EFTA01280097.pdf

65'1112 Schedule X-1 (Form 1066) Department of the Treasury Far(.(w, o.ry,w20'?. 0''... 2012 I -1 Amended Part III Partner's Share of Current OMB No 1$4-0099 Internal Revenue sendce yon, beginnIN Year Income, Deductions Credits, and Other Items Partner's Share of income, Deductions, 1 Ordinary business ininoMe (ION) 11 010019 Credits, etc. k See 0. I separate instrullens. 2 'et motelit aver boor*Nap r 9 —13 669 . Prat I , 16 Foreign transactions Information About the Partnership 3 Other net rental Moon), (inse) A Partners:do's employer Nonni,Sinn number 4 Guaranteed payments 9 Partnership's name, adores& city. state, and ZIP code 6 literetit Income MIDWAY ASHLEY CROSSIN G, LLC N Ordinary dividends 17 Aterna6ve nen Mx (AMT Kura ft Quadded WY/lends ) C IRS Center where partnership fired return 0 F -FILE Check it thh is a paMcry (faded partners,* (PTP) 7 Rony 2,024. 18 Tax-exempt income and —6. 8 Net shod-term capital gain (loss) nondeductible expenses * Information About the Partner 2. Net Inag-term carkl gain (lose) E Partners kis number 90 loileCtibles (28%) gain (leoss) 19 Distalbutione F Parteer's name. address. city. state. and ZIP code 3 290. BLUE CHIP CAPITAL LLC i .kirecaptured sec 1250 gain 10 Net section 1231 gaki (loss) 20 Other Information -68. O General partner or I.LC tr Carthcomo (loss) Limited partner or other Lig member-manager mentor °mastic partner El Foreign partner II What type es entty le bids partner/ PAR TNERSHIP 12 If MIS partner is a retirement Mart 12 Section 179 deduction OFWBEPNeoghletc.), check here .1 Partners share of profft. loss, and molter 13 Other deductions BogInnIng Ending Profit 1.3548951% STMT 1.3548951% Lou 1.7482520% 1 1.7482520% ia .___ 1.7482520%1 1.7482520% K Partner's share of kabilitles at year end: 14 Sell-eMplernent earnings (loss) tionreootoSe A H 0. $ 2,609. Quaked nonrecourse financing 92 , 108 . Irks at Recourse statement for ado al remits O. I. Partners coltal aocount anabsit Beginning capital account ....... . ........ . ........... $ 47,413.4 Capital contributed du Ong the year 2 Current year In crease (decrease) WAhdrawars ti distributions S -13,943. J • 2( 3,290 4 le Ending ca$al account $ 30 , 180 . Cr Tax basis E.] GAAp C Section 704(b) book C Other (explain) M Did the partner cabbala prop. web a built-In gab or loss? Ei Yes LAU Re It Yes' attach statement We instructions) orco-is L4A For Paperwork Reduction Act Notice , see Instructions ios Form 1065. IRS.goiriform1065 Ssliedele 6-1 (Form 1066) 201 08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CRO 6 SSING, LLC 21146 Al CONFIDENTIAL SDNY_GM_00031917 EFTA_00142530 EFTA01280097  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 TOTAL TO SCHEDULE K-1, BOX 17, CODE B 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 PARTNER NUMBER 6 08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146_Al CONFIDENTIAL