Form 8879-PE

Form 8879-PE 0eparlment of toe Treasury Internal Revenue Service IRS e-file Signature Authorization for Form 1065 For calendar year 2011, or tax year beginning . 2011. ending See instructions. Do not send to the IRS. Keep for your records. OMB t.1 2 2011 Name ol pannership MC2 MODEL MANAGEMENT, LLC Part I I Return Information (Whole dollars onl 1 Gross receipts or sales less returns and allowances (Form 1065, line 1 e) 2 Gross profit (Form 1065, line 3). 3 Ordinary business income (loss) (Form 1065, line 22) 4 Net rental real estate income (loss) (Form 1065. Schedule K. line 2) 5 Other net rental income (loss) (Form 1065. Schedule K. line 3c) Em lo er identification number 3,823,415. 3,823,415. 2 3 4 5 85,448. 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 (ER0), 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: cheek one box only I authorize ZAND & FERNANDES M. to enter my PIN IMMII as my signature on the ERO firm name do not enter all MOS 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 I. Title • MANAGER Part III Date Certification and Authentication ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. .01.1efOS 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 8-file Application and Participation, and Pub 4163, Modernized e-File (MeF) Information for Authorized IRS et-file Providers for Business Returns. ERO's signature I. 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) PIPA0P0IL II/22/11 EFTA00284490 New York Slate c 1J0 n u(g) 06, New York State E-file Signature Authorization for Tax Year 2011 For Forms IT-204 and IT-204-LL Electronic return originators (ER0): do not mail this form to the Tax Department. Keep it for your records. Partnership name: MC2 MODEL MANAGEMENT, LLC Return Type (Mark an X on one): X IT•204 IT•204•LL Purpose Form TR•579•PT must be completed to authorize an ERO to e•file Form IT•204,. Partnership Return, or Form IT•204•LL, Partnership, Limited Liability Company, and Limited Liability Partnership Filing Fee Payment Form. For the purposes of this form, all three forms of business entities will be referred to hereinafter as a partnership. General Instructions Part A must be completed by an authorized member or general partner before the ERG transmits the electronically filed Forms IT•204 or IT•204-LL. EROS must complete Part B prior to transmitting an electronically filed Form IT•204 or IT•204-LL. Both the paid preparer and the ERO are required to sign Part B. However, if an individual performs as both the paid preparer and the ERO, he or she is only required to sign as the paid preparer. It is not necessary to include the ERO signature in this case. Please note that an alternative signature can be used as described in Publication 58, information for income Tax Return Preparers. Go to our Web site at www.tax.ny.gov and select Find Publications to view this document. Do not mail Form TR.579.PT to the Tax Department. EROs must keep this form for three years and present it to the Tax Department upon request. This form is not required for electronically filed Form IT•370•PF, Application for Automatic Extension of Time to File for Partnerships and Fiduciaries. Financial Institution Information for Form IT-2041L filers (must be present if electronic payment is authorized) 1 Amount owed on return 1. 2 Financial institution routing number 2. 3 Financial institution account number 3. Part A — Declaration of authorized member or general partner and authorizations for Forms IT-204 or IT•204-LL Under penalty of perjury, I declare that I have examined the information on this 2011 New York State electronic partnership return, including any accompanying schedules, attachments, and statements, and certify that this electronic return is true, correct, and complete. The ERO has my consent to send this 2011 New York State electronic partnership return to New York State through the Internal Revenue Service (IRS). I understand that by executing this Form TR•579•PT, I am authorizing the ERO to sign and file this return on behalf of the partnership and agree that the ERO's submission of the partnership's return to the IRS together with this authorization, will serve as the electronic signature for the return and any authorized payment transaction. If I am paying flew York State partnership fees due by electronic funds withdrawal, I authorize the New York State Tax Department and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on this 2011 electronic return, and I authorize the financial institution to withdraw the amount from the account. Signature of authorized member or general partner: Print your name and title: MANAGER Date: Part B — Declaration of electronic return originator (ERO) and paid preparer Under penalty of perjury, I declare that the information contained in this 2011 New York State electronic partnership return is the information furnished to me by the partnership. If the partnership furnished me a completed paper 2011 New York State partnership return signed by a paid preparer, I declare that the information contained in the partnership's 2011 New York State electronic partnership tax return is identical to that contained in the paper