EFTA Document EFTA01280219

651112 Schedule K-1 (Form 1055) Department of the Treasury Internal Revenue Service oxiMg Partner's Share of Income, Deductions, Credits, etc. Is See separate instructions. '.dagencutrynt20/2, atm year bolinr 2012 Information About the Partnership A P • erldentratien number B Partnership's name, address, city, state, and ZIP code MIDWAY ASHLEY CROSSING, LLC 270 LAFAYETTE STREET SUITE 409 NEW YORK, NY 10012 C IRS Center where partnership fled Mum E-FILE a L7 Check If this is a publicly traded partnership (PIP) NW Information About the Partner Liter F Partners name, address, city, state, and ZIP code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 G t_J General partner or LLC IL limited partner or other LLC member-manager member N 0onestic partner C] Foreign partner 11 What type of entkly is this pa rhter? PARTNERSHIP 12 If this partner is a retirement plan (IRNSEPAreogiVetc.), dieck here J Partners share of mit, loss. and caPMII Be0inning Prat 1.3548951%1 BMW 1.3548951% Lon 1.7482520%! 1.7482520% aC ts' 1.7482520%) 1.7482520% K Partners share of kabllitieS at year end: Nomecourse 2,609. Qualified nonrecourse financing 92,108. Recourse 0. L Partner's capital acCoollt allaVsb: Beginning repeal account $ 47,413. Capital contributed during the year 11 Current year increase (decrease) $ —13,943. Wadrawars & distribudons k 3,2904 Ending capital account $ 30,180. Final K•4 I I Amended K-1 0MB No.1545-0099 , it Partner's Share of Current Year Income, Deductions, Credits, and Other items 1 Ordinary business income (loss) 16 Credits 0. 24wwwmflomailow —13,669. 3 Otter net rental income (loss) 4 Guaranteed payments 6 Interest income Ba Ordinary dividends 58 Ouskted dividends 7 loyalties 8 tit short-term capital gain (loss) 9a Net longterm capital gain (less) 16 Foreign transactions -± 17 Atonally* min tax (AMT) Items 2,024. —6. 18 Tax-exempt Income and "L nondeductible expenses r Tax basis GMP Li Other (ersolaln) M Did the partner contribote property with a built-In gain or loss? L— Yes Moo It 'Yes'. attach statemer.t (sea Instructions) El Sedan 704(b)90k 91) Collectibles (28%) gain (loss) 9c Uinmeaptu red sec 1250 gain 10 Net section 1231 gain (loss) —68. 11 Other income (loss) 2. 19 Olshtutione 3,290. 20 Other inforMation _r 12 Section 179 deduction 13 Other deductions I9* STMT 14 Self-employment earnings (loss) A 0. 'Sea triads te farad on 1 informa on 8 Co; Ca-IS LHA For Paperwork Reduction Act Notice, see Instructions for Form 1086. IFISGovirorm1085 08320312 758241 21146.213 Weenie (Form 1000) 2012 6 CON FILDIENT A tOSSING, LW 21146 Al SDNY_GM_00033079 EFTA_00143692 EFTA01280219 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 ORDINARY GAIN OR LOSS PARTNER FILING INSTRUCTIONS AMOUNT SEE FORM 6251 INSTRUCTIONS -6. TOTAL TO SCHEDULE K-1, BOX 17, CODE B -6. 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 RENTAL REAL ESTATE INCOME (LOSS) SECTION 1231 GAIN (LOSS) SCHEDULE K-1 INCOME SUBTOTAL OTHER DEDUCTIONS SCHEDULE K-1 DEDUCTIONS SUBTOTAL NET INCOME (LOSS) PER SCHEDULE K-1 AMOUNT TOTALS -13,669. -68. -19. NONDEDUCTIBLE EXPENSES -2. -13,737. -19. -13,756. PARTNER NUMBER 6 08320312 758241 21146.213 CONEllbrNtrA CROSSING, LLC 21146_Al SDNY_GM_00033080 EFTA_00143693 EFTA01280220 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,..ANciblE1/411gYfROSSING, LLC 21146 Al SDNY_GM_00033081 EFTA_00143694 EFTA01280221 SONIC& K-1 (Flinn 1065) 2012 • Page 2 This list Identities the codes used on Schedule K-1 for all partners and provides summarized reporting Information lor partners who file Form 1040. For detailed repotting and thing Information, see the separate Pannen Instructions for Schedule K-1 and the Instructions for your Income tax return. O-diroy o7sness roond era Cohen de Mee!~ le iroodle (weal is «ink'« rosate* end &ter or yn,r ree. :Co fd Ode. Pooh** too ~Ho IrEeno None/too cis Noemove -tome 2. Detract/0o rerrO;ncorge (oes) • 03. OP nob hone toe) Net Income \ et Ode 4. Gored Ord Pf/T4'11, C. Intro: Moro es. CoIntry °Nerds eb. Doted OV.Orde • hcolto 8 \et shc,!.!rrr, Cdeldf Cde Cc.* ate, ge I (ON Ob. Coiectles OW gel Neel Pe. UnnewLmc seabed 260 ge W. NE octlen 1231 gage WO 11. Cas &mum glos) Code A Cdher m11/460 bone POO B Irmelotary Of Melees C Sc 12s3 codecte roc es ID Marko ~radon mete retaohre E Cenceánter c' MC:  Ors! wore does) 12. Snnol 179 corwwen Other deCu011One A Corn cow' ocdos ro3%) B Coe contitatices pou) c \onme cormarsprei roose 13 honors OCeMbutCns (30%) E Caiole ddr property te e 5.)94 meeedeCedOOW F Card on oniony 20%; G Caw ed:bneel33/1) 14 nos:rent a- one expense I De:Lorene - Mealy $03,To J Seceol 430.3/ alordfLI1d K Drethoenno porrelki (214 'cot) L Deduontne - Carona lotto) Arroan pdd Todd& Moro N Edocatand ~lame bernite O Dependent ore borers P PrenrodooLve doled express O Commettla rote taken dedocebn kern MnronY real rate rota lies ▪ Noon* ere Roe S fieteettel en axone oedwrinr T Dernbalc proc.otan ecEdues Wormelem J Ora fled redo:on ;whaled hai-ane  Employes Fern W-7 ogee W Cnter dedurelo-s  Paco:. on Sen ne dtetlef • eadIC1010 Sededule E. Ire 25 cc ern (go SEC. *DO E. Ire 28 coin! Di Utedule E. ne 78, °Oro (2 • te Pitied* Vend:tee BOO. • E, Md2a, O Jrm (og Se* Of direlsoli ScheduleE. Ina 2$ OCiarne: Fo-rn 1040, I rno ea Font 151.0, ilns as Form 1340, One Do Sena • E, Ono/ &hole • El, Mee SetedUes 0, to 12 28% nee CM Waterer, ere 4 c• ledule13 Ins:meda) See to Panner's keno-lore See to onetetrallordoes See he Patmee • tetrads. Sea to Penns?, '.edr.stiCele Fcm1678' line' See PA> 535 corn '040. no 21 or f.crri 932 See Pe Penroe dsbLotoo See the Partners hetwankes See be Ins:voters corn 4952 Oro 1 get ode. E, We 19 Seethe Ponno's Instrootlem sclOwe A ire 23 Soled de 11. '1e28 Schoch A. . -nr of For '040. Ina 29 Bee he Pettier a of:oleos Form 2441, ere la See he Partner's Insoteatlens So Fenn b62 dOlvdene See tie Partners leatAmtbre See ns Pretrets -00votene See cone 8903 Irdhogene Fern SSW, lln7b Dam 5903. One '7 Son PartnwIr totwoSone 14 Salt oWkorgen1 earn I xis goon %co If you hem a eactoi 179 deducdon or ary pryer kod deducaens. see Me ~ono rehactlme begot cemOrt ng When* SF. A Net eertip, Coo) Yon stV-rep B Gross lenig er merry Stone C Goo ron-!sen Irate IS Codes A LoOeineade betting «edit Henke 420150 Fran pre 3008 bull~ B 1 ow-Incen•nolnindoc11:(oto) *OM on-not &deign. C Low-lreame hoo1na erode:mien 421159 groin post-200'7 :7401r9* O Lor "care Jansen eneget Fond non port-21;07 be E On led -boo testico ooreireres Field red sited F °tor nine reel eratererodO O Oein-^eedlOte.ta H +A betted ~del Ons odd ' kernel end cielh ca0 &OM ruas rc:t 711222 01-C3-13 Schedule SE Sevtr Ace See the coon's kedructlors See the %tames hoodlum See he NOW* ~not ons For 1343, nne creed to Soft POMP. Innualors Cede Pegen • Wo.d 0000'd. Cidde K Dhoblerc exam creel, • Erocrordird 70f Dee neeirdd edewurry etrolnynen1 coca M Cott Cot Irons eg mooch Whiter N Croak et• ~owe wool eteXiety old 1t*Derre teas O Bea" wig OWN P C!re Credits It %Midi bireadbas A Mr* Of medley ee PaCeaealM B Goa Meer» bye SI some C Grose Horne ward et perloy Foredo wee dotelfe sourced at patient p erred F Othre L ~got U eetrOh' Deduclens alkeLtled and ecparJeew re panne' mw CY ',doe: open» on Olio Dec actors Woad ere moot!~ et ponentle Intone I Pooh. category J Ornot °Megan < Orde Catter.aberaeor L boy ham pao M Tote knew Sae decrad N Medea-We In twee Bedded Oar Credit O Foreign OwOrg roe ~Ws P ]IOabrtaa'ir,dpry,9exeusbn O Chrenkmean trimmillor • 17. Altar salvo rehintern tax (Ain) ;Here C 3wWlon father !tan et dos) D Ca." Egooderea on home get I ~ors dedoctans • OtherAM• hems A Pos1-19138orodalket Oustncrot 9 Adjudge gale or OM la Tomcat-rot incone end nondealaL woes A lexoerpt HOW none B Cenze tetaracenot none C Needed needle expense ie. DletrOutOre A Use and maltetable seetrlace • Ystr coder alleged !cr oo:kei 737 C OtWoropody 20 Other Infeenerne A Inwetnent :roan, B leveentided Otedetre03 C Fun tax cred". ~Or • Ohellied onetrietaloi etendEen`a Haw Der orb rel otehg E Ran Melon own F ~Ode ale* wane -outing ~WOO« 44150 G Drool" orlavolreow toeing Credit end, H Hoopoe or .nennnert COS'. I Ree4pla Of oriel derte .1 lociotack 'tweed complain long- oil ounneets < -oak- deck Wane! -lane Wooer netted L Ulapohon of piton. one riodlon 1/9 Ow :Begone 81 Groapl,o ~SI Fig oeckecten \' 1r Went «pree for coots:* mews O Socion 453(.Y0; ilernman 1r Settler 46.3.4k) Worrogar O Seeger 12003» Wong«, Ti Intro' Mottle la weelacten ~arrow S CCF ronqualirOvelherewes T 2.•Hotonlneweet.or • ne IOC ote U Arne-Anton of recerestclee cots  Unfolded business Home node W Porno-Irma Or Or ,keel X Seakn'C8711rberMO Y Odor One on • Ske the Peter's cor.itorns } Font 1110, Pet 1 Poo 1116, Per. Frio 1114 Poll Porn 1118, Poll 1.0 IOW Owes } For 1110. Peril For 11, 6, news Few tilt Pole Ertl" 18. do 12 Fenn $573 Fornsen sae tlp Part-ote I nstamtiene See he Prods oboe ens end kn Inetwelkne Ern. MI reoirC43. lino Cc Wee he Pal note nstrooder. See It,. Pathos .re'rJet one ) See be Panned* hele.clone 1 08320312 758241 21146.213 ce5Kirrn Y Tr/XI:ROSSINC , rani 4982. .'0 de Coen 4902. Hr.* 5 Fenn 4135 See the Pat's a .nsletacree See the vat. Inf 'owe erte Ferri $611. got Fen sty Se* Porn 4266 ach be carine+3 bereaves See Fear 9697 So Eon" gated See Panen4tt Ireuctkrne 6 LLC 21146_A1 SDNY_GM_00033082 EFTA_00143695 EFTA01280222 6 SCHEDULE NJK-1 (Form NJ-1065) 2012 STATE OF NEW JERSEY PARTNER'S SHARE OF INCOME For Calendar Year 2012, or Fiscal Year Beginning _ 2012 and ending PART I General Information Parhoss SS. r Email EA 20-3161309 Pmfremhirs Nelerai EIN 45-3131018/000 Panacea Kam BLUE CHIP CAPITAL LLC Pahrokes Nemo MIDWAY ASHLEY CROSSING, LLC MAE Mime 27 HIGH TECH BOULEVARD Pammist.p's Some/awn 70 LAFAYETTE STREET SUITE 409 cl, as. ZP Gem THOMASVILLE, NC 27360 City Stet za, C0Je EW YORK, NY 10012 What type of entity is partner i NP Enter Partner's percentage of: (See instructions) Code Data Partners interest in Partners,* began: 0 8 / 1 7 /201 1 (I) Before Decrease (I) End of Year or Temanation Profit Sharing 1.3548951 % 1.3548951 % Mmh Ory Wm Loss Sharing 1.7482520 % 1.7482520 % in Final KIK-I Hedge Fund Capital Ownership 1.7482520 % 1.7482520 % Amend d NJK-1 Member of C m os 4 Return PART II Income Information income Miele:anon I 41.140411 Pig 8. A. Total Ditirlavtloo EnlorAmounto on Line Shown Below New Jersey Source Amounts NJ-1040NR Filen 1 „Partnership Income gossi d.aen2 .iI -1 2. Net Guaranteed Payments 3. Partners 401 ) Contribution 4. Distributive Share of Partnership Income (loss) Une 1 plus Una 2 minus Una 3j —13,732. Line 20. Page 2 i.,:le 22 P2ge 1 5. Pension Line 19, Page 2 1 6. Net Gain (loss) from Disposition of Assets as a Result ot a Complete Liouldelon Line 1B,Page 2 Line is. Page 1 PART III Partner's Information I. Nonresident Partner's Share of NJ Tax 1. Line 10a, Page 1 CST-100 tine 10a, Page 1 COT-700S Line 8, PART-100 Ilse 46, NJ-1040NR Lhe 22 i.I-1080C Line 31a, W-104 I 2. Partners HEZ Deduction q, vas' 3. Partners Sheltered IP/OrathOo Tax Creak ' 1019 2ant.1 12.Ch i THIS FORM MAY BE REPRODUCED 08320312 758241 21146.213 coNnuarvistALRossiNG, LLC 21146_A 1 SDNY_GM_00013083 EFTA_00143696 EFTA01280223 MIDWAY ASHLEY CROSSING, LLC 45-3131018 NJ NJK-1 GIT-DEP PRO-RATA SHARE DESCRIPTION AMOUNT TOTAL FEDERAL DEPRECIATION 0. NJ SECTION 179 DEDUCTION ALLOWABLE 0. NJ DEPRECIATION ALLOWABLE 0. SUBTOTAL 0. NJ ADJUSTMENT TO FEDERAL 179 RECAPTURE INCOME 0. NJ ADJUSTMENT TO FEDERAL GAIN (LOSS) ON DISPOSITION OF ASSET(S) 0. SUBTOTAL 0. NEW JERSEY DEPRECIATION ADJUSTMENT 23. PARTNER NUMBER 6 08320312 758241 21146.213 (::(!pqr21101E!1‘1-15f)5LROSSING, LLC 21146 Al SDNY_GM 00033084 EFTA_00 I 43697 EFTA01280224 New Ycrk State Department of Taxation and Finance 2012 New York Partner's Schedule K-1 Tax Law - Article 22 (Personal Income Tax) IT-204-1P 6 Final K-1 For calendar year 2012 or tax year beginning 0 1 0 1 -2 0 1 2 and encins 12-31-2012 Amended K-1 Partners: Before completing your Income tax return, see Form IT•2344P4, Partnera Instructions for Form IT-204•IP (avalabk at www.tetuw.gov). Partnership's Information (see instalcUons) Partnership's name (as shovm on Fcrm IT•204) Partnership's EN MIDWAY ASHLEY CROSSING, LLC 45-3131018 A Mark an X in the box if either applies to your entity IT: PublIGy traded partnership L3 Portfolio Investment partnership B Tax shelter registration number, If any C Business allocation percentage Partner's information (see hi/ructions) Partners name BLUE CHIP CAPITAL LLC Partner's address 27 HIGH TECH BOULEVARD City State THOMASVILLE NC ZIP code 27360 Partner's identifying number 20-3161309 D The partner Is a hieli a, ark. s 000prn btu) 1: 1_ General partner or LLC mernbermanager X Limited partner or other LLC member E What le the tax filing status of tne partner? ern el X ht,. &layoff Ma box 'felon.) El Individual J Estats4rust al Partnership F If the partner is a disregarded entity or grantor trust, enter the tax 10 of the entity or individual reporting the income, If known 0 Did the partner sel its entire Interest during the tax year? O Yes 0 No X H i Partner's share of profit, loss, and Capital 1) Profit 2) Lose 3) Capital Partners share of liabeties at the end of the year Beginning Hi 1.3549 % 142 1.7483 % H3 1.7483 % Encino 1.3549 % 1.7483 V. 1.7483 % 1) Nonrecourse It 2,609. 