SDNY_GM_00031918 EFTA 00142531 EFTA01280098  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 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146_Al CONFIDENTIAL SONY_GtA 00031919 EFTA 00142532 EFTA01280099  Schedule K-1 (Fe'rm 1065) 2012 This list WentMet the code' used on Schedtle K-1 for • Page 2 all partners and provides summarized reporting Form 1040. For 'mailed reporling and Mind IntoneIlan, In torrnalion tar partners see the separate Pannell Instructions for Schedule Ille wile tor your Income tax return. 4-1 and the Instructions Cx. ØM ~airy bun nose orate* Paw* r.Nawny.”otozwor r. Warne ~ 1 4 Woo( zranto,y ado ~hoot mores** aid wag on your me.... es NC" • 0 saga, as awe toorawanteat tora etc "Neal Riper: a" conn.- /1y *oval veal Paean as ••4 M.1.1r.r2 PoC~19 Sr Po Nrour • iretr.craos Ws be ~Fe eau...Iona Parnalee town* ecr.dJ.E Ins 211. opium- to Nonesweve ne ~sass E re 2/1. cobra de N ~It enceyer ~or fl atly Norsseeor rØ Sceociel• E, 4n• 219 «aeon era Meeker, is .. 2 Ad torts reel ~Me Scone Oceo) • Seca..0 wrracl .4 Si. Dot ~Wee ~graces 3. Owe net art. imorm few, P Over mete tea raw* 8Øl• In29abnnze le echoer getwerao* Net as See toe ~I Insti.Clers A Kern/ ~by er.1.9 I 4. Ourertead errs &r..0.218 E. err 29 trana I Dome:~ a. InbretC ban 'arm 1Ø,1,. 9 Onilel iteore kne an source Panel Illk girl It °colony WØ Ara 1040, 11,o Si C Grose ~re wag, *1pew eb. 0/4911.0411owerree Fawn 1340. er• OP 7. lionelse Saab. I Has 4 e. isatirart.Nnu oneltel piffle« 34~ Poser grew Tarawa totted at seareseCo D. Il eslwell ea Net begin G&W sew rast) gehecule O. r.12 D Pseelve C•1•00"7 as. C~1 161211E:gele0o4o/ 28% Rite Gan Ws/SW ilea Gnu oancey F Ø Fran 1119 Pert 1 Witedino D IneInnkne) eirecepbecleleatca 12110 9« M Pesaro~ran 13 N.X section 1231 gas, earl DELIC:Cni. ~fleet rd •DooMonee k pator Ws« 11. ineraramo El Mess: 'Ions 00orIncecniragel Far Ills, aril N duer Ca» Fern '119~1 A 0~ ~lb boonwraW) Seeti ~tries ~Sao Ce:lurin stsccated aM eopooloola a pa-new» lwel 61 beige source • rector oar~bra C See 12011 centric% lagoalse So 'flange. _ote cØ %mow* Foment lbw 1 1 %solve vslogory o larks empainon reopea See PLO 603 .1 On* awry } Fem 1, 16 Pel Coronado, o• does Fem 104s, Isei 21 w F01111 912 K One ✓ Celt Morns Orael Sew DiePaten leagodone Odow fl oret. 12. %oral 170 ralutran Sea the ~Ws L Iota bog, lame ono Fran 11'9 Peril Instivelfene M Tot, M1~1 Sum &nod 13. CAI.«meta., ern Ille, Pets N Meo.puSer in »no ..elsols b. ern, ~isms molt I A Caw/ co- losnteC941 O Fr* Ytleg co». rw..ocrs Fan 9873 tl COW, cwelbutkell POF41 P Eat-ere:me ocono fAct.463. C Nonce,: coraltweene (CO%) 1/173 O Crowing., nwoomon • Nramill eor.butara1.3014 Eles tm ~Ore F11~8 se n ~a helmet", E CaSea gin popery b • 6.3% orgintwara PS0 If. Anent Meru,. taa 1, 011) • term F Cash, giro Pnar114010 I • PoeO1913009werilogt edlugtrnent G Co.' trtualone 000%1 • Aditlaba OW Or bah Se On~Pt, eat