7 Deductions included on Schedule K, lines 1 through 3 Guaranteed pmts (other than health insurance) 13d, and 161, not charged against book income this 4 Expenses recorded on books this_year not included year (itemize): on Schedule K, lines I throu0 lad and 161 (itemize): a Depreciation a Depreciation b Travel and entertainment 2 447. 8 Add lines 6 and 7 2,447. 9 Income (loss) (Analysis of Net Income (Loss), line 1). 5 Add lines 1 through 4 -201,422. Subtract line 8 from line 5. -201,422. Schedule M-2 Analysis of Partners' Capital Accounts 1 Balance at beginning of year