return. If I am the paid preparer, under penalty of perjury I declare that I have examined this 2011 New York State electronic partnership tax return, and, to the best of my knowledge and belief, the return is true, correct, and complete. I have based this declaration on all information available to me. ERO's signature: Print name: Paid preparer's signature: Print name: RICHARD A. FERNANDES, C. P.A. Date: Date: TR•579•PT (9/11) IN NYPADWIL 1210841 EFTA00284491 New York Slate 4 c 2 In Lag 06, New York State E-file Signature Authorization for Tax Year 2011 For Forms IT-204 and IT-204-LL Electronic return originators (ER0): do not mail this form to the Tax Department. Keep it for your records. Partnership name: MC2 MODEL MANAGEMENT, LLC Return Type (mark an X on one): IT•204 X IT•204•LL Purpose Form TR•579•PT must be completed to authorize an ERO to e•file Form IT•204,. Partnership Return, or Form IT•204•LL, Partnership, Limited Liability Company, and Limited Liability Partnership Filing Fee Payment Form. For the purposes of this form, all three forms of business entities will be referred to hereinafter as a partnership. General Instructions Part A must be completed by an authorized member or general partner before the ERG transmits the electronically filed Forms IT•204 or IT•204-LL. EROs must complete Part B prior to transmitting an electronically filed Form IT•204 or IT•204-LL. Both the paid preparer and the ERO are required to sign Part B. However, if an individual performs as both the paid preparer and the ERO, he or she is only required to sign as the paid preparer. It is not necessary to include the ERO signature in this case. Please note that an alternative signature can be used as described in Publication 58, information for income Tax Return Preparers. Go to our Web site at www.tax.ny.gov and select Find Publications to view this document. Do not mail Form TR•579•PT to the Tax Department. EROs must keep this form for three years and present it to the Tax Department upon request. This form is not required for electronically filed Form IT•370•PF, Application for Automatic Extension of Time to File for Partnerships and Fiduciaries. Financial Institution Information for Form IT-204-LL filers (must be present if electronic payment is authorized) 1 Amount owed on return 1. 2 Financial institution routing number 2. 3 Financial institution account number 1,500. 026013673 7922715870 Part A — Declaration of authorized member or general partner and authorizations for Forms IT-204 or IT•204-LL Under penalty of perjury, I declare that I have examined the information on this 2011 New York State electronic partnership return, including any accompanying schedules, attachments, and statements, and certify that this electronic return is true, correct, and complete. The ERO has my consent to send this 2011 New York State electronic partnership return to New York State through the Internal Revenue Service (IRS). I understand that by executing this Form TR•579•PT, I am authorizing the ERO to sign and file this return on behalf of the partnership and agree that the ERO's submission of the partnership's return to the IRS together with this authorization, will serve as the electronic signature for the return and any authorized payment transaction. If I am paying flew York State partnership fees due by electronic funds withdrawal, I authorize the New York State Tax Department and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on this 2011 electronic return, and I authorize the financial institution to withdraw the amount from the account. Signature of authorized member or general partner: Print your name and title: MANAGER Date: Part B — Declaration of electronic return originator (ERO) and paid preparer Under penalty of perjury, I declare that the information contained in this 2011 New York State electronic partnership return is the information furnished to me by the partnership. If the partnership furnished me a completed paper 2011 New York State partnership return signed by a paid preparer, I declare that the information contained in the partnership's 2011 New York State electronic partnership tax return is identical to that contained in the paper return. If I am the paid preparer, under penalty of perjury I declare that I have examined this 2011 New York State electronic partnership tax return, and, to the best of my knowledge and belief, the return is true, correct, and complete. I have based this declaration on all information available to me. ERO's signature: Print name: Paid preparer's signature: Print name: RICHARD A. FERNANDES, Date: Date: TR•579•PT (9/11) IN NYPADWIL 1210841 EFTA00284492 Nye Finance 574_uB,.. 