ape* Fawn 4262 ro • Dgpqmpri (claw Iran oll mbi,C6Clil end 3•04con • rayte.rcocoo Eces944 9 Ws 111 D OW. goner* goes Inn PM ~COCO/ lb 4 %clan MC/ wliorare • 54• lbe ~We houvolkef e Or, get peocerww cwouoton lwn. ea' K Sabot/one Doe:~R. 901~ A. Es•23 F Omer AMY len 903,1 1. ~tole - serrello let« ScOblul•A Neal N fl own wig lor ~cal ~en» :a 'n-glanipl ster» nald•FLCM60~0.1 Seloouo A. lie 1of Fran '043 Ins 29 N COJaaelewielerce A Tex-emenpt Nu!~ 1-ores Fang 1010, iwe See be PerhewO neleuraona B Otter lenterrat ?en* O 3.«gmt ciao ~Ole Foie 2441, a.12 Se• 94Fri/or'. OialiUraw• P Pnereracen petal «penes O Nradoeuaftfi. swine ~Fa ~es Ins~ S«l.beArebatntatM O Cornrow gooItetetbe ~ton la oismsuuss Sap Swoot611.21netrradone br mnal feelride a:Weal A ~arc, matelage ~OS ft Prokyw en IRAs Eas 174. Pare Instrxdors 9 Dew ouran S P.WceilMeban coonrou pecluelbo ~OP 737 ) Sags Parris, * Irytarawr, Si. WePreen , .avta« C Olnerropor"/ I Oomaerarradolir ecohltles see Swwl»03 Veit at Ors Irb,r•ifon Irbernedon preducla.woolfee loon A itweelouerr room* Fore 11.33, Ill 79 Fore 4662. 9ne 4a ✓ €mporgon FanW.2 ooDeo For 2403. line 17 B Invneuent elvene« Fart, 4962. One 6 W Dee Seallear• C Foot lax rape 111crwha- Fos be Parleac'ti ins~1 For, 4139 • OA, lied •itlyitl~a• es.o4crAtunt• (raw Pen recW wateNe Se• ihe PerSw t.oretceone le Self wnpopeenleetrIVe do* E %kw el worgy scrawly Ss Panwre Favour-coo Nota yeas lee ~en 1//2 craucclee w try poirer-in ~Ka F Floseptrio el 'ow ~es n.o.a.og se toe Palmer'. Ow!Nolor• been catroad, d Ochra.14 9E. malt ;NCO>. 429(52 bon, eats. era I O ~sea c1low-imon» 'rotary A kW gNeriet• 00114 1an Screcb•SE. Secchn Au, cent loth.) le.FFFFVFn Fan dill. LON, H Swamo of r you're,: creen B Geailm.Ca9wnlr,lØ See 541Forn's intNctina 94o err 4:955 %men Conoco-Ste C Craw ~inn Iran* Sr the NIFW• ,Wacers See M Partner* Instnelloi• J 1~-13.c. • tag ran:abaci IS ~a IØlrr'nan!rr.M Si. Fran 1927 IC Look.rack Wens:. loran* boong A Lomwcore'cuclrGaØ roc"ra Sr For per Noraor. 42C(90 /Ne i Pr.2C“ L ob~:cwort~ty ver• ti 'n 'QS ~boo 149 braoolons B 1 ow-1,1~o~ loom DM4X0 crodit (cool • reuip^"..71«cvlon179~ Lab.. N lnlreal~wet be oorpont• ~ton C LeisMriennit ho.ang c•sett 4eowe O Secrau4E3O0; 420,53 Mom poet2007 • • ~eon 463/44 lubro14.^ Ilan* haul"; ~Pi leFvF1 Sr t‘e Pnier's r alnant. O Slae :29C0.1 info/waxen !ran pcoo2C07 bu000c• Fl Wares? ago/flab Dmaxtbi E OM led otoco ~on ~be« See M Pre*, •Narlburo• OrtN ra «WY -ors • OCF ~quarto w erase F OTsrrilnleeaipaaa T tractor ~era, ard gee O Other met/ ovalte • tiaelbubil cap» gam Oral: U Agoarasoco of rarestattiet opt. gyn. 1040, :ne 714 clock box • ✓ llerwalec buoneSe laarale intone I ~Oland C•ti.afc Obeid oat. Be. Pe Pwbots novae,* W iurecoaoovoco gab /owl cowl K %cow ICISIFF~ • Ole lebr.T.seen 2:1292 O1.