2) Qualified nonrecourse financing 12 92,108. J 3) Recourse Partner's capital account analysis 1) Beginning capital account 13 J1 47,413. 2) Capital contributed during the year • cash 3) Capital contributed during the year - property 4) Current year increase (decrease) 42 J3 44 -13,943. 5) Withdrawais and cfistributIors - cash a 3,290. 6) Withdrawals and distnbutions • property 7) El ding capital account ,p; J7 30,180. 8) Method of accounting (mcvk an X in the appropliste box) IX Tax basis L__I GASP 0 Book 0 Other (submitexp/anatIon) K Resident status (mar* an X in as boxes that appl0 li NYS full-year resident U Yonkers ful•year resident fl NYC full-year resident O NYS pallear resident I—J Yonkers pan-yew resident 0 NYC part•year resident DC NYS nonresident L 7 Yonkers nonresident L If the partner was included In a group return, enter the special NYS identlication number, If known • 118001121019 III IIII III 10111111 HI 111 I III II 111 CONFIDENTIAL SDNY_GM_00033085 EFTA_00143698 EFTA01280225 Page 2 of 4 IT-204-IP (2312) M 1) Was Form I-1.266SE filed with the partnersh:p? 2) Was Form MTA.405-E Wed vAth the partnership? N NYS estimated tax paid on behalf of partner (from Form IT-2658) Date Amount 1) Fest Instalment 2) Second Installment 142 3) Third installment NI 4) Fourth Installment N4 Total NYS estimated tax paid on behalf of partner (add Ines NI through N4) 0 Estimated MCTMT paid on behalf of partner (from F0IMMTA-405) Date 1) First Installment 01 2) Second installment 02 3) Third installment 03 4) Fourth installment 04 Total estimated MOTMT paid an behalf of mew; (add inn O1 Utrough O4) 0 Amount Partner's share of income, deductions, etc. A - Partner's dishibutive share Items 1 Ordinary business Income Goes) 1 B - Federal Kel amount 1 C - New York State amount 2 Net rental real estate Income Oces) 2 —13,669. 2 3 Other net rental income (loss) 3 3 4 Guaranteed payments 4 4 5 Interest income 5 5 8 Ordinary dMdends 6 8 7 Royalties 7 7 8 Net ehort-term capital gan (loss) 8 8 9 Net long-tern capital pain (toss) 9 9 10 Net section 1231 gain Qom) 10 —68. 10 11 Other income Oces)Identify: 11 11 12 Section 179 deduction 12 12 13 Other deductions identify. SEE STATEMENT 13 19 . 13 14 Tax preference items for minimum tax kktntifr 14 2,018. 14 15 Net earnings (loss) from self-employment 15 15 16 Tax-exempt Income and nondeductible expenses 16 2. 16 17 Distributions • cash and marketable securities 17 3,290. 17 18 Distributions • other property 18 18 19 Other items not Included above that are required to be reported separately to partners . 19 19 Identity: M1 Yee E1 **El M2 Yee 0 No C Partner's share of New York modifications (sse instructions) 20 New York State addtt ions Number A - Total amount 8 - New York State allocated amount 20a EA- 16 133. 133. 2% EA- 20c EA- 20d EA- 20e EA- 201 EA- 21 Total addition modfIcationa (total of colUmn A, lines 20a through 20f) 21 133. 118002121019 III IIII III I III III II III III I III II III 288602 11,19-'2 CONFIDENTIAL SDNY_GM_00033086 EFTA_(() 143699 EFTA01280226 11-204-IP (2012) Pago 3 of 4 Partner's share of Now York modifications (continued) 22 New York State subtractions Number A - Total amount 22a ES- 21 110. 22b ES- 22c ES- 22d ES- 22e ES- 22f ES- - New York State allocated amount 110. 23 Total subtraction modifications (total of COkintn A, lava 22a through 220 24 Additions to fedeal itemized deductions toner Amount 24a 24b 24c 24d 24e 24f 23 110. 25 Total additions to federal itemized deductions (add Cries 24a through 240 26 28 Subtractions from federal itemized deductions Letter Amount 26a 26b 26c 26d 26e 281 27 Total subtractions from federal itemized deductions (add Ones 26a through 26!) 27 28 New York adjustments to tax preference Item 28 Partner's other information 29a Partner's share of New York source gross income . 29e 29b MGM allocation percentage (see Instructions) 29b Partner's credit information Part 1 - Flow-through credit bases and factors Brownfield redevelopment tax credit (Form IT-611 or IT-611.1) A - Form IT-611 B - Form I7-611.1 30 Site preparation credit component 30 30 31 Tangibre property credit component 31 31 32 On-site groundwater remediatica credit component 82 32 118003121019 Gill 211891 11-19-12 CONFIDENTIAL SDNY_GM_00033087 EFTA_00143700 EFTA01280227 Page 4 of 4 IT-204-IP (2012) Partner's credit information (continued) EZ capital tax credit (Fenn IT-602) 33 Contributions of money to EZ community development projects 33 34 Recapture of credit for investments in certlfleo EZ butheeses 34 35 Recapture of credit for contributions of money to EZ community development projects 35 QEZE tax reduction credit (Form IT-604) 38 OEZE employment increase factor 36 37 QEZE zone elicitation factor 37 38 QEZE benefit period factor 36 Excelsior fobs program tax credit !Form 17-607) 39 Excelsior jobs tax credit component 30 40 Excelsior Investment tax credit component 40 41 Excelsior research and development tax credit component 41 42 Excelsior real property tax credit component 42 Fanners' school tax credit (Form IT-217) 43 Acres of qualified egricuitural property 43 44 Acres of qualified conservation property 44 45 Eligible school district properly taxes paid 4$ 46 Acres of qualified agriculture/ properly converted to nonquaRlied use 46 Other flow-through credit bases and faotore Credit bases Code Amount Code Amount 47a 474 47b 47e 47c 471 Credit factors Code Factor Code Factor Code Foolor 47g 47i 47k 47h 47j 471 Part 2 - now-through credits, addbacks and recaptures 48 Long-term care insurance credit (Form 1T-249) as 49 Investment credit (Including employment incentive credit and h(stork barn rehabiltadOn credit• Form/T-212)4g 50 Research and development - investment credit (Form?-212) 50 51 Other flovethrough credits Code Amount Code Amount 51a 51e 51b 51f 51c 61g Sid 51h 52 Addbacks of credits and recaptures Code Amount Code Amount 52a 52d 62b 62e 52c 52f 118004121019 III Oil Ill I IIl F II III II I IF II III 288802 11-'9-12 CONFIDENTIAL SDNY_GM_Coo33088 EFTA 00143701 EFTA01280228 MIDWAY ASHLEY CROSSING, LLC 45-3131018 NY IT-204-IP OTHER DEDUCTIONS DESCRIPTION ACCOUNTING FEES MISCELLANEOUS TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13 AMOUNT FROM NEW YORK FEDERAL STATE SCHEDULE K-1 AMOUNT 15. O. 4. 0. 19. 0. PARTNER NUMBER 6 CONFIDENTIAL SDNY_GM_00033089 EFTA ((1143702 EFTA01280229 NC k-1 (39). (D-403) 10-I1-12 2012 Partner's Share of N.C. Income, Adjustments, and Credits North Ca roina Department of Revenue For calendar year or fiscal year beginning Partner's (dent ying Number 203161309 Partners Name, Address, and ZIP Code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE NC 27360 01 01 12 and ending 12 31 12 Federal Employer ID Number 453131018 Partnership's Name, Address, and ZIP Code MIDWAY ASHLEY CROSSING LLC 270 LAFAYETTE STREET SUITE 409 NEW YORK NY 10012 Partnership's Pm Rata Share Rams All Partners 1. Share of partnership income (loss) 2. Additions to Income (loss) a. Addition for bonus depreciation b. Other additions to inoorne (loss) 3. Deductions from income (loss) a. Wooden for bonus depreciation STMT b. Other deduction from income (loss) STMT 4. Share of tax credits 5. Share of tax verthheld from nomvage compensation paid for personal services performed le N.C. Nonresident Only 6. Non reskleN's share of N.C. taxable Income (loss) 7. Non resIder.t's share of net tax paid by the manager of the partnership Amount Individuals Filing Form D-400 Enter Amount on: -13737 133 Page 2, Lhe 35 0 Page 2, Line 96 110 Page 2, Lire 44e 19 Page 2. Line 49 0 Form D-400TC 0 Page 2, Line 23 0 Page 2. Una St 0 Page 2, Line 24c "2-2n.12 CONFIDENTIAL SDNY_GM_00033090 EFTA_00143703 EFTA01280230 MIDWAY ASHLEY CROSSING, LLC 45-3131018 NC SCH K-1 DEDUCTIONS FROM FEDERAL TAXABLE INCOME DESCRIPTION AMOUNT PROFESSIONAL FEES 15 MISCELLANEOUS EXPENSES 4 TOTAL TO SCHEDULE K-1, LINE 3B 19 NC SCH K-1 DEDUCTIONS FOR BONUS DEPRECIATION DESCRIPTION AMOUNT ADJMNT FOR 1ST-YEAR DEPRECIATION ADDED BACK IN 2011 110. TOTAL TO SCHEDULE K-1, LINE 3A 110. PARTNER NUMBER 6 CONFIDENTIAL SDNY_GM_00033091 EFTA_00143704 EFTA01280231 6 STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE PARTNER'S SHARE OF SOUTH CAROLINA INCOME, DEDUCTIONS, CREDITS, ETC. For calendar year 2012 or tax year beginning 0 1/01/12 Partners identifying number le 20-3161309 Partners name, address ar.d ZIP code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 Check If applicable' (1) Final K•1 Partners Share of Current Year Income, Deductions, Credits, etc. B 1 Ordinary business Income (ices) 2 Net rental real estate Income (Ices) 3 Other net rental Income (loss) 4 Guaranteed payments 5 Interest income 6 Dividends 7 Royalties 8 Net short.terrn capital gain (loss) 9 Net long-term capital gain (ices) 10 Net Section 1231 gain (loss) 11 Other Income (loss) 12 Section 179 deduction 13 Other deductions SEE STATEMENT Amended K1 (A) Federal kl Amounts and endno_ SC1065 K-1 (Rev. 5/27/11) 3515 12/31/12 Perbtereblpie REN ► 45-3131018 Partnership's name, address and ZIP code MIDWAY ASHLEY CROSSING, LLC 270 LAFAYETTE STREET SUITE 409 NEW YORK, NY 10012 (3) W Nonresident (B) Plus or Minus SC Adjustments STMT Amount Not Allocated or t.t Wed to SC 1 1 II II e PI I! II II PI MN= I I a PI PI Pale" PI -681 —13,669. 19. 30. CD) Amounts Alloceled ("Apportioned to SC —13 639. 10 —68. 19. 14 Withholrino tax for nonresident partner 15 1 16 List applicable South Carolina two credits. (Attach an additional sheet If needed.) 17 18 19 Total South Carobs tax crenate 14 16 to 17 18 0 . L 35151018 27701 SII-Ce-12 J CONFIDENTIAL SDNY_GM_00033092 EFTA 00143705 EFTA01280232 MIDWAY ASHLEY CROSSING, LLC 45-3131018 SC SCHEDULE K-1 SCHEDULE K-1 ADJUSTMENTS LINE NO. DESCRIPTION AMOUNT LINE 2 ADDITIONS FOR BONUS DEPRECIATION TOTAL OF FORM SC1065, SCHEDULE K-1, COLUMN B 30. 30. SC SCHEDULE K-1 OTHER DEDUCTIONS DESCRIPTION COL A COL B COL C COL D OTHER DEDUCTIONS 19. 0. 0. 19. COLUMN TOTAL 19. 0. 0. 19. PARTNER NUMBER 6 CONFIDENTIAL SDNY_GM_00033093 EFTA_00 I 43706 EFTA01280233 CONFIDENTIAL soxy_Gu_aansom EFTA,I037. EFTA01280234 5 651112 Schedule (Form 1066) Department of the Treasury internal Revenue Servtx cot iudennt yoar 1Cl2 rot oe‘Irnir, 2012 Partner's Share of Income, Deductions, Credits, etc. lo.8as separate Instructions. Information About the Partnership A Partnership's employer kienbficaben number 45-1814195 8 PartneMiltka name, addmssAnty. Mal& and ZIP code MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTORS 270 LAFAYETTE STREET STE 409 NEW YORK, NY 10012 C IRS Center where partne "hinged return E-FILE D Q Check 11 this is a publicly traded partnership (rill)) nit 11 Information About the Partner E Partner's identifying number 20-3161309 F Partners name, address, city, state, and ZIP code BLUE CHIP CAPITAL. LLC 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 G General partner or LLC QC Limbed partner or other LLC member-manager member H Domestic partner Q Foreign partner II What type of entity is tht partner? PARTNERSHIP 12 if this partner is a retirement plan (IRAISEPrKeog Nieto.), check here J Partner's share of profK, loss, and Cavite Beginning Prof* 1.3478261%1 Loss 1.7391304% captai 1.7391304% K Partners share of Malt* at year end: Ending 1.3478261% 1.7391304% 1.7391304% Nonrecourse 2,844. oualified nonrecourse financing 9 104,518. $ O. Recourse L Partners capital account analysis: seafood capWaccount 42,061. $ $ —5,531. 