1 r 'Cl. 11 rCRK CITY DE'PePTLIEri- CF rironcr Signature Authorization for E-Filed Unincorporated Business Tax Return for Partnerships 2011 ELECTRONIC RETURN ORIGINATORSKUIFDI:HINIFNOORT4AdInTRUl iar TO THE DEPARTMENT OF FINANCE. LEGAL NAME OF PARTNERSHIP: MC2 MODEL MANAGEMENT, LLC EMPLOYEE IDENTIFICATION NUMBER EMAIL ADDRESS: TYPE or FORM: NYC.EXT NYC _ _ -SUB X NYC.204 NYC-204EZ _ Financial Institution Information - must be included it electronic payment is authorized AMOUNT OF AUTHORIZED DEBIT: FINANCIAL INSTITUTION ROUTING NUMBER: FINANCIAL INSTITUTION ACCOUNT NUMBER: Part A — Declaration and authorization of Partner or limited liability company member manager Under penalty of perjury, I declare that I am the general partner or limited liability company manager of the taxpayer and that I have examined the information on its 2011 New York City electronically filed Unincorporated Business Tax return, including any accompanying schedules, attachments, and statements or other report and to the best of my knowledge and belief, the electronically filed document is true, correct, and complete. I authorize the ERO to enter my PIN as my signature on the 2011 New York City electronically filed report or the electronically filed Unincorporated Business Tax return, as indicated above or I will enter my PIN as my signature on the document indicated above. If I am paying the New York City Unincorporated Business Tax owed by electronic funds withdrawal, I authorize the New York City Department of Finance and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on the Partnership's electronically filed the Unincorporated Business Tax return or other report, and I authorize the financial institution to debit the amount from that account. X I authorize ZAND & FERNANDES P.A. to enter my PIN: ERO FIRM NAME as my signature on the 2011 electronically filed the 2011 Unincorporated Business Tax return or other report, as indicated above As a general partner or limited liability company member manager, I will enter my PIN as my signature on the electronically filed 2011 Unincorporated Business Tax return or other report, as indicated above. MANAGER Official title Signature of General Partner or Limited Liability Company libnager Date Part B — Declaration of electronic return originator (ERO) and paid preparer Under penalty of perjury, I declare that the information contained in the above-named partnership's or limited liability company's 2011 New York City electronically filed Unincorporated Business Tax return or other report, as indicated above. is the information furnished to me by the taxpayer. If the taxpayer furnished me with a completed 2011 New York City paper Unincorporated Business Tax return or other report signed by a paid preparer, I declare that the information contained in the electronically filed Unincorporated Business Tax return or other report is identical to that contained in the paper return. If I am the paid preparer, under penalty of perjury I declare that I have examined this electronically filed 2011 Unincorporated Business Tax Return or other report, and to the best of my knowledge and belief, the return or other report is true, correct and complete. I have based this declaration on all information available to me. ERO EFINIPIN: Enter your six-digit EFIN followed by your five digit PIN ERO's Signature Paid Preparers Signalise Enter Name RICHARD A. FERNANDES, C.P.A. Enter !brie Date Date PURPOSE - A completed Form NYC-579.LIBTP provides documentation that an ERO has been authorized to electronically file an Unincorporated Business Tax Return or other report for a taxpayer. The general partner or limited liability company manager of the taxpayer may designate the ERO to electronically sign the return or report by entering the personal identification number IN). The form also authorizes payment of tax due on an electronically submitted return or report by an automatic clearing house (A debit from a designated checking or savings account of the partnership. You cannot revoke this authonzation. GENERAL INSTRUCTIONS Part A - Part A must be completed by the general partner or limited liability company manager of the taxpayer before the ERO transmits the j electronically filed Form NYC-204 (Unincorporated Business Tax Return for Partnerships, including Limited Liabilit Companies): NYC-204EZ(Unincorporated Business Tax Return for Partnerships, including Limited Liability Companies EZ-Form ; NYC-EXT (Application for &Month Extension to File Business Income Tax Return); or NYC-SUB (Declaration of Estimated UUnincorporated Business Tax for Partnerships). The ER0s/paid preparers must complete Part B prior to transmitting electronically filed unincorporated business tax returns or reports (Forms NYC-204, NIYC-204EZ, NYC.EXT, or NYC-SUB). Both the paid preparer and the ERO are required to sign Part B. However, if an individual performs as both the paid preparer and the ERO, he or she is only required to sign as the paid preparer. It is not necessary to include the ERO signature in this case. Do not mail Form NYC-579-UBTP to the Department of Finance. The EROs/paid preparers must keep the completed Form NYC-579-UBTP for three years from the due date of the return or report or the date the return or report was filed, whichever is later, and must present it to the Department of Finance upon request. IN YCPAI1201L 12122/11 NYC•579NBIP 2011 EFTA00284493 Nye Finance 574_uB,.. 