Ø13 08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CROSSING, 6 LLC 21146_111 CONFIDENTIAL SONY_GM_000'31920 EFTA_00142533 EFTA01280100  6 SCHEDULE STATE OF NEW JERSEY NJK-1 ' 1010 (Form NJ-1065) PARTNER'S SHARE OF INCOME 2012 For Calendar Year 2012. or Fiscal Year Beginning _ _ .2012 aro 'riding PART General Information Firernets BSI cy /Axiom IN PrInnhars Nast. E'h rAMIN IIIIIIL Proles Nome /000 Narmaiwoum. !BLUE CHIP CAPITAL LLC IDWAY ASHLEY CROSSING, LLC NP Enter Partner's percentage of: (see instructions) Cob 0) Soo Oecreass OR End of Year or Termination Dote Partners interest In Partnership began: 0 8/17 /2011 Profit Sharing 1.3548951 % 1.3548951 % Month NV Yew LOSS Sharing 1.7482520% 1.7482520 s. L...j Final IsUl(-1 C HEW Fund r— Amended usimmemill 1.7482520% 1.7482520 % N,X-1 El Member 0 CoM00a0 Return 1- fr ilri / IIMIII III0 II SIIIIIJTIIICIWIJII NJ *10 4 0 Men Income Clneldeellone A. Total Diseltivilon B. New ey Enter Amounts on NJ-1040NA Filet{ k LM Shown Below SNIP AJersm ounb „ , •. , 1. Pattnenhip Income gout —13 732. ' ' ‘'ssc.1.07 :. ...- ' e.. 2. Net Guaranteed Payments 3. Fanners 401(InContribuilar agi... e ' 411 4. Distributive Share of Partnership stir.k. • , Income (loss) Una 20. Page 2 (the 1 phis Line 2 minus Line 3) —13 732. Una 22, Page 1 5. Pension . A Ibis 19. Page 2 8 Net Gain doss) front Disposition of Assets as a Result of a Una 18. Page 2 Complete LidolttiOn We 18, Page I PART III Partner's Information L_ Line 19a, Page 1 C8T-100 Lire 10a, Page 100T-100S 1. Nonresident Patters Shan of NJ Tax Ole 8. PART-100 Line 48. ti -104,49 Um 22. NJ-1060C _v.] 2. Partners NE2 Deduction Line 311. NJ-1041 2. AD 3. Partners Sheltered Workshop Tax CrecIN 3. ND . 1 *..ci:P 44 PART N Supplemental Information (Attach Schedule) THIS FORM MAY BE REPRODUCED 12.0412 08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CROS SING, LLC 21146_Al CONFIDENTIAL SDNY_GM_00031921 EFTA_00142534 EFTA01280101  MIDWAY ASHLEY CROSSING, LLC NJ NJK-1 GIT-DEP PRO-RATA SHARE DESCRIPTION AMOUNT TOTAL FEDERAL DEPRECIATION NJ SECTION 179 DEDUCTION ALLOWABLE 0. 0. NJ DEPRECIATION ALLOWABLE SUBTOTAL 0. 0. NJ ADJUSTMENT TO FEDERAL 179 RECAPTURE INCOME NJ ADJUSTMENT TO FEDERAL GAIN (LOSS) ON 0. DISPOSITION OF ASSET(S) 0. SUBTOTAL 0. NEW JERSEY DEPRECIATION ADJUSTMENT 23. PARTNER NUMBER 6 08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146 Al CONFIDENTIAL SDNY_GM 00031922 EFTA 00142535 EFTA01280102  New Yak State Department of Taxation and Amerce 2012 New York Partner's Schedule K-1 Tax Lew - Article 22 (Personal Income Tex) IT -204-1P 6 Final K•1 For calendar year 2012 or tax year beginning 0 1-01-2012 and ending 12-31-2012 Amended K-1 Partners: Before combating your income tax return. see Form fT•2344F4, Partners Instnictions for Form 17-204-IP(evallable at www.tax.ny.gov). Partnership's Information (see instruct/one PertnenshIp's name (as shown on Form 11•204) Partnership's FIN MIDWAY ASHLEY CROSSING, LLC A Mark an X in the box If either applies to your entity