27,0904 Ending capital account 9,440. Capital contributed during the year Current year increase (decrease) Yhthdrawals 8 distributions CE Tax basis I. OAAP 0 Other (ercelain) Ill Did the partner contrioute properly will a buk-In gain or loss? 0 Yes IX No If Yes', attach statement (see Instrmtions) a co. re LHA For Paperwork Redaclion Aet Notice, see instructions for Form 1080. iRSdovilorm1065 Section 704(b) book L. Final K-1 E.: Amended K-1 OMB kb. 1545-009 , ;.pattilli Partner's Share of Current Year Income, Deductions, Credits, and Other Items 15 Credits 1 Ordinary business income (loss) 0 . 2 ot rental rah eaNt• tona(lose) —5,205. 3 Other net rental income (loss) 16 Foreign transit:none 4 Guaranteed paynr.ts 5 truest Income Ordinary dividends Ob Ouallled dividends 17 Alternative min tax (NAT) kerns 1 252. 8* -21. F* 7 Royalties 8 Net short-term capital gain (loss) 9a fir long-term Capital gain (loss) 9b Coilecttles (28%) gab, Coss) 9c Unrecaptured sec 1250 gab 18 Tax-exampt Income and nondeductible expenses 1 . 19 TrIeMbutiors 27,090. 20 Other Intonation 10 Net Wan 1231 gain (loss) —185. 11 Otheancome (loss) 12. 12 Section 179 deduction 19 Other deductions L* W* 12. STMT 14 SelhemMOYment °amines90m) 0. *Sea Mood statement for additional IlltOrMeOn I Schedule K-1 (Form 1066) 207E 15450311 758241 21146.210 CONFEIDENTIAL AS LLC C/0 blIsap ott ea s EFTA_00143708 EFTA01280235 MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTOR 45-1814195 SCHEDULE K-1 OTHER PORTFOLIO DEDUCTIONS, BOX 13, CODE L DESCRIPTION PORTFOLIO AMORTIZATION PARTNER FILING INSTRUCTIONS AMOUNT SEE IRS SCH. K-1 INSTRUCTIONS 12. TOTAL TO SCHEDULE K-1, BOX 13, CODE L 12. SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W DESCRIPTION INTEREST ON DEBT FINANCED DISTRIBUTIONS MISCELLANEOUS PROFESSIONAL FEES PARTNER FILING INSTRUCTIONS AMOUNT ENTER ON APPLICABLE LINE OF YOUR RETURN 135. 4. 22. TOTAL TO SCHEDULE K-1, BOX 13, CODE W 161. SCHEDULE K-1 ALTERNATIVE MINIMUM TAX, ADJUSTED GAIN OR LOSS, BOX 17, CODE B DESCRIPTION ORDINARY GAIN OR LOSS PARTNER FILING INSTRUCTIONS AMOUNT SEE FORM 6251 INSTRUCTIONS -21. TOTAL TO SCHEDULE K-1, BOX 17, CODE B -21. SCHEDULE K-1 OTHER ALTERNATIVE MINIMUM TAX (AMT) ITEMS, BOX 17, CODE F DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT ADJUSTED CURRENT EARNINGS SEE FORM 4626 ACE WORKSHEET INSTRUCTIONS 12. TOTAL TO SCHEDULE K-1, BOX 17, CODE F 12. PARTNER NUMBER 5 15450311 758241 21146.210CON PPDENTIALAS LLC C/O MI 21146 91 SDNY_GM_00033096 EFTA_00 I 43709 EFTA01280236 MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTOR 45-1814195 SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 18, CODE C DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT NONDEDUCTIBLE EXPENSES - SEE IRS SCH. K-1 INSTRUCTIONS PASSTHROUGH 1. TOTAL TO SCHEDULE K-1, BOX 18, CODE C 1. SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES) DESCRIPTION AMOUNT TOTALS RENTAL REAL ESTATE INCOME (LOSS) -5,205. SECTION 1231 GAIN (LOSS) -165. SCHEDULE K-1 INCOME SUBTOTAL -5,390. PORTFOLIO DEDUCTIONS -12. OTHER DEDUCTIONS -161. SCHEDULE K-1 DEDUCTIONS SUBTOTAL -173. NET INCOME (LOSS) PER SCHEDULE K-1 -5,563. NONDEDUCTIBLE EXPENSES -1. CHIMNEYS - PREPAID RENT - CY -36. CHIMNEYS-PREPAID RENTS PY 19. FORETSDALE - PREPAID RENTS CY -74. FORETSDALE-PREPAID RENTS PY 124. OTHER INCREASES OR DECREASES SUBTOTAL 32. TOTAL TO SCHEDULE K-1, ITEM L -5,531. PARTNER NUMBER 5 15450311 758241 21146.210 CONFIDENItAt LLC C/O MI 21146 91 SDNY_GM_00033097 EFTA_00 437 0 EFTA01280237 5 SoletureS-1 (ForrnIC65) 29'2 Papa 2 This list identirres the codex used on Schedule for all partners and provides sommarized reportIng Information lor partnere who Ille Form 1040. For detalled reponIng and fliing Information, see the separate Partners Instructiont lor Scheture K•1 and the etstruclions lor your Interne tax return. ' assy erts leoorre par) %erm ul•thw ne iØe tes; 3 pa** ot nerteerve end enser yen. nrem es tellaire Pren oas Pese ve Sirs Noreats• b. Nr es ni Sir 9 Apa 'ml SMS Inerre(ter 3. ~ner renter Pose (eee) Net :Ø Seise 4. GutranSe pet/7• 74 6. Iren« Isne • OrnIrery <Mana 90 Cralerl Stemde 7. Royalls 8. Nanna* torn tapre/ 901 NS 9a Nm bus trrue CeN191 gein ecule) 9b. Cksilacibk83 (29%; 9e9" 3e« ge wW.L.90 ~on 1260 9.1,1 10. X« ~ku 12719x1 eter 11. Oter lesne Os: Cede A OSP ponlolie no:miss "v.:luntar/ corveralors C Sec 1256 stare & seeren 3 71år i eg exproreeor 0cepairs E ~Atal ol død - Otre res30,119 (13« 12 See9er -19ar11.Cer 13 Olher ducludons A Cent, rettare (50%) • Caen ecnellnllos P0/4) C Nonner carte bils ffl0313 D norner rele *Ser 20%) E Gnette gele preprey te • 90% ergeSzet (30e9) F Cinet gein preptry^ G CortrIbuiles (1X94) H Inneber lertart =pers I Descekrna - royalty Insdne J 9suilre 15~)etatur<atios K %duellar, :officio CP% lbaae, Defuelrots »Se (Sal 14 Ansees pele Sirs en reurence N Educabored mais:~ ~Pi% O %priori dr* benellea P ~ecry* perto3 «perm« • Orneeltele rerteltratlen den Sen from retel sinns SMS R "es Se SI Se 3 ttebreetatIon eXperrie deductn  :;arele 3,00 JellOn ~Sn etorrnotIon J Orelleacl preselen sters Isne  Fseyernr Forn W•2 sir* W Otenteeduriene Flest ei See the Pairer* inseriens &nedre E 11.19 28 Sure 1m ~ME em 29 Murre per ~ia E. Ona 28 Surr C Sea te Patere Inntrer« &Seie E, Are 29 telen, ø &e en ~9 InITLICCOM SetsJ • E, ka 29 orre Q; Form 1940, lira& Familie" Ona Sa Forn 1040, ku 90 er40:4eE,Yed tlehects 0. ene • 54.1.6a• 0. ene 12 28% Fr. Gir Vielser, He 4 Feehedule 0 Inestere1 Srie Vie ~a Inatrucdoes 8.94 Patrer • Irceuctbra Bere ts Paret. IS/0S« 8•• Vi Parbal* IneScteare Feen (1781, ne I Sea kn. sa Ferm 1040, Sn 21 nr Fer. 982 See M Parteer ermer S. Ihe Prege I snertes I Sn th e Peses lensens Feen eke, Ilne 1 Sc1.90J • E. IMe 19 8.91,14,Ntedu Irwtnectcne SchedJ e A 8e23 Schrina A IS 28 541.611•Allerr1 ot Ferm 1040, frre 29 Setrer Parteres k-tese:ny Felle 2447 as -2 Son te* Perterastesires Sn Fart 8332 ~st an 9.moPreWtkstrucw.n Sea MPresh Irtelsratne Sen Ferm 8036 wkxena Ferm 8903, liren Fare 8303, Nila li Seo ne/Pre« Ifbinet.016 14 3Senieleyrren: ~lege Foe6 Na Uyw huva sinn 179 titrert:n er cry perterlerod ~sis in Oie Parters Isracet, erre ørner eg sztio:kg•et • NM reernetp Spe tran Sdioe.ne SF AececnAortl sull•rtiorral 13 Grus* hm", or eNr9 Isen ~Ne ~is Inetruelluen C Gro» roa-Sir imot° Set IS Genro fotottas 76. ender A Ler-freon* Isteg ret1 »Sen 420341 lent ree-zooe bk.:se • uovi-Irco-4 han pre-2008 bukenes C Lor frøs entesing eire Melen 42(85)3 9tentreet-20C7 Du icing. D ~etse enurrts tnell134791 horr ecree2C07 Dell61831 E Oeilhd nristilset CA axpenelturote Inntil ne« «PM 9 Oter rest ner entre sale G Olher reral nerts H UndletrtnIe0 atal peSt selt I ACSOI ere eelMotte tiarar RIS onil 21'2® G1.03.11 See ~re ~Uere toen 1043, line 31; Snek cox e Sie Ole Penere Inreeelores CAtb esn J Wen rienett ety rer • Derter sees Cre31 _ Grpeevernert se sovne orierunktrente °Vert ree II Orten Ice seerne sete Syler Creal1 ler1910yer *cola' wickiity Sid Mit ese tan o Beekup viserne P Oltee aren l& FOrorr ~Ude, A Nenen or sart et US ~on R Gres frose 'rom al esse C arip9 Irc031,1 1~ pliblee evM Eske grae Inxn• »na M pornettern E Genar treget/ fy F Orer Pare ategrY ~Snes tasse tid portteet et erter Sel O Inna: «pene II ~ %Pute en Soare tea sereonee et pannerse:: Ø lro 93.341411 J Gana legery K Oter Oter neiser L Total broen ros 3013 M Tete Snøe Se, tese/ Redrefter Ir tare re ere br olla O Feer ~N 0,0•4 rice973 P ~Mødd i riCeennee3 Utal • 0914ctiagn ensalkis Ses 81e PerIncrs.W.st,s‘*iis } Es. I " 8. Part 17. Aterrernestelsm tem (AAMIterei A Per-19138 ~ei* on Sutrent O Falluelad geiner len O Depleden lers sn on i gru) D C4L ses. & greeeerre4 ses Semi E ce øla. & ~flid dedurJona F ~AMT Iberia Tegiwienpl 1~ «I neraauctION case«. A Taue", lunn erm B Oter nor ~ript IrCOT, C Hencledri:471•snee 19 Deatibulas A Cash ere rrwketable turellte B D aterrian *unett re sex 737 O Oter ecry 20 Oter Sinerree A i rotar! eser 9 InVostralt capereien • Wel tat cnert InbniNikm D arter, rettrillb687 ~lures (Ser Us stel ned eatate) e Bero rense ParlerlY F Reeers Of Isner. SeIng realt terten 4243162 • Resenro ot icnv•ecare eoric selt tethr) Rfl33.,r001 hvestmer1 ni; I 8931.33» ortrofedits J Leeeteck - ccrneeted 1339 term coi39Cto K Ledets Irrer - Iss frost ~roe L Orepentliee ei ser/ ell6 sten 1/0 CitarrIs 9/ %SMS C4 ~Gen 179 deduolcit rest sees try =este Festne* O Sects 4.6.7gig lebrelSr P ~n 4.63/Vd InforTM o stette inerx P671771404 R sn* 9,900194 pionceba 8 CCF neser rad vaier rosa T Dedebee Siste • al end gui J Sorte/ete e! nelostatten øsb  ~Sec Uerer Irar. frose W Prester:4ot pair tas) X SeclOn'OOPInid99,1":0 Y Olteretertnancn 15450311 758241 21146.2100ON FIDENTIALNAS LLC Forn 1' 18, Pert. Fan 1118, Pert I Fan 1118. Pert I Ps re krige Geis } ram 11113 Pr I Fore 7116 Part II Feen 7116 Omn %stylta, ine12 Fern 6873 Fere 8973 Somme Penere Meistre } Si. te erhers Insevotcate rc lee Inelseene /er Fer 6261 Fos 1040, IS» Sr the Parerra lesses Sea tere Persia IneetralSe Ste en Patere Sterte, Forn 41152. le ta Forn 4962, e6 Forn 4138 Son Pro Pare litsin,c1Or. Sea me Nyere ',st:Atten Forer 88' 1, ene i Sur 88'1. lell deo •orn 4266 Sua 9.1PerInt :ncticeleas S. Fot:1MP %e ruin 88199 3.1. Part-aia '-tstructprs C/0 MI 5 2114691 SDNY_GM_00033098 EFTA_(() I 437 I I EFTA01280238 Schedule of Activities For caunOir yet 201 a arta yew OK/Wm .2012, end irc MIDWAY-CAROLINAS LLC Mac C/o MIDWAY INVESTORS Mn BLUE CHIP CAPITAL LLC IA. Number. 45-1814195 Descdription hm4 Aunty Nulty 1 107% COCO* Purity Toodul = DoK0pdan FORESTDALE APARTMENTS LLC p.m's* m044- 1 may- 404- Ordinary business income (nes Net rental real estate income Goss) Other net rental linen, (loss) Interest income Cividentis - Ordinary dividends ' - Ouali6e1 dividends Royalties Net short-term capital gain (loss) Net longterm capita' gain (loss) - Collecibles (28%) gain (loss) - Unrecaptured Section 1250gain Net section 1231 gain (loss) Other portfoio income Section 125E contracts and straddles Other income Section 179 deduction Chara bre contributions Portfolio deductions Investment Interest expense Section 59(e)(2) expend tures Other deductions Net ea m ngs from self-employment Gross farming or fishing Income Etr NS nontarm Income LIH credit • Section 420X5)partnerelips • Other Welled rehabilitation °Veldts NS mated to Other rental credits Credits related to other rental activities Recapture of LTH credit - Section 42(1)(5) partnerships • Other Other credits . Post-1986 depreciation adjustment Adjusted gain or loss Portion of adjusted gairvloss allocable to short-term Portion of adjusted galnAcss allocable to long-tern Porten of adjusted g&niloss allocable to section Depletion (other than oil and gas) OiL gas and geothermal properties -gross income Olt gas and geothermal properties - deductions Other Afilif &errs invesbnent Income Investment extensile • • metal reel estate gainioss gahnoss 1291 gain/loss -.3,197. -181. 135. 713. -20. 20101 1101-12 15450311 758241 21146.210 C ON.F1 DEN:RAIL AS LLC C/O MI 21146 91 SDNY_GM_00-033099 EFTA_00143712 5 EFTA01280239 New Yak State Department of Taxation and Finance 2012 New York Partner's Schedule K-1 Tax Law - Article 22 (Personal Income Tax) For calendar year 2012 or tax year beginning 01 -01 -2 0 12 and ending 12-31-2012 Partners: Before completing your income tax return, see Form IT-2044N, Partners Instructions for Fonn IT-204-1P (available at Partnership's information (see Instructions) Partnership's name (as shown on Form IT-204) MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTOR IT-204-IP 5 Final K-1 Amended K-1 www.tax.ny.gov). Partnership's EN 45-1814195 A Mark an Ar in the box if either applies to your entity CI Publicly traded partnership L I Portfolio investment partnership B Tax shelter registration number, if any B C Business allocation percentage Partner's information (see Instructions) Partners name BLUE CHIP CAPITAL LLC Pattner's address 27 HIGH TECH BOULEVARD City THOMASVILLE State NC ZIP code 27360 Ok Partners Identlying ncnter 20-3161309 D The partner Is a @en a sk, sirepreto etc C General partner or LLC mamba( manager Limited partner or other LLC member E What is the tax filing statue of the partner? buns, X in view:mores box, it MOWN E I I OrrIVICklei L EVateutrust rxl Partnership F If the partner is a disregarded entity a grantor trust, enter the tax ID of the entity or Individual reporting the Income, If known G Did the partner sell its entire interest during the tax yea/ H Partner's share of profit. lose, and capital 1) Profit 2) Loss 3) Capital Partner's share of liabilities at the end ti the yet 1) Ncnrecourse .............. 