1 r 'Cl. 11 YORK CITY DETACHMENT CF rironcr Signature Authorization for E-Filed Unincorporated Business Tax Return for Partnerships 2011 ELECTRONIC RETURN ORIGINATORSKUIFDI:HINIFNOORT4AdInTRU1221 TO THE DEPARTMENT OF FINANCE. LEGAL NAME OF PARTNERSHIP: MC2 MODEL MANAGEMENT, LLC PLOYEE IDENTIFICATION NUMBER EMAIL ADDRESS: TYPE • OF FORM: X NYC.EXT NYC _ -SUB NYC-204 NYC-204EZ Financial Institution Information - must be included it electronic payment is authorized AMOUNT OF AUTHORIZED DEBIT: FINANCIAL INSTITUTION ROUTING NUMBER: FINANCIAL INSTITUTION ACCOUNT NUMBER: Part A — Declaration and authorization of Partner or limited liability company member manager Under penalty of perjury, I declare that I am the general partner or limited liability company manager of the taxpayer and that I have examined the information on its 2011 New York City electronically filed Unincorporated Business Tax return, including any accompanying schedules, attachments, and statements or other report and to the best of my knowledge and belief, the electronically filed document is true, correct, and complete. I authorize the ERO to enter my PIN as my signature on the 2011 New York City electronically filed report or the electronically filed Unincorporated Business Tax return, as indicated above or I will enter my PIN as my signature on the document indicated above. If I am paying the New York City Unincorporated Business Tax owed by electronic funds withdrawal, I authorize the New York City Department of Finance and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on the Partnership's electronically filed the Unincorporated Business Tax return or other report, and I authorize the financial institution to debit the amount from that account. X I authorize ZAND & FERNANDES P.A. to enter my PIN: ERO FIRM NAME as my signature on the 2011 electronically filed the 2011 Unincorporated Business Tax return or other report, as indicated above As a general partner or limited liability company member manager, I will enter my PIN as my signature on the electronically filed 2011 Unincorporated Business Tax return or other report, as indicated above. MANAGER Official title Signature of General Partner or Limited Liability Ocamany libnager Dale Part B — Declaration of electronic return originator (ERO) and paid preparer Under penalty of perjury, I declare that the information contained in the above-named partnership's or limited liability company's 2011 New York City electronically filed Unincorporated Business Tax return or other report, as indicated above. is the information furnished to me by the taxpayer. If the taxpayer furnished me with a completed 2011 New York City paper Unincorporated Business Tax return or other report signed by a paid preparer, I declare that the information contained in the electronically filed Unincorporated Business Tax return or other report is identical to that contained in the paper return. If I am the paid preparer, under penalty of perjury I declare that I have examined this electronically filed 2011 Unincorporated Business Tax Return or other report, and to the best of my knowledge and belief, the return or other report is true, correct and complete. I have based this declaration on all information available to me. ERO EFINIPIN: Enter your six-digit EFIN followed by your five digit PIN ERO's Signature Paid Preparers Signalise Enter Name RICHARD A. FERNANDES, C.P.A. Enter !brie Dale Dale PURPOSE - A completed Form NYC-579.LIBTP provides documentation that an ERO has been authorized to electronically file an Unincorporated Business Tax Return or other report for a taxpayer. The general partner or limited liability company manager of the taxpayer may designate the ERO to electronically sign the return or report by entering the personal identification number IN). The form also authorizes payment of tax due on an electronically submitted return or report by an automatic clearing house (A debit from a designated checking or savings account of the partnership. You cannot revoke this authonzation. GENERAL INSTRUCTIONS Part A - Part A must be completed by the general partner or limited liability company manager of the taxpayer before the ERO transmits the j electronically filed Form NYC-204 (Unincorporated Business Tax Return for Partnerships, including Limited Liabilit Companies): NYC-204EZ(Unincorporated Business Tax Return for Partnerships, including Limited Liability Companies EZ-Form ; NYC-EXT (Application for &Month Extension to File Business Income Tax Return); or NYC-SUB (Declaration of Estimated UUnincorporated Business Tax for Partnerships). The ER0s/paid preparers must complete Part B prior to transmitting electronically filed unincorporated business tax returns or reports (Forms NYC-204, NIYC-204EZ, NYC.EXT, or NYC-SUB). Both the paid preparer and the ERO are required to sign Part B. However, if an individual performs as both the paid preparer and the ERO, he or she is only required to sign as the paid preparer. It is not necessary to include the ERO signature in this case. Do not mail Form NYC-579-UBTP to the Department of Finance. The EROs/paid preparers must keep the completed Form NYC-579-UBTP for three years from the due date of the return or report or the date the return or report was filed, whichever is later, and must present it to the Department of Finance upon request. IN YOPM1201L 12122/11 NYO•579MBIP 2011 EFTA00284494