Public% traded Partnership 0 Portfolio investment partneranIn B Tax shiner registration number, if any C Business °location percentage Partner's information (see Instructens) Partners name Partners beatifying number BLUE CHIP CAPITAL LLC Stele ZIP code NC 27360 The partner is a mew knurrernis use C General partners LLC membermanager EILLymited partner or other LLC member E YPtat s the tax f of the partner? flea ion X In t,. •PPeCat• F If the partner Is a disregarded entity or gtantor trust. ere , . ,. Individual Estatertneat al Partnership enter the tax ID of the entity or °Whit:lab reperting the income, Ulan:win 0 Cld the partner sell its entire Interest during the tax year? G Yes No LIC H Partners share of profit, lose. and What Beginning Ending 1) Profit H1 1.3549 96 1.3549 76 2) Lose H2 1.7483 1.7483 3) Capital H3 1.7483 96 1.7483 I Partner's shank of lablitke at the end of the yew 1) NonnecoUrs• 11 2,609. 2) at:riffled nonreccuree financing 12 92,108. 3) Recourse LI J Partner's capital account analysis 1) Beginning cabled account 2) Capital contributed during the yew • owl J1 47,413. 3) capital contnbuted during the yew • property J3 4) Current year Increase (decrease) a -13,943. 5) Withdrawals and cgstrIbtlionli • cash JS 3,290. 6) Withdrawals and ostrbutIons • property J6 7) Ending capital account CO Method or accounting (waken a J7 30,180. the appropriate bre° XI Tax baaie Q GMP El Book 0 Other Ombra exPianarion) K Resident status Imp* an X In fti bone that apply) WS full-year resident 0 Yonkers ful•year resident C NYC fulyear resident P NYS part•yete resident 0 Yonkers part-year resident 0 NYC parnew resident DC NYS nonresident 0 Yonkers nonresident L If the partner was included in a group return, enter the special MIS !dent ficatIon number, If known I. 118007121019 288651 CONFIDENTIAL SONY_GM 00031923 EFTA_00142536 EFTA01280103  Page. 2 of 4 17-2044P (20/2) M 1) Was Form I7-21358-E led %eh the partneraNp? 2) Was Form MTA-4055 filed with the partnership? M1 Yee D No 14 NYS estimated tax pad on behalf of partner (fromFormIT-2658) M2 Yes No E: Date Amount 1) Fust installment N1 2) Second installment N2 3) Third Installment N3 4) Fourth installment N4 Total WS estimated tax paid on behalf of partner (aceIlnee NI through N4) N 0 Estimrded MCTMT paid on Deficit of partner (fromForm MTA-405) Date Amount 11 First installment 01 2) Sicced instaihnent 02 3) Third hatatment 03 4) Fourth installment 04 Total estimated MCTMT 03.1on behalf of partner (add Ores O1 through O4) . 0 Partner's share of income, deductions, etc. A - Partners dietreoullve share dents 13 - Federal K-1 amount C - New York State amount I Ordinary business Income 009e) 1 I 2 Net rental real estate incOrne NOS) 2 —13,669. 2 3 Other net rental income (Ices) 3 3 4 Guaranteed payments 4 4 5 Interest income 5 e 8 Ordinary dividends e 8 7 Royalties 7 7 8 Net shod-terrn capital gan (toes)