2) Qualified nonreccUree financing 3) Recourse ' J Partners capital account analysts 111 1.3478 % HR 1.7391 % H3 1.7391 % ii M 13 1.3478 % 1.7391 % 1.7391 % 2,844. 104,518. 1) Beginning capital account J1 42,061. 2) Capital contributed during the year • cash J2 3) Capita) contributed dux igt the yea- property J3 4) anent year increase (decrease) J4 -5,531. 5) Withdrawals and distributions • cash A 27,090. 6) Withdrawals and distributions • property JO 7) Ending capital account J7 9,440. 8) Method of accounting (rnerfcen JIM the appropdate box) XI Tax taws ED ami, ED Book 1:71 Other (submit explanation) Beginning Yes DI No Ending K Resent status (mark an X in .1 boxes that eppol C NYS futyear resident LD Yonkers full-year resider.! I J NYS pante& readent C Yonkers parttyear resident DC NYS nonresident ... Yonkers nonresident L If the partner was Included Ina group return, enter the special NYS Identification number, Nknorm iluillvinilliii1 211iii1111o111 0 NYC Sutler resident 0 NYC part-yew resident L 286561 11-10.P1 CONFIDENTIAL SDNY_GM_00033100 EFTA 00143713 EFTA01280240 Page 2 trf 4 1T-2O4-O1 (2012) M 1) Was Form ITr2658-E fled with the partnership? 2) Was Form MTA4O5-E fled with the partnership? N NYS estimated tax paid on behalf of partner (from Form IT-2868) Debt Amount 1) First ir sta1ment Ni 2) Second Listallment N2 3) Third instailment N3 4) Fourth installment 114 Total NYS estimated tax paid cn behalf 04 partner (add/nes NI through N4) N O Estimated MCTMT paid cn behal of partner (from Form MTA-405) Date Amount 1) First Installment 01 2) Second installment O2 3) Third Instalment O9 4) Fourth instalment 04 1.41 Yea 0 .No a M2 Yes 0 No 0 Total estimated.MCTMT paid on behalf of partner (odd lines O1 through O4) Partner's share of income, deductions, etc. A - Partners distrioutNe share items B - Federal Kel amount 0 C - Novi Yorn State amount 1 Ordinary business income (loss) 1 1 2 Net rental reel estate income Goes) 2 -5,205. 2 3 Other net rental income OM) 3 3 4 Guaranteed payments 4 4 5 Interest income a 5 6 Ord'nery dividends 8 6 7 Royalties 7 7 8 Net shortterm capital gain pose) 8 8 9 Net long-term capital gain (loss) 9 9 10 Net section 1231 gain (loss) 10 —185. to 11 Other income (loss) Identify: 11 11 12 Section 179 deduction 12 12 13 Other deductions IdentifY: SEE STATEMENT 19 173. 13 14 "fax preference hems for minimum tut 14 1,243 . 14 Identify( 15 Net earnings (ices) from matt-employment 18 15 18 Tax-exempt Income end nondeductible expenses 10 1 - 16 17 Distributions • cash and marketable securities 17 ' 27,090. 17 18 Distnbutions - c4her property 18 18 19 Other items not included above that we required to be reported sepanatety to partnem 19 12 . 19 /donor SEE STATEMENT Partner's share of New York mO8111)83OO119 (beektranithons) 2O New York State additions Number A - Total amount B - New York Stale allocated amount 247. 20a EA- 16 247. 2Ob EA- 2Oc EA- 2Od EA- 2Oe EA- 2O1 EA- 21 Total addition modifications (total of column A lines 20a through 200 21 247. 118002121019 1111!111111111111)1111111 1111 28880 11.'9.12 CONFIDENTIAL SDNY_GM_OOO331O1 EFTA_00143714 EFTA01280241 IT-204-IP (2012,1 Page 3 of 4 Partner's share of New York modifications (centime< 22 New York State subtractions Number A - Total amount 22a ES- 21 503. 22b ES- 22c ES- 22d ES. 22e ES- 22f ES- B - New York State allocated amount 503. 23 Total subtraction modifications (total of column A lines 22a through 221) 23 503. 24 Additions to federal Itemized deductions Letter Amount 24a 24b 24c 24d 24e 24f 26 Total arldhlons to federal itemized deductions (add Ines 24a through 244 25 26 Subtractions from federal Itemized deductions Letter Amount 26a 26b 26o 26d 26e 26f 27 Total subtractions from federal itemized deductions (add *les 26a through 261) 27 28 New York adjustments to tax preference tams 28 Partner's other Information 29a Partners share of New York source gross income 29a 29b NICT0 allocation percentage (see Instructions) 29b Partner's credit information Part 1 - Flow-through credit bases and factors Brownfield redevelopment tax credit (Form lT-677 or 1T-611.1) A Form IT-611 B - Form IT-611.1 30 Site preparation credit ocrnponent 30 30 31 Tangible property credit component 31 31 32 Onsite groundwater remediatlor credit component ..... 32 118003121019 III III III 101111111111111111 Jill num 11 19-12 CONFIDENTIAL SDNY_GM 00033102 EFTA_00 1 437 15 EFTA01280242 Page 4 Of 4 IT-204-IP (2012) Partner's credit inforination (continued) EZ capital tax credal (Form (Form IT-602) 33 Contributions of money to EZ community development pro:ects 33 34 Recapture of credt fora-vestments in certlfed EZ businesses 34 35 Recapture of credit for contributions of money to EZ community development protects 35 OEZE tax reduction credit (Form IT-604) 30 CEZE employment Increase factor . 38 37 OEZE zone allocation lector 37 38 OEZE benefit period factor 38 Excelsior robs program tax credit (Form IT-607) 39 Excelsior jobs tax credit component 30 40 Excelsior Investment tax creak component 40 41 Excelsior research and deve.opment tax credal component 41 42 Excelsim rea property tax credit component 42 Farmers' school tax credit (Form fT-217) 43 Acres of qualified agricultural property 43 44 Acres of qualified conservation property 44 45 Eligible school district property taxes paid 48 48 Acres of qualified agricultural property converted to nortqualieed use 46 Other flow-through credit bases and factors Credit bases Code Amount Code Amount 47a 47d 47b 47e 47c 471 Gracia factors Code Factor Code Factor Code Factor 479 47i 47k 47h 47r 471 Part 2 - Flow-through credits, addbacks and recaptures 48 Long ten care insurance credit (Form IT-249) 48 49 Investment oredk (including employment Incentive credit and historic ban rehabifilation credit Form IT-212) 49 50 Research and development • Investment credit (Form IT-212) 80 51 Other flow through credits Cods Amount Cods Amount 51a 51e 511 51c 51g 51d 51h 52 Addbacks of credits and recaptures Code Amount Cods Amount 52a 52d 52b 52e 52o 52f p 118004121019 285842 11 -19-12 CONFIDENTIAL SDNY_GM_00033103 EFTA_00143716 EFTA01280243 MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTOR 45-1814195 NY IT-204-IP OTHER DEDUCTIONS DESCRIPTION AMOUNT FROM FEDERAL SCHEDULE K-1 NEW YORK STATE AMOUNT DEDUCTIONS - PORTFOLIO (OTHER) 12. 0. INTEREST ON DEBT FINANCED DISTRIBUTIONS 135. 0. MISCELLANEOUS 4. 0. PROFESSIONAL FEES 22. 0. TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13 173. 0. NY IT-204-IP OTHER ITEMS REQUIRED TO BE REPORTED SEPARATELY DESCRIPTION AMOUNT FROM FEDERAL SCHEDULE K-1 NEW YORK STATE AMOUNT INVESTMENT EXPENSES 12. 0. TOTAL TO FORM IT-204-IP, PAGE 2, LINE 19 12. 0. CONFIDENTIAL PARTNER NUMBER 5 SDNY_GM_00033104 EFTA_00143717 EFTA01280244 NC K-1 (39► (D-403) 10.11.i2 2012 Partner's Share of N.C. Income, Adjustments, and Credits North Carolina Department of Revenue For calends• year Cr fiscal year basic ning Partners Identifying Number 203161309 Partners Name, Address, and ZIP Code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE NC 27360 01 01 12 and ending 12 31 12 Federal Employer ID Number 451814195 Partnership's Name, Address, and ZIP Code MIDWAY-CAROLINAS LLC CO MIDWAY INVESTORS 270 LAFAYETTE STREET STE 409 NEW YORK NY 10012 Partnership's Pro Rata Share Items All Partners 1. Share of partnership Intorre (loss) 2. Additions to Income (loss) a. Addition for bons depredation b. Other additions to home (loss) 3. Deductions 'roil Ircome (loss) a. Deductkn fcr henna depreciation STMT b. Other deduclons from Income (loss) STMT 4. Snare of tax credits 5. Snare of tax withheld from non wage compensation paid for personal Services performed in N.C. Nonresidents Only 6. Nonresident's share of N.C. taxable !mane (loss) 7. Nonresident's snare of net tax paid by the manager of the partnership Amount Individuals Piling Form (1-400 Enter Amount on: -5390 247 Page 2, Line 35 0 Page 2, Line 36 503 Page 2, Lite 44e 34 Page 2, the 49 0 Form D-40OTC 0 Page 2, Lite 23 0 Page 2, Line 51 0 Page 2, Line 24c 269291 '2.20-12 CONFIDENTIAL SDNY_GM_00033105 EFTA_OO143718 EFTA01280245 MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTOR 45-1814195 NC SCH K-1 DEDUCTIONS FROM FEDERAL TAXABLE INCOME DESCRIPTION AMOUNT PROFESSIONAL FEES 22 AMORTIZATION ORGANIZATION COSTS 12 TOTAL TO SCHEDULE K-1, LINE 3B 34 NC SCH K-1 DEDUCTIONS FOR BONUS DEPRECIATION DESCRIPTION AMOUNT ADJMNT FOR 1ST-YEAR DEPRECIATION ADDED BACK IN 2011 503. TOTAL TO SCHEDULE K-1, LINE 3A 503. CONFIDENTIAL PARTNER NUMBER 5 SDNY_GM_00033106 EFTA_00 I 43719 EFTA01280246 r 1019 5 STATE OF SOUTH CAROLINA DEPARTMENT OF FIEWNUE PARTNER'S SHARE OF SOUTH CAROLINA INCOME, DEDUCTIONS, CREDITS, ETC. For calendar year 2012 or tax year beginning Partners Identifying number 11, 20-3161309 Partners name, address end ZIP code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 Check if • (1) Fine! Kel Partner's Share of Current Year Income, Deductions, Credits, etc. (0:9 Federal Ic1 Amounts (0) Plus oc Minus SC Adjustmems (C) Amounts Not or ApAllocated to SC ocnione (0) Amounts Allocated or Apportioned to SC 1 Ordinary business income (lose) 2 Net rental real estate income (loss) 3 Other net rental Income aces 4 Guaranteed payments i 5 Interest Income Div 8 Idends $ c 7 Royalties 8 Net skin-tem) capital gain (loss) 9 Net long-term capital gain (loss) 10 Net Section 1231 pale (loss) 11 Other ircome (loss) 1 1 STMT 1 2 -5,205. 2 86. 2 -3,197. 2 -1,922. 3'' 3 3 3 4 4 4 4 6 5 5 5 8 8 8 6 7 7 7 7 8 8 8 8 9 9 9 9 10 -185.10 10 -185.10 11 11 11 11 ,, 12 Section 179 deduction S 13 Other deductions 12 12 12 12 13 173.13 13 154.13 19. SEE STATEMENT 14 Withholding tax for nonresident partner 14 0 . Ust applicable South Carolina tax credts. (Attach an additional sheet if needed.) 15 15 le - . ----- — 1 ., 18 17 17 18 18 19 Total South Carona tax credits 19 0 . SC1065 K-1 (Rev. 5/27/11) 3515 01/01/12 ard ending 12/31/12 Amended K 1 Partnership's FEIN O. 45-1814195 Partnership's name. address and DP coda MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTORS 270 LAFAYETTE STREET STE 409 NEW YORK, NY 10012 Nonresident L 35151018 277t2i 0/4)242 J CONFIDENTIAL SDNY_GM_00033107 EFTA_00143720 EFTA01280247 MIDWAY-CAROLINAS LLC C/O MIDWAY INVESTOR 45-1814195 SC SCHEDULE K-1 SCHEDULE K-1 ADJUSTMENTS LINE NO. DESCRIPTION AMOUNT LINE 2 ADJUSTMENT FOR BONUS DEPRECIATION TOTAL OF FORM SC1065, SCHEDULE K-1, COLUMN B 86. 86. SC SCHEDULE K-1 OTHER DEDUCTIONS DESCRIPTION COL A COL B COL C COL D OTHER DEDUCTIONS 173. O. 154. 19. COLUMN TOTAL 173. 0. 154. 19. CONFIDENTIAL PARTNER NUMBER 5 SDNY_GM_00033108 EFTA_00 143721 EFTA01280248 CONFIDENTIAL SON,M,013. EFTA,I03722 EFTA01280249 4 651112 Schedule K1 (Form 1065) tor rearteryewarns max Department of the Treasury yew enionnfrg intern' Reverue Service enwo Partner's Sharo of Income, Deductions, Credits, etc. P. See sepias Instuctione. 2012 ik Information About the Partnership A Partnership's employer identifkation number 45-1534785 8 Partnership's name, address, c'ty, state, arid ZIP code MIDWAY MOUNTAINEER, LLC 270 LAFAYETTE STREET, SUIT 409 NEW YORK NY 10012 C IRS Center where ;arboreta thed return E-FILE 0 0 Check it thls Is a publicly traded partnership (PIP) Pad II Information About the Partner E Partner s identifying number 20-3161309 F Partners name, address, city, state, and ZIP ode BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 11 0 General partner or 1.1.0 Limited partner or other la member-manager member H Oornestic partner El Foreign partner II What type of Godly b this canner? PARTNERSHIP 12 this partner is a retirement plan (IEWSEP/Keogralt.), thick here J Peepers share ci prat. Mss, and capital: Beginning Email Prom 2.3484848% 2.3484848% - Cr Loss 3.0303030% 3.0303030% Casket 3.0303030% 3.0303030% K Partners share of Kates at year end: Nonrecourse Quailed nonrettursetinancing Recocrse $ 1,405. 0. I. Partner's capkal account analysis: Beet ring capital account Capital contributed clurthig the year r re r t year increase (decrease) Withdrawals & distributicns Ending capital account $ Sl S LIC Tax basis U GARP Other (explain) M Old the partner contribute property wer a bull-in gain or loss? I I Yes LL. No If Yes'. attach statement (see instructions) 73,650. 3,782. 7,0594 70,373. Seaton 704(5) book ofsa las u LHA For Paperwork Reduction Act Notice, see Instructions tar Form 1065. IRSgovarrn106.5 k lnal K-I Amended K-1 OM No. I545-009 OC Partner's Share of Current Year Income, Deductions, Credits, and Other Items 1 Ordinary business Income (loss) 1 O. 21,cmwme..t.ii.a.moree —6,686. 8 her net rental Income (loss) 4 Guaranteed payments interest Income 1. 54 Ordinary dividends a Clotted dividends 15 Cradits 15 Foreign transactions 17 A temative mm tax (AMT) items -2. l et short-term capital gain (loss) Net long-term capital gain (bas) 911 erllectithes (28%) gain (loss) Sc recaptured sec 12500th 10 let settler 1231 gala (loss) 11 Other Income (loss) 12 Section 179 deduction 18 Other deductions Cive 30. 14 Self-employment earnings (loss) O . 1$ Tax-exempt income and nondeductible Martha 11* 5 . 19 Distributions A 7,059. 28 COW Women 1 . A E2 16090315 758241 21146.209 CONFIDENTALEER, LLC Schedule K-1 (Form 1065) 2012 4 sarilbiAmato EPTA_00143723 EFTA01280250 MIDWAY MOUNTAINEER, LLC 45-1534785 SCHEDULE K-1 OTHER PORTFOLIO DEDUCTIONS, BOX 13, CODE L DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT PORTFOLIO DEDUCTIONS FROM SEE IRS SCH. K-1 INSTRUCTIONS PASSTHROUGH ENTITIES 30. TOTAL TO SCHEDULE K-1, BOX 13, CODE L 30. SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT ACCOUNTING 27. DUES & FEES 6. TOTAL TO SCHEDULE K-1, BOX 13, CODE W 33. SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 18, CODE C DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT NONDEDUCTIBLE EXPENSES - SEE IRS SCH. K-1 INSTRUCTIONS PASSTHROUGH 5. TOTAL TO SCHEDULE K-1, BOX 18, CODE C 5. SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES) DESCRIPTION RENTAL REAL ESTATE INCOME (LOSS) INTEREST INCOME AMOUNT TOTALS -6,686. 1. SCHEDULE K-1 INCOME SUBTOTAL -6,685. PORTFOLIO DEDUCTIONS -30. OTHER DEDUCTIONS -33. SCHEDULE K-1 DEDUCTIONS SUBTOTAL -63. NET INCOME (LOSS) PER SCHEDULE K-1 -6,748. 16090315 758241 21146.209 CON.F1 PARTNER NUMBER 4 NTOIJALIEER, LLC SDNWAI gO0V111 EFTA_00 I 43724 EFTA01280251 MIDWAY, MOUNTAINEER, LLC 45-1534785 NONDEDUCTIBLE EXPENSES -5. PREPAID RENTS CY -95. STEP UP AMORTIZATION FROM PASS THROUGH 2,979. STEP UP DEPRECIATION FROM PASS THROUGH 7,651. OTHER INCREASES OR DECREASES SUBTOTAL 10,530. TOTAL TO SCHEDULE K-1, ITEM L 3,782. 16090315 758241 21146.209 Fl PARTNER NUMBER 4 LLC 21146 El SDNY_GM_00033112 EFTA 00143725 EFTA01280252 4 Schedule K-: (Form I005) 2D:2 Page 2 This list Identifies the codes used on Schedule K-1 for all partners and provides summarized reporting Information for partners' ho tile Form 1040. For detailed reporting and tiling information, see the separate Partners Instructions Ion Schedule l(-1 and the Instructions for your income lax return. 1. Octal, %class inGOWI coat Dannina Inn to Inn :KW; pawns or renews va and one rn your fl m is 15 bvs. Passive ow Pone !memo NOW033V0 MOIWINe/0 Income 2. M: nn No into Hoene Ion) 3 outer re, teens Inner Caen het inn Nal ion 4 Guaranteed Gann 5 meet Irene as °rainy charade 50 (boallbi ann. 7. /nits I. Not tot torre apt: go (cob 94 Net bibunre craprN Ca' Serb Cla. Collect oars 128%; gse no) 9e Unrocapurod wen 1250 gib *O. NM nen 1231 go -6 rob) 1. Ohm- nate -es) COW A On Bona IrecnuElow) 8 Invcrurtery oannolono C Soo. :258 corn.. One co O at beg axpleralloa Ctrs eweetils E Ca-celtraceta, &rot F Olhar Inn* ( oe 12. Sene 179 &dna. 13. Oi'e doonnea A O F K L N O P 0 R S T V w OW ante. one NM) teen nonteo4: one 1301(4 Nolen *noun NOW Non* contemns POW Cam: 61 ca MOM, 10 650% ovanIzaJoB(J616) Copt sae mm6..912210 Cot orlon' GOON Inner: and oxpeeno 0'40.1.1.4>III• rewire ton Senn 58822; oxen tin Deduct amr • polio ot% azen oxsuann. • pen C rote Araunto Boo br trednel nine Enacatorb omit ence Webb Donn! rem beeratx Preprodacwo porn bean Caren el rennin an deluoton eon rent ma aralc art von Persicns Are IRA, Relertatathr nano dant an Del-a8Se produeser acrthrlies Intoenben Ora fled nun. elute, mccr,e Erbroyera Fern W-2 ono Otter denrunow FIIPOn 01 S. the Pate.. teetwOcas Seln. • E. Nes 28, earn ro: 8040.0E Iln•28. cobra 92 Inn • 2 Ilne28, =bre 0 SW be Naga henna Bon • t lino 28, note Nell Sae Vs Pones Inotactlara Scans E, Illy 28. nab I Farr 1043, nib Fan IIM96 Fan 1040, Unit Sown E. Ilmo 4 Bar o D.Pre 5 &mucus 0, S. 2816 Rat. Gain Wen* les 4 (Bonk 0 belraWona) Soo ha Peron lestsieSSis Bw ttw Parton Inshau-Sans See tee Panto Innotbrs SW. tw SSW* Unthaws Faro 8781 Ml See Pon B35 Forr10.10, 21 °liana Sao he Pon w t brim:tees Sae me Parinv's 'Saab I Soothe artery -sbucOon• Fan 4£42. !we 1 Sneau • F., lira 15 So• to Penmen lostankes 5ceea le A 01022 Sunk A rho BS San Jo A antler Form 10740, Ono 29 Soo to Panwe's loan:Ione ;orm 2441.11ra '2 See no Panic's estsambra See Fern 56821estuotam See he Parkin Insholons Sea he Pawn Henn See Far !NW Insluatbb neerows$, 'lb 7a econamni n17 Sas the NOW's rnisbuCtCm. 14. 8411-nowtort breirea keel Nob Ilyou In a won 179 CerlutSor Cs, Sly petter-tevel clecluvion sw IN) Partrwes InStuctcns Snot oxrploUns Schwa SE A Vol nabs ben 'Mil SCriedL 0 St, UMW, A«0 soluaxmoyese B CFAs twang Cc gist 19 Inn C Sites mn-larn income :8. Cmdta A Low ben Mae 19 met Infer 42015 tan pre-20111 wean 8 Unworn@ "Oiling Ore 94104 ton me-2n ouno C uweIncarta noun an Noon 427.0:1 kw owl-2007 WINN, O LLY/NrtAtM2 lattiN credit :arm) born pet:-2007 s...11dets F. areered ntiritatior centrum }orta cod =my) F Otte torte Ntrl blab urn* O Oter rob ta -ts H Lire atabJlod card (Ons &ode I Mcoh5 *AA.," c ttolurl ebb C/CCIN .1 See to 3iIrroftilretwatIore Sea 'rrtarli Ins:runny Sea he Partin ben lens Form 1043 Ins 71; Wadi bane See he sense. Nititatless 211282 01.01-13 16090315 758241 21146.209 CON.F1 C'wo J Wore nortunny credit K Elbabeed ens beer L Ernowbrent rob Ind newel Coney enployment creel t 51 Ono t let Ireton lo mama% N Creel be employer von baby .rc Medlueer o Backup Atroo P Ono:nob 141 Farolgn noon* A %no* earn «US. POWS/Woe R ran room In NI bun O Gas ben oxen m Peher Ise FON121(POIN fICCIMINurec K intiertillp evd F Cenv E GIC44110rherf } Fenn Pell 0 Pane cobweb Csoactlet stored arc sppcil Oft] K prom WM O 'Man Mine Farm 1118. Part I H Ohm Fenn 1118. Pearl Dnc..stlow a. cacaod orxl sppoiSared K 0•44WirCe WoW Sr lone bun horn I Penang canal Ono. witegray Fon '111, Putt K Otot Otler Ur tenni cm L Teti beer ton pale • 7c-cl Emir ten accrued N RoducriCei IM Wad won • tram t O Fortin Nebo grew nob P EntlintfAil tan arcausen • boys SanucSaw 17 Nunn el -rum tea :tan ben A Put-'988 &ankle, aclan0tt B Adrusaret sec er C ;win' (:411b Ste e tat • OR oa & protean 9000 Ircone E 04 Glaa. & plums - Sw-elloca F Cater MA1 bee It Tee many: heart era condonable boobs A Image/mat newt tore Carer LleeeXele: Incur,* C NOrCetkU.Ibler expenses 19. DIshbutions A CaW awl larktratMe 'burn 8 Distriout on &ebb to sector 737 C Ober properm 20. Mar Wanton A Wren. norre B Inner lawns O Gas lax fed: Inkenen O ewe +Ow ex one Ally :Oho, thon fental roe can) • Bees aceau-y property F Hearn Of bee-Income 7ouslrg moll nice 42225.1 G Hearn el row-In Wee towline cfecit :on•I H nacapteto or Inner( caret I sxcapwre al att. avails .1 ...v.,...tpack Flat ownpletscl ong-terrn satiate K nor beck Urban boons bent 14 O 0 S w x -tr wnloo sportown noun rem motion 179 deduebn 144c•pl.n of beaker 179 be Jan Inter capon. br corporate person Stela, 403=0 Ir berailan 114clun M.3.697)Irtynt20:1 Sectt :283>I1rbentIca Inn allocable b 2ICCIJaal abort crow CCF relocated MIndetrwas Dacron Irbonet - o and me Arructust on gleafrestat.ol orate rnseed arA vas enable Income Precorle *an San Gab) Scan 1000 VilOgrreloi 01W Inlbsmake } Fermi,* Peel Pow ilift Pon how 11 tfl. Port I En 11'4 Ito 12 Farr 8873 Fan. aRra See the aerrot • nornore 1 Soo to Poirer's Ireherbes 00 Car Wenders br Fan 8251 Form 1240, be 8b See he Parties Imbue:Ions Sec Ina Penn In } Ow IM Prow. IrStoutt One J NTObiktNEERs LLC For 40 52. 1110 4+ Far ab2. SW Few 4136 See he ate enr burctior • rut ho Pert ere 'sutra:Sore cern sr 1. Ihe 8 Fenn tall. '508 See Foto 4255 See to Pan's Irenrces See Fsw ma> We Fuer 8886 Sea Be aarher's nu-Surs 4 21146 El SDNY_GM_OOO33113 EFTA_00143726 EFTA01280253 2012 New York State Depalment of Taxation and Finance New York Partner's Schedule K-1 1T-204-IP Tax Law - Article 22 (Personal Income Tax) 4 Final IC-I For calendar year 2012 or tax year beginning 01-01-2012 and ending 12-31-2012 -- Amended Kr1 Partners: Before completing your Income tax return, see Form IT-204•IP-1, Partner's InstmctIons lei Form IT-204-IP (avalable at vnrnv.tax.ny.gov). Partnership's information (see Instructions) Partnership's name (as shown on Font IT-204) MIDWAY MOUNTAINEER, LLC Partnership's EIN 45-1534785 A Mark an Asir the box if either applies to your entity Publicly traded partnership C Portfolio Investment partnership B Tax Shelter reatration number, it ary B C Busiress alocation percentage C Partner's information (see instructions) Par.rer's name BLUE CHIP CAPITAL LLC Par.rer's address 27 HIGH TECH BOULEVARD City State THOMASVILLE NC ZIP code 27360 Parmer's identifying number 20-3161309 D The partner is a ran or X N n,. aoprepdn oax) General partner or LLC merrber-manager Limited partner or other LLC member E What lathe tax fling status 0.l the partner? :flit Acpwratn Ø If Knew.) El Individual Estate/trust X Partnership F If the partner is a disregarded entity or grantor trust, enter the tax ID of the entity or Individual reporting the Income, If known O Did the partner ea its entire interest during the tax year? G Yes __ No al H Partner's share of profit, loss, and capital Beginning Encino 1; Profit Ht 2.3485 • 2.3485 3.0303 % 2) Loss H2 3.0303 3) Capital H3 3.0303 • 3.0303 I Partner's share of Ilabilitee at the end of the year 1) Nonrecourse H 1,405. 2) Otagfied nonnscourse thawing 12 3) Rama. I3 .1 Partner's capital account ennyss 1) Beginning capital °mount J1 73,650. 2) Capital contributed during the year • cash J2 3) Capital contributed during the year property J3 4) Ounent year Increase (decrease) J4 3,782. 5) Withdrawals and distributions - cash JS 7 , 059 . 6) Withdrawals and clstributens • property J6 7) Ending capital account J7 70,373. 8) Method of accounting (mark an Xin the apprspriate box) Ix] Tax basis C ØP Book 1_1 Other (submit explanation) K Resident etalue (mark an X in 2 boxes that apply) C NYS lubyear resident C Yonkers full-yew resident C NYC fullyear reeldent L._ NYS part-yea:resident D Yonkers part-year res:dent C NYC peat-year resident MC WS nonresident C Yonkers nonresident L It the partner was Inc.uded In a group return, enter the special NYS identification number, K known 118001121019 258%1 •-•e12 CONFIDENTIAL SDNY_GM_00033114 EFTA 00143727 EFTA01280254 Page 2 of 4 17-204-IP (2012) M 1) Was Form IT-2658£ Ned with the partnersnlp? Ml Yes No 2) Wee Form MTA405•E Ned with the partnership? M2 Yes 17 No 0 N NYS estimated tax paid on behalf of partner (from Form IT-2858) 1) Find Installment NI 2) Second Instalhent N2 3) Third Instalment NS 4) Fourth Installment IN4 Date Amount Total NYS estimated tax paid on behalf of partner (add toes Ni through N4) 0 Estimated MOTM7 paid on behalf of panne, (fmm Form A4TA-405) Dab 1) First ins'alhent 01 2) Second Installment 02 3) Third rstallment 03 4) Fourth Installment 04 Total estimated MCTMT pad cn behalf of partner (add Ines O1 through O4) Partner's share of income, deductions, etc. 0 Amount A - Partner's cletributhe share Items 1 Ordinary business IfICOM.6 Coss) 1 8 - Federal 147 amount C- 1 New Yak State amount 2 Net rental real estate income (loss) 2 -6, 686. 2 3 Other net rental Income (Ices) 3 3 4 Guaranteed payments 4 4 5 Interest Income a 1. 5 8 Ordinary dividends 6 8 7 Royalties 7 7 8 Net short-term capital gain (loss) 8 8 9 Net long-term capital gain Goes) 9 9 10 Net section 1231 gain (lose) 10 10 11 Other Income (loss)identIPT 11 11 12 Section 179 deduction 12 12 13 Other deductions Identif: SEE STATEMENT is 63. 13 14 Tax preference items for minimum tax 14 -2. 14 Identify: 16 Net earnings (loss) Iron sett-employment 16 15 18 Tax-exempt income and nondeductible expenses 16 5. 16 17 Distributions - cash and marketable securities . 17 7,059. 17 18 Distributims - other property 18 18 19 Otter items not Include° above that are required to be reported separately to partners 19 31. 19 Identify: SEE STATEMENT Partner's share of New York modifications (ees instructions) 20 Nev. York State tdcl Number A - Total amount 20a EA- 16 92. 20b EA- 20c EA- 20d EA- 20o EA- 20f EA- 8 - New York State allocated amount 21 Total addition modifications dotal el colUrna A, fines 2Ca through 20f) . 118002121019 III IIII III I III III II III III I III II III CONFIDENTIAL 92. aim SDNY_GM_00033115 EFTA_00 143728 EFTA01280255 IT-204-IP (2012) Page 3 of 4 22a ES- 22b ES- 22c ES- 22d ES- 22e ES- 22f ES- Partner's share of New York modifications /continued) 22 New York State subtractions Number A - Total amount 21 9 7 . B - New York State allocated amount 23 Total subtraction modifications (total of column A lines 22a through 226 23 9 7 . 24 Additions to federal itemtzed deductions Letter Amount 24a 24b 24c 24d 24e 24f 25 Total additions to federal kemized deductions (add lines 24a through 240 26 28 Subtractions from federal ttenfzed deductions Letter Amount 26a 26b 26e 26d 26e 26f 27 Total subtractions from federal itemized deductions (add lines 26a through 260 27 28 New York adjustments to tax preference items 28 Partner's other Information 29a Partners Sure of New York source gross income 29a 29b MCTD allocation percentage (seeinstructions) 29b Partner's credit Information Part 1 - Flow-through credit bases and factors Brownfield redevelopment tax credit (Form IT-611 or 1T-6 t 1.1) A - Form IT-611 B - Form IT-611.1 30 Site preparation credit component 30 30 31 Tangible property ore& component 31 31 32 On-site groundwater remediatIon credit component 32 32 11.10-.2 CONFIDENTIAL SDNY_GM_00033116 EFTA 00143729 EFTA01280256 Page 4 of 4 17-2044P 0012) Partner's credit information (continued) EZ capital tax credit (FAINT-602) 33 Contebutions of money to EZ community development projects 33 34 Recapture of credit for Investments in °rifled EZ businesses 34 36 Recapture of matt for oontributions re money to t1 community development orotects 35 CUE tax reduction credit (Form IT-604) 38 QEZE employment increase factor 38 37 QEZE zone stocation factor 37 38 QEZE benefit per cd factor 38 Excelsior jobs program tax crest (Form IT-607) 39 Excelsior lobe tax credit component 30 40 Excelsior Investment tax creclt component 40 41 Excelsior research, and development tax credit component 41 42 Excelsior teal property tax credit component 42 Farmers' school tax credit (Form IT-217) 43 Acres of quallied agricultural property 43 44 Acres of quailed conservation property 44 45 Engine school district property taxes paid 48 48 Acres cf qualified agrkult t.ral property converted to nonquakfled use 45 Other flow-through credit bases end factors Credit bases Code Amount Code Motet 470 47d 47b 47e 47c 471 Credt factors Code Feotor Code Factor Code Factor 47g 471 47k 47h 473 471 Part 2 - Flow-through credits, addbacks and recaptures 48 Long-term care insurance credit (Form 1T-249) 48 49 Investment credit (including employment incentive crest end historic barn rehabilitation emS F019171T-212) 40 50 Research and development • investment credit (Fenn IT-212) 50 61 Other flow-through credits Code Amount Code Amount 51a 51e 61b 511 51c 51g 51d 51h 52 Addbacks of credits and recaptures Code Amount Code Amount 52a 52d 52b 62e 52c 521 118004121019 III IIII III I IIII II II III III I III II III CONFIDENTIAL MOM 11-19-12 SDNY_GM_00033117 EFTA_00143730 EFTA01280257 MIDWAY. MOUNTAINEER, LLC 45-1534785 NY IT-204-IP OTHER DEDUCTIONS DESCRIPTION AMOUNT FROM NEW YORK FEDERAL STATE SCHEDULE K-1 AMOUNT DEDUCTIONS - PORTFOLIO (OTHER) 30. 0. ACCOUNTING 27. 0. DUES & FEES 6. 0. TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13 63. 0. NY IT-204-IP OTHER ITEMS REQUIRED TO BE REPORTED SEPARATELY DESCRIPTION AMOUNT FROM NEW YORK FEDERAL STATE SCHEDULE K-1 AMOUNT INVESTMENT INCOME 1. 0. INVESTMENT EXPENSES 30. 0. TOTAL TO FORM IT-204-IP, PAGE 2, LINE 19 31. 0. CONFIDENTIAL PARTNER NUMBER 4 SDNY_GM_0003311B EFTA_00143731 EFTA01280258 • NC K-1 (39) (D-403) 10-11.12 For calendar year 2012 Partner's Share of N.C. Income, Adjustments, and Credits North Carolina Department of Revenue or hut year begmning 01 01 12 amending 12 31 12 Partner's Identifying Number Federal Employer ID Number 203161309 451534785 Partner's Name, Address, and ZIP Code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE NC 27360 Partnership's Name, Address, and ZIP Code MIDWAY MOUNTAINEER LLC 270 LAFAYETTE STREET SUIT 409 NEW YORK NY 10012 Partnership's Pro Rata Share Items All Partners 1. Snare of partnership Income (loss) 2. Additions to Income Doss) a. AddRion for bonus depredation b. Other additions to income (loss) 3. Deductions from Income (loss) a. Deduction for bonus depredation STMT b. Other deductions from income (lass) STMT 4. Share of taxcredits 5. Share of tax withheld from nonwage comper.satiar paid for personal services performed In N.C. Nonresidents Only 6. Nonresident's share of N.C. taxable income (oss) 7. Nonresident's store of net tax paid by the manager of the partnership Amount Individuals Filing Form 0400 Enter Amount on: -6685 92 Papa 2, DM, 35 0 Page 2, Line 36 97 Page 2, :Me 44e 33 Page 2, Line 49 0 Form 0-400TC 0 Par 2. Line 23 0 Pace 2. Line 51 0 Page 2, dm 24c 241091 CONFIDENTIAL SDNY_GM_00033119 EFTA_001 43732 EFTA01280259 MIDWAY MOUNTAINEER, LLC 45-1534785 NC SCH K-1 DEDUCTIONS FROM FEDERAL TAXABLE INCOME DESCRIPTION AMOUNT DUES & FEES 6 ACCOUNTING 27 TOTAL TO SCHEDULE K-1, LINE 3B 33 NC SCH K-1 DEDUCTIONS FOR BONUS DEPRECIATION DESCRIPTION AMOUNT ADJMNT FOR 1ST-YEAR DEPRECIATION ADDED BACK IN 2011 97. TOTAL TO SCHEDULE K-I, LINE 3A 97. CONFIDENTIAL PARTNER NUMBER 4 SDNY_GM_00033120 EFTA_00143733 EFTA01280260 CONFIDENTIAL SONV_GN_OOMI 21 EFTA,103734 EFTA01280261 3 631112 0 Section 704(b) book 17540322 758241 21146.20C ONIFIDEN4- PIALTION LLC. Recourse Schedule K-1 (Ram 1066) Fermlividwrier2iraortex 2012 Department of the Treasury yea- bectnn Internal Revenue Service "wine Partner's Share of Income, Deductions, Credits, etc. ► See separate Instructions. Part I Information About the Partnership A Partnership's employer Identification number 27-3304656 Partnership's name, address, city, state, and ZIP code MIDWAY PLANTATION LLC. 270 LAFAYETTE ST. STE 409 NEV.; YORK, NY 10012 C IRS Center where partnership Sled return E—FILE D Check it this is * publicly traded partnership (PTP) Information About the Partner E Partners Identifying number 20-3161309 F Partner's name, address, city, state, and ZIP code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 a 0 General partner or LLC DU Limited partner or other LLC member-manager member H aid Domestic partner 0 Foreign partner What bile of entity Is this partner? PARTNERSHIP 2 it mks partner is a retirement plan (IFINSEPdthoghtetc.). check here Partners share of croft loss, and caplet Beginning Beim Pratt 3.2978723% 4.2553191% Lon 4.2553191% 4.2553191% Capita' 4.2553191% 4.2553191% K Partner's Share of liabilities at year end: Nonrecourse 5,485. Cualified nonrecourse Financing 303,782. 0 . n Foal K-1 —I Amended K-1 CMS No 1545-009 AO; MP Partner's Share of Current Year Income, Deductions, Credits, and Other items 1 15 Credits 1 Ordinary business income (loss) 0. 2 Not mai red astute income in* -27,051. 3 Other net rental income (loss) 4 Guaranteed payments 6 Interest Income 16 Foreign transactions Oa lathery dividends 6b QualKled dividends 7 Royalties 8 let short-term capital gain (loss) 17 Atemathre min tax (MT) Items 2,529. B* —14. 9a let long-term capital gain (loss) gs Collectibles (28%) gain (loss) 19 thstrkidons 18 Tax-exempt income and nondeductible expenses 9 392. 9c Unrecaptured sac 1250 geln 10 Net section 1231 gain (loss) —54. 11 Other Income (loss) 20 Other information 12 Section 179extudlos 13 Other deduction iW t STMT 14 Sell -employment earnings (loss) 0. had statement for addtionm information. L Partners capital account analysis: Beginning capital account $ 40,524. Capital contributed during the year $ Current year Increase (decrease) $ —27,735. witsdrawaissaistiessons SI 9,3924 Ending capital account S 3,397. pp Tax basis 0 OAAP 0 Other (explain) PA Did the partnercontasse property with a built-In gain or loss? C Yes LXJ No N' es'. attach statement (see hist ruC0onsl e•th- ti 1Lb la LHA For Paperwork Reduction Act Notice, see Bistro lions for Form 1055. I 6.0oWlornil 065 SchedtleK4 (Form 1066) 2012 3 21146 41 SDNY_GM_00013122 EFTA_00143735 EFTA01280262 MIDWAY PLANTATION LLC. 2'7-3304656 SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT AMORTIZATION 688. DUES & FEES 9. PROFESSIONAL FEES 42. TOTAL TO SCHEDULE K-1, BOX 13, CODE W 739. SCHEDULE K-1 ALTERNATIVE MINIMUM TAX, ADJUSTED GAIN OR LOSS, BOX 17, CODE B DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT SECTION 1231 GAIN OR LOSS SEE FORM 6251 INSTRUCTIONS -14. TOTAL TO SCHEDULE K-1, BOX 17, CODE B -14. SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES) DESCRIPTION AMOUNT TOTALS RENTAL REAL ESTATE INCOME (LOSS) -27,051. SECTION 1231 GAIN (LOSS) -54. SCHEDULE K-1 INCOME SUBTOTAL OTHER DEDUCTIONS SCHEDULE K-1 DEDUCTIONS SUBTOTAL NET INCOME (LOSS) PER SCHEDULE K-1 PREPAID RENTS - CY PREPAID RENTS - PY -739. -28. 137. -27,105. -739. -27,844. OTHER INCREASES OR DECREASES SUBTOTAL 109. TOTAL TO SCHEDULE K-1, ITEM L -27,735. TNER NUBER 3 17540322 758241 21146.20002NLEIDENTPIAL IONPAR LLC. SDNMY 2 1 _000 46 41 33 _G 1M 23 EFTA_00143736 EFTA01280263 3 Schedule K-1 IForrn 10651 2012 • Page 2 This list Identifies the codes used on Schedule K-1 for all partners and provides summarized reporting Information for partners who rile Form 1040. For detailed reporting and tiling information, see the separate Partners Instructions for Schedule K-I and the instructions for your income tax return. ' Orene-, itnInetit ewe., Beeil DeWen ~her Ste non MO l• ~eve al noncene end enter an yewfete fee kern Pathan Per 'ome 11~4 kee Noneeeere lenei 2. Net tent MI Cane Iron ONO a Other rig noted eiene01441 Net Inn 4. Ennierliee polymer's 5. lent ineerne OrIntry &Men lb. Cluetred dinette 7. Floyett & NM short-r malts pin (net 9a Net enttern Mate On« 9t. E25144geir (bee Sa Unreceptur0 neon 1250 pin 13 Net melon 1231 tea (ces) Ohir 'eon Ma) Cede A Other priloho Incon(aern) B evolution cenvembins C See 1259 a"net16 Vienna O Mktg etplorliten con naps" E Cenetednan el 001 F Othre knee 200 '2. 5eolon 179 doeluetlen 13. Other deaecen A fah conteeuleas pC94) B Caen centittrJore 430/41 O \ant cer e >Aire Et) D Sar tone talons OC45) E Capital pen propeny to a 504 anniZ0000, 4 F Caen Gain Wendy 0014: • CaTE-0400000151 H Irvestment 'tweet ten I Dedtietere • royalty inn • ~Tan 69e42/elnecilturee K Doe.iesore ^la C2SS Teal L Dec titan* • oaten (eY0 M &mullein Mid tarpon cal *nascrco '1 Caseation evenvr* bete Le O Upended an benches 2 PrOteduCehe Oared ones Q Contested rwIttlentioo dedue3on torn an roe Mate ettivlin • IhenNeine ono IRAs S Renernn etkPerbee ~MIDI T Dalwede: pion Jane nviteie Irkerrenn U 040110 eedoctien aceNnie eon  Sept.:Ire Fenn 44-2•4•944 W Olher 00 echoes Repo,: on 544 eri Petra a Irstnictart Selectee 5. lino 211. CO Jeri Schochl a lino 24 w Jon Tj •riCllwl.0 é, Ire 28, note in 0 See ire area's Irene:lee 24•90•40 E. in 28. court CO See lie %hen instanter* Schearlo E lire 2a. ~rt. 0 Torn 134C, lee 8a goo, 101C, rir• 9a Fein 1340 tiro 90 SciecJleir fine 4 Stench ro 0 Snob Schenk • lire 12 2131‘ Fete Gen Weekterit ime Patient* 0 Inn-chore) See eieFsetnefet tenth:tons Ste tie Peetner's eeeuntore See Be auto?* Mnotctlana See I" Pawnee Innottlitee Fenn Ent the 1 54, Pa. 635 Fen 1040 line 21 orEen 982 SemePaYmre..roAMdirs See the Partner* havens I En Vie Punta Ineestkne Fart 4062 line 5eredslie E Ike 19 See the Pertnerit MM *:lens Ser•OLIer& Ike 23 Sonny& M 25 Schedtee A. lb» 1 or Few 10eD, ne 29 See the nark. fl extime :ore 2e41, lee 12 Se es 'Wen Inflections ~Font t682 iratructen Sea te P*7.0es inate.cLore See es knees Nientke• Sec roan RCS Ineroneons Fens. 893. Ire 73 Foie ESA Vii See eit Pedreis Irstructiene 14. SWABIOleffilelt ern 10.0~ Wee II you here e settlel 179 elso neon cr ary ~nor- ere ~tacos. see the ~We Intones before Cerratetn2 Sehodule A Nal metro ;net hem acne.. SE Santee A or eetneensio/Trat B Oren bring or IlatInei Boon See te Peen'. nnettfors C One noels-in Interne See en Freer a nelrueleen 15. Own A LON-Incerne teeing credit Beebe 47$01) fain P111-2COE tJMFP B Lereincon nas os lone/ heel pre-2= toulltires C Ln•Intrin -nee his not lent, /2054 h.r. pc41.23C7 e.doinhe O „Oes•trearre tIctaing ant: I (Cite° kit :-7.1•201/ toradires E One.: rate) tear enrols-es flied Not testel F Ober metre in estate ante O One fenta theirs 14 Untie:41/nd &Iona Leine ~Oh I Akche anti nor Enna blend tin en& 2112(12 J1-01 13 See he arrtne's Ineorttent Fein lea, line 71; Yin Pox • See the Panne?. Irsevenni Code ~Oft nn J Wait aPeatterheteedi K ~Knee nett Entiernereint xole Inc Netted owns- fie employment net to Often kr inneotng meek, elehátes X Cneo.1 emecyer vent en et, arid Medan nee O Socket tetireklin9 P One areffie 15 Fenian neffellons A Nier. procurer or U.3 poseeeeke B Co.. Ion toe all sconces C Oren ran. oaten meat'« Forcer gees none essOICI n: pen ~hip eve. pasen ~gory E Ginn creepy F Oter reducheire ercae ant isoperroi id at tanner eel O Intern nine Fern • el& Pan 1 H Other con. 1118 Pet I See to Pen, * ireetxtnrs } ;Jn I' le Part I } Facr 1I'8, Pet owe-Iona 411~ aid ettltrt-cred ne Petreelle ixomB 1 Palen err/9n J Genre cenegoir f( Other One Irbetaloh I. Tool faelse tines Pad 1A To:01 01191 BAca ac'-44TI N Reduetlen In Zees avasbn Ex cx t O Fever two hg greer wept. P Extend:04.1'm~ endue'« O Other knees ternacters 17 AtinetIve r* Turn tits (MT) Mr» A int.19414 Mandator BEJSIPlent 3 Munn gain or bee C Depediet Biter etill oil 8 00 • 015 gee geonerre - Oreta inncre• F Ca, gm apo7arra • defied-ens F OlherAtfrlen It Tie-sawn noon rod nendeinelitle «peen A ex-eadlelst beent hccere B Otne• tax-wend Iran C tkirdedrcro•ashenfee 10. Dreetutkera A Ceara awresszobabe • 2leeteten next to ~en 737 C Oteir newt! 20. Ohl« 9-tenter A ItheoWnre irr.orti tl fawner: eitoneas C FLel tat CatIlt IrbertelcC D alarm ~la, eatendit. Se totter than tent* reel eon; E Bade °Inn? proPetY F ~pin rbeencome Intern craft tane5on 421(5)) O ~tare of low- nnOrie hat.fdry «edit (peat) - ROZZOtve al kennel:awl: Fkoapt.h: ol other an% J Look-hook Irtnet • toneetec bug hen cemeeest K Leokntit le tense Irene* krecnst fretted L Dleptellithit of oieporly tee since 179 eted.0one Irl Rectiotinte senton "79 cerkintio- N Ina,: expanse kw obi:crate eerttere O Set on 45300 ntinabon P Sector 453A0 remain O Settee '283(o) thrholnE P newt blocttie in enter on ~fen 8 C:CF fer&icifted wiener's T Dopetior ir biltatintel • all and On U Anortneter of reknit-don mite  Unmated boatmen won socrie • Pnrcaltitviice Gornto*/ X SaCeOn 1080 irkirnelitin  OW Wort« on 17540322 758241 21146.20C O2N2Filj EPtig -PIATEION Iced tC hvgn ~Oa j ii Fats We, :eh I Fern 1110, het Form '115, Art Fern '11E, ne 12 Tern 8873 Form 8573 See Vie Prner's traihnlone } Fine Ye %Imes Innate» ere Se Instructions M Fenn S251 corm 100 Blei See 7e Potroes nieud.stne 50 74 Panera keiltekne } Sen We ire« • Ina/Jabal LLC. Form 4952, We 4a torn arke. Ire 5 Fore 4138 Sen 7n Pirtreee Iret•int Ceti See te Pe•tnornb•litioriono Fort8611,in Feet Sell, tics 8 See Torn 4256 See Te Jscrer a Inv':~* Seie Form 8697 See Ferri 6868 See Ms Partners het:A.1101e 3 21146 41 SDNY_GM_000U124 EFTA _00143737 EFTA01280264 New Yak State Department of Taxation and Finance 2012 New York Partner's Schedule K-1 Tax Law - Article 22 (Personal Income Tax) 3 - Final K-1 For calendar year 2012 or tax year beginning 01-01-2012 end ending 12-31-2012 Amended K-1 Partners: Before completing your income tax return, see Earn IT•2044134, Partner's Instructions for Fonn1T-204-IP (available at envw.tax.ny.gov). Partnership's Information pse instructions) Partnership's name (as shown on FormITI04) MIDWAY PLANTATION LLC. IT-204-IP Partnership's EIN 27-3304656 A Mark an X in the box If either applies to your entity C Publicly traded partnenitio O Portfolio Investment partnership B Tax shelter registration number, Harry C Business allocation percentage Partner's information (see Listarcnons) Partners name BLUE CHIP CAPITAL LLC Partners address 27 HIGH TECH BOULEVARD City State ZIP code THOMASVILLE NC 27360 46 Partners identifying number 20-3161309 D The partner b a nen se X in re apprpodate bog, General partner or LLC member-manager 'XI United partner or other LLC member E What Is the tax Piing status of the partner? owe., X ir tio eporcrate boA, it xrcreen) ED Individual Li. Estate/trust M Partnership F If the partner Is a disregarded entity or grantor trust, enter the tax ID of the entity a individual reporting the Income, If known F O Did the partner sell Its entire interest during the tax year? 0 Yee __ — No LXJ H Partner's share of profit, loss, and capital Beginning Ending 1) Profit N1 3.2979 % 4.2553 2) Loss H2 4.2553 % 4.2553 3) Capital 10 4.2553 % 4.2553 i Partners share of liabilities at the end of the year 1) Nonrecourse 11 5,485. 2) Qualified nonmcourse financing 12 303,782. 3) Recourse 13 J Partner's caplin account analysis 1) Beginning capital account J1 40,524. 2) Capital contributed during the year - cash J2 3) Capital contributed during the year • property .13 4) Cunard year increase (decrease) J4 -27,735. 5) Withdrawals and distributions • cash .15 9,392. 6) Withdrawals and distdbutions • property J6 7) Ending capital account J7 3,397. 8) Method of accounting (mai/can X In the eppropriete box) M Tax basis GAAP O Sock EJ Other (svbrrdt explanation) K Resident status (mark an X In &boxes that apply* CI NYS full•year resident Yonkers full-year resident U NYC ful-year realdent C NYS part-yea- resident = Yonkers parbyear resident Ei NYC part-year resident IT NYS norresident 17 Yonkers nonresident L If the partner was included in a group return. enter the special NYS Identification number, If known L muilifii2i111111111 CONFIDENTIAL 212451 11-'9 12 SDNY_GM_00033125 EFTA_D0 143738 EFTA01280265 Page 2 of 4 4T-204-IP 012) • 11 1) Wee Form IT-2868-E filed writ- the partnership? 151 Yea 0 No 0 2) Was Form MTA406E filed with the partnership? rA2 rod= No 0 N NYS estimated tax paid on behalf of partner (from Fonn IT-2658) 1) First instalment NI 2) Second installment N2 3) Third Installment N3 4) Fourth Vistallinent 114 Total NYS estimated tax paid on behalf of partner (add Ines N1 through N4) O Estimated MOUNT paid on behalf of partner erOM FOM7MTA-405) Date Amount 1) First instalment 01 2) Second Installment 02 3) Third installment 03 4) Fourth installment 04 Total 'shouted MCTMT paid on behalf of partner (add Mesa/ through 04) Partner's share of Income, deductions, etc. A - Partner's distrbutive share hems B - Federal K-1 amount 0 C - New Yo-k Stale amount 1 Ordinary business income (loss) 1 1 2 Net rental real estate Income (loss) 2 —27,051. 2 3 Other net rental Income (loss) 3 3 4 Guaranteed payments 4 4 6 Interest income 5 5 6 Ordinary dividends 0 6 7 Royalties 7 7 8 Net shorttemi capital gain (loss) 8 8 9 Net lor.g-term capital gain (Ices) 9 9 10 Net section 1231 gain (toss) 10 —54. 10 11 Other income Ooss) Identify: 11 11 12 Section 179 deduction 12 12 13 Other deductions Identify: SEE STATEMENT 14 Tax preference Items for minimum tax identify: 13 14 2, 739. 515. 13 14 15 Net eamk-igs (loss) from selfomployment 15 15 18 Tanxempt hoome and nondeductible expenses 10 16 17 Distributions - cash and marketable securttles 17 9,392. 17 18 Distributions • other property 18 18 19 Other Items not ircluded above that we required to be reported separately to partners identity: 19 19 Date Amount Partner's share of New York modifications (seeinstructions) 20 New York State additions Number A - Total amount 20a EA- 16 484. 20b EA- 20c EA- 20d EA- 20e EA- 201 EA- B New York State allocated amount 21 Total addition modifications (total of coiumn A. lines 20a through 200. 21 484. III IIII 111421111 Ill II III CONFIDENTIAL 288452 WW-12 SDNY_GM_00033126 EFTA_00143739 EFTA01280266 IT-204•IP (2012) • Page 3 al 4 Partner's share of New York modifications (continued) 22 New York State subtractions Number A • Total amount 22a ES- 22b ES- 22c ES- 22d ES- 22e ES- 221 ES- B New York State &boated amount 23 Total subtraction modifications (total of col✓mn A knos 22a through 22f) 28 24 Additions to federal Itemized deductions Letter Amount 24a 24b 24c 24d 24e 241 25 Total additions to federal Itemized deductions (add lines 24a through 240 26 26 Subtractions from (edema itemized deductions Letter Amount 26a 26h 26c 2fid 26e 261 27 Total subtractions from federal itemized deductions (add Mee 26a Through 26f) 27 28 New York adjustments to tax preference items 20 Partner's other information 29a Partner's shale of New York source gross income 28. 29b MCTD allocation percentage (see instructions) 294 Partner's credit information Part 1 - Flow-through credit bases and factors Brownfield redevelopment tax credit (Form IT-611 or IT-671.1) A - Fawn IT-611 Et - Form IT-611.1 30 Site preparation credit component 30 30 31 Tengble property credit con'pcner.t 31 31 32 On•site groundwater remediaticn credit component 92 32 118 0 0 312 1019 CONFIDENTIAL MUM 11.19-72 SDNY_GM_00033127 EFTA_00143740 EFTA01280267 Page 4 of 4 •IT-204•IP 12012) Partner's credit Information (continued) EZ capital tax credit (Form IT-602) 33 Contributions of money to EZ community development pro)ects 33 34 Recapture of credit for Investments In certified EZ businesses 34 36 Recapture of credit for contnbutions of money to EZ community development prorate 35 QEZE tax reduction credit (Form IT-604) 36 QEZE employment increase factor 35 37 QEZE bone allocation factor 37 38 QEZE benefit period factor 36 Excelsior Jobs program tax credit (Form 17.607) 39 Excelsior jobs lex credit component 30 40 Excelsior investment tax credit component 40 41 Excelsior research and development tax credit component 41 42 Excelsior real property tax credit component Farmers' school tax credit (Form IT-217) 43 Acres of qualified agricultural property 43 44 Acres of qualified conservation property 44 45 Eligible school district property taxes paid 45 45 Acres of qualified agricultural property converted to r.onqualified use 46 Other flow-through credit bases and factors Credit bases Cods Amount Code Amount 47a 47d 47b 470 47c 471 Credit factors Code Factor Code Factor Code Factor 47g 47i 47k 47h 471 471 Part 2 - Flow-through credits, addbacks and recaptures 48 Long-term care insurance credit (Form IT-249) ....... 48 49 Investment marl (Including employment Incentive credit and historic barn nattilltatIon credit Form IT-214 40 50 Research and development • investment credit (Form IT-212) 50 51 Other flow•through credits Code Amount Code Amount 51. 51e 51f 51c 519 5141 51h 52 Addbacks of clerks and recaptures Code Amount Code Amount 52e 52d 521) 52. 52c 521 p 118004121019 I1 11I III I IIII II II III II f III ll 111 CONFIDENTIAL 2aSSII2 11.1902 SDNY_GM_00033128 EF1'A_00143741 EFTA01280268 MIDWAY PLANTATION LLC. 27-3304656 NY IT-204-IP OTHER DEDUCTIONS DESCRIPTION AMORTIZATION DUES & FEES PROFESSIONAL FEES TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13 AMOUNT FROM NEW YORK FEDERAL STATE SCHEDULE K-1 AMOUNT 688. 0. 9. 0. 42. 0. 739. 0. CONFIDENTIAL PARTNER NUMBER 3 SDNY_GM_00033129 EFTA 00143742 EFTA01280269 NC k-1 (39) (D-403) 10.11.12 2012 Partner's Share of N.C. Income, Adjustments, and Credits North Carolina Department of Revenue For calendar year or fiscal year beginning Partner's Identifying Number 203161309 Partners Name, Address, and ZIP Code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE NC 27360 01 01 12 waving 12 31 12 Federal Employer ID Number 273304656 Partnership's Name, Address. and ZIP Code MIDWAY PLANTATION LLC 270 LAFAYETTE ST STE 409 NEW YORK NY 10012 Partnership's Pro Rats Share items All Partners 1. Share of partnership Income (loss) 2. Additions to income (loss) a. Addition for bonus depreciation b. Other additions to income (loss) 9. Deductions from Income (.oss) a. Deduction for bonus depreciation STMT b. Other deductions from Income (loss) STMT 4. Share of tax credits 5. Share of tax withheld horn nonwageompensallOn paid for personal services performed In N.C. Nonresidents Only 6. Nonresident's share of N.C. bauble Income (loss) 7. Nonresident's share of net tax pald by the manager of the partnership Amount Individuals Filing Form D400 Enter Amount on: -27105 484 Page 2, Line 95 0 Page 2, Line 36 25 Page 2, Line 44e 739 Page 2, Line 49 0 Form 0-400TC 0 Page 2, Line 29 0 Page 2, Line 51 0 Page 2, Line 24c 2602e1 12-20-12 CONFIDENTIAL SDNY_GM_00033130 EFTA_00143743 EFTA01280270 MIDWAY PLANTATION LLC. 27-3304656 NC SCH K-1 DEDUCTIONS FROM FEDERAL TAXABLE INCOME DESCRIPTION AMOUNT PROFESSIONAL FEES 42 AMORTIZATION 688 DUES & FEES 9 TOTAL TO SCHEDULE K-1, LINE 3B 739 NC SCH K-1 DEDUCTIONS FOR BONUS DEPRECIATION DESCRIPTION AMOUNT ADJMNT FOR 1ST-YEAR DEPRECIATION ADDED BACK IN 2010 2. ADJMNT FOR 1ST-YEAR DEPRECIATION ADDED BACK IN 2011 23. TOTAL TO SCHEDULE K-1, LINE 3A 25. CONFIDENTIAL PARTNER NUMBER 3 SDNY_GM_00033131 EFTA_00 I 43744 EFTA01280271 CONFIDENTIAL SON,M,013. EFTA,103705 EFTA01280272 5 651112 Schedule IM (Form 1066) Department of the Treasury Intl:my:I Revd ma Service Partner's Share of Credits, etc. Fo-cgoe-aar yoo, 20' cv ye onir, ng Income, Deductions, ► See separate instructions. 2012 Information About the Partnership 0 Final K-1 FT Amended H-1 CMB No.1545-009 !Mild≥ Partner's Share of Current Year Income, Deductions, Credits, and Other Items 1 Ordinary business bcolrA (loss) O . 2 kiwwwirow mete Irani Neel —14,807. 3 Other net rental !acorns (loss) 15 Credits A Partnership's employer Identification number 45-2929589 B Partnership's name, address, cky, state, and ZIP code 4 Gt:aranteed payments MIDWAY TRIAD, LLC 270 LAFAYETTE STREET, SUIT 409 NEW YORK, NY 10012 C IRS Center0119re partnership Med return E -FILE 5 Inn erest trams T clinarydivilencis lib Duelled dividends 18 Foreign transactions 17 Alternative min tax (Awl) Items A 2,554. 7 Royalties D Check it Mis Isa publicly traded partnership (PT') Part II Information About the Partner E Padres identifying number 20-3161309 F Part:vies name, address, cty, state, and Z.P code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 0-0 General partner or LLC LinSted partner or other LW Member-manager member DU Domestic partner Li Foreign partner it What typo of entty es this partner? PARTNERSHIP 2 If this partner Is a retirement plan (IRAISEPAterigh/etc ). check here J Partner's share cl profit, loss, and capital: Beginning Ending Profit 1.1346999% 1.1346999% LOSS 1.4641288% 1.4641288% Centel 1.4641288% 1.4641288% K Partner's share of inabilities at year end: Nonrecourse 3,652. Ouallited nonrecou financing 135,488. O. Recourse L Putter's capital account analysis: Beginning capita; account 45,696. Capital contributed during the year Current year Increase (decrease) Withdrawals & distributions Ending capital account FL Tax basis Li GAAP LJ Other (explain) IA Did the partner contribute property with a bellt-n gain or loss? Yes f ZJ No if 'Yes'. attach statement (SAO instngfions) $ —14,753. V 23,433. I 7,5104 ri Section 704(6) book 8 Niel short-term capital gain (loss) 18 Tax-exempt Income and nondeductble expenses 9a Net long-tens capital gain (loss) 9b Correctible& (28%) gain (loss) 9c Unnscaptured sec 1250 gain 1D Net sectic411231 gain (loss) 11 Other Moms (loss) 12 Section 179 deduction 19 Other deductions STMT 19 Distributions 7,510. 20 Other information • 14 Selkmployment eartinga (LOSS) 0. • attached 51 for i, nal infirm 01-03-13 LHA For Paperwork Reduction Act Notice, see intro Mons for Form 085. IRS.gowiform1065 13060311 758241 21146.21C ON FloD ENTIALLc Schedule K-1 (Form 1085) 2012 5 21146 B1 SDNY_GM_0063.3133 EFTA_00143746 EFTA01280273 MIDWAY TRIAD, LLC 45-2929589 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 RENTAL REAL ESTATE INCOME (LOSS) SCHEDULE K-1 INCOME SUBTOTAL OTHER DEDUCTIONS SCHEDULE K-1 DEDUCTIONS SUBTOTAL NET INCOME (LOSS) PER SCHEDULE K-1 MADISON - PREPAID RENTS - CY MADISON - PREPAID RENTS - PY WILLOW BROOK - PREPAID RENT CY WILLOW BROOK - PREPAID RENT PY AMOUNT TOTALS -14,807. -22. -66. 132. -24. 34. -14,807. -22. -14,829. OTHER INCREASES OR DECREASES SUBTOTAL 76. TOTAL TO SCHEDULE K-1, ITEM L -14,753. 5 13060311 758241 21146.21 CON 2FI CDENT TIAL LLC 2 PARTNER NUMBER 1146 B1 SDNY_GM_00033134 EFTA _00143747 EFTA01280274 5 Schedule K-1 iFerrn 1D651 2012 Page 2 This list Identifies the tones used on Schedule K-1 for all partners and provides summarized reporting Information for partners who flue Form 1040. For detailed reporting and Ming Information. see the separate Partners Instructions for Schedule K-1 and the Instructions for your Income tax return. 'r bra was N.Off • (c t, Jaen, newtse.'ne 1Come eose)th perm. Cr unpnralve WC ear 01 yes/cur/ et rotor. Panto loss Pitatvo Wore Nor Oteeteloee Irrinstre nor° 2. 'ost tend yal as tat Inevro MN 3. One. -,et /err In n's SooN Ne, Net loss 4. clufrenind Serlecb f. atnt INGOT. de 0 -0Nary dh cores OJe Stet CNC...CS 7 %tree 8. Set shorten ceoltr 9eb ea* W. \at to-t ewm mot ail ( 0460 90. Greeter arm own (sos; Sc Ur Warred *Kelm 1260 fie .1 'C. NE act" 1231 Mt 3bee; '1. Oder Iron Pert) Cede A Other be/Volk noerre bor B invelsnory corrosions C Sac. 1248 cor nee} seranlee O %tell erpcnitlen oc.S repeWee E Credos. Dryad F Chts/ %erre Pose) 12. SeCten 179 deduct's 13. Othersrlue-lant A 040 Oot., oJtcee (COW 8 Ce•P cot Mot t 0054) C NOTC4130 oatStuecela ROsfoi • \crag onneut (3098 E Capita grin platy :et a 60% oger sann (30%) F Capri gele ornery 9054) O ConnItsubsne (100%) H Irretrrent inteteet ewer I Deducier• /worn near SW_on 5808; expnednee K Dec Mon • percle ErA tat • Dec nitro • portbr (ant • Arcurts celd kencecal'motor • /odor eseirence born O ;opener care Leen. P Preptoduvre cern.' evades O Corrre•cr Fr taken/ deducien from MOW ft-±3 *ebbs ecru R Pens one arc. Ift/o • firarestatbs roper. deducde Eterster plosixtke WNW* lido ton U OJa (Pod waktike KW'S inoerre  ervoces Fenn r-2 Hero W Ovwdeerdens HWY. on See no Penwe Lrentetler Scred.. • E. One 28. Wont (qt Seed. • E, 'x21 inure (5] Scetaule E. M28. cosire See tin Pima's Inc/odor Schelde F, Ilse 28. on air oe Seel. ostler r1/1/212•4 Scharr E. line 28 cob. xn 8: Pr 1040 ens 8e Fore IOiQ Mr 9e For 10(0."w 0u &Yalu* E. 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C auras awn ber Mice • Ocalied nisChIrclon eoweit."es (Mbar then festal fee! Wale) e &eels Comm, preen. F XI0000:1.19(.4 2Gte-In:nna fouirc ate I:Action A2CIV O Recicare of low. lochNI hcveng cox:: MINN H fter,eatule uPtIve4itTer: emir. I FteCepture el otar credit, J .004 auk ir.Wret - eS•rolet01 atteer crime/ ▪ LOCk.bace Wars' -1044'00 '04,023, 01W100 I. OleFoolkos of repot, ANN soNicr • 79 cioNa:NeN M Ro ve erect° 1 /11 deduct's N Wrest erzense ser ono/oft partneri O Soren 453(028 Honer CA P &ace demo Werrion O Sedeco1241019 hkortrkei Ft Mares: a rase to plecucion eXpondltwee $ C..t nabcurtli tel veltrervali• T Dopricn infort en - el aid cos U Arranyern of -doter*, *tab  Wrier hintiess tow* Inure Vi Frosittretar X Seeton 17.150 Informal oi  Otte irsonce:Jon 13060311 758241 21146.21CON2RDENTIALLEC See tit Putes Inv In.CUOv. } For 1118 coil For 11'6, owl I NM, 11. 6, hest ltd i0 blip - 0001X11 } Fe/in111S Pahl Ern 1118, Per. II Few 1111 Piet I Fore 1116, line 12 Even IS/3 worn 08/3 See tie Pertnono trotrObes -II See re Pemens Iner.ctIone and 2.4 Instrcerne bt Fern 4261 Fpm '040 Ire orb time Ise Pones hesuonsms See In Peeler lnernikele } See to s Inetn-ctiors torn 4952.''M 4e Fern 4452 ns 5 Fern 4. 38 See to Pew', '687..erbne See to Pertia/A at, As F011. 86. 1, Ilne 00111491i, line 8 se• Fe,, Cm se. be Putt.. Imonetene See Rem POB7 We (Wm 8.366 erne Pertnies Inetrvetken 5 21146 81 SDNY_GM_00033135 EFTA_00143748 EFTA01280275 5 SCHEDULE' NJK-1 (Form NJ-1065) 2012 STATE OF NEW JERSEY PARTNER'S SHARE OF INCOME For Calendar Year 2012, or Fiscal Year Beginning , 2012 and ending 1019 PART I General Information Pines SS / or Fan (IN 20-3161309 ,,artnotsro • :Kra Bk 45-2929589/000 Potties Nemo BLUE CHIP CAPITAL LLC Proranolp's Nano IDWAY TRIAD, LLC ohm/wan.. 27 HIGH TECH BOULEVARD r Petwon!rio StwetWoonso 70 LAFAYETTE STREET SUIT 409 City etat THOMASVILLE NC 27360 rP Qs coy 3" BP On BW YORR, NY 10012 mat type of entity IS partner? NP Enter Partners percentage Prott Martin LOSS Sharing Cmitaltww00 ot. (0 Befoul Decrease (II) End of Year or Termination 1.1346999% 1.1346999% (see instructions) Date Pa ((nen interest in Partnership began: RIM NJK-1 Code 08/05/2011 Return pamin ow 'Alt n Hedge Fund 1 Member of Com ste 1.4641288 % 1.4641288 % --171341/118% 1.4641288% Amended NJK-1 PART II Income Information Income Ciassifications A. Total Distribution Enter Line NJ-1040 Filers Amounts Shown Below I B. New Jersey on Source Amounts NJ•1040KR Filers 1 Pe tali Marne (loss) -14,669. 2. Net Guaranteed Pa merits 3. Partners 401(a) ContrroutIon 4. Distributive Share ol Partnership Income (loss) (Lite 1 plus Line 2 minus Une$) —14,669. Llne 20, Page 2 I I Line 22, Par 1 5. Pension Line 19, Page 2 I .* ., .... — 6. NM Gain Doss) from Obposition of Assets as a Result of a Comdata Liquidation Line 18, Paget Une IC. Page 1 PART III Partners Information 1. Nonresident. Partner's Share of NJ Tax 1. Line 19a, Page 1 CBT-100 line 10a, Page 1 CBT-1006 Line 8, PART-100 Une 4E, NJ-1040NR Lire 22, NJ-10800 Line 3126J-1041 P 2. Partner's P.EZ Deduction 2. IMS6fri r U12.—... Thtle41, YCL 7faS 'Pe.ts: t • ai 3. Partners Sheltered Workshop Tax Credit . PART IV Supplemental Information (Attach Schedule) I THIS FORM MAY BE REPRODUCED 2switit 12-N-12 13060311 758241 21146.210 0214F10 ENTAIL LLC 21146_S1 SONY_GPA_00033136 EF1'A_00143749 EFTA01280276 MIDWAY TRIAD, LLC 45-2929589 NJ NJK-1 GIT-DEP PRO-RATA SHARE DESCRIPTION AMOUNT TOTAL FEDERAL DEPRECIATION O. NJ SECTION 179 DEDUCTION ALLOWABLE O. NJ DEPRECIATION ALLOWABLE O. SUBTOTAL NJ ADJUSTMENT TO FEDERAL 179 RECAPTURE INCOME O. NJ ADJUSTMENT TO FEDERAL GAIN (LOSS) ON DISPOSITION OF ASSET(S) O. SUBTOTAL 0. 0. NEW JERSEY DEPRECIATION ADJUSTMENT 160. 1h10_LIZARTNER NUMBER 5 13060311 758241 21146.21CON2FIDENT 21146 B1 SDNY_GM_00033137 EFTA_00143750 EFTA01280277 New York State Department of Taxation and Fhance 2012 New York Partner's Schedule K-1 Tax Law - Article 22 (Personal income Tax) 5 E Final K-1 For calendar year 2012 or tax year beginning 01-01-2012 and ending 12-31-2012 Amended K-1 Partners: Before completing your income tax return, see Form IT•204•1P-I, Partners Instrych`ons for Form IT-204-IP (available at www.tax.ny.gov). Partnership's Information *soot/coons) Partnership's name (as shown on Form 1T-204) MIDWAY TRIAD, LLC IT-204-IP Fartnership's EIN 45-2929589 A Mark an X In the box If either applies to your entity i J Publicly traded prrtnerehlp C Portfolio Investment partnership B Tax shaker registration number, t any B C Business allocation percentage C % Partner's Information (see Insbuctions) Partner's name Partner's Identifying number BLUE CHIP CAPITAL LLC 20-3161309 Partner's address 27 HIGH TECH BOULEVARD City State DP code THOMASVILLE NC 27360 D The partner is a ruin, or A' it re =owl* box: Ei General partner or LLC membehmanager al United partner or other E What Is the tax filing status of the partner? tree, in X., ele woos,' to* .1 lower ) ILI Individual Ei EstateArust F if the partner lea disregarded entity or grantor trust, enter the tax ID of the entity or Individual reporting the Income, If known F G Cid the partner sea its entire interest during the tax year? G Yes H Partners share of profit, loss, and capital Beginning 1) Profit H1 1.1347 % 2) Loss H2 1.4641 % 3) Capital H3 1.4641 % LLC member FED Partnership _ No aCI _ Ending 1.1347 % 1.4641 % 1.4641 % I Partner's share of EatAlines at the end of the yew 1) Nonrecourse I1 3,652. 2) Qualified nonreocurse financing 12 135,488. J 3) Recourse Partners capital a000unt analysis 1) Beginning capital account 13 J1 45,696. 2) 3) 4) Capital contributed during the year • cash Capital contributed during the year • property Current year Inoreaee (decrease) J2 J3 J4 -14,753. 5) Withckawals and cilstibulons - cash J5 7,510. 8) 7) Wohdrowals and distributions - property Ending capital account J8 J7 23,433. 8) Method of accounting (rnwk an Xi!? the appropriate box) X Tex basis C GAAP 0 Book L J Other (submit avian/idea) K Resident status (mark an X in WI boxes that apply) C NYS full-year reskient Ll Yonkers full-yew resident El NYC fuillew resident NYS parties: resident r i Yonkers pert-year resident C NYC pert-year resident M NYS nonresident t__J Yonkers nonresident L If the partner was Included In a gaup return, enter the special NYS Identification number, if known L 118001121019 III III III I H 1111 II III III I III II IF CONFIDENTIAL 2Silfr.1 SDNY_GM_00033138 EPTA_D0I 4375 I EFTA01280278 2 IT:204-IP (2012) Page o14 PA 1) Was Form IT-2858•E filed with the partnership? M1 Yes 0 No El D 2) Was Form MTA-405-E filed with the partnership? M2 Yes No CI N NYS estimated tax paid on behalf of partner(hOm Form /T-2558) Date Amount 1) Rratinste/Iment RI 2) Second Installment N2 3) Third Installment . Ira 4) Fourth Installment 554 Total NYS estimated tax paid on behalf of partner (add fines N1 through N4) N O Estimated MGTMT paid on behalf of partner (horn Form ref/A-405) Date Amount 1) First Installment 01 2) Second installment 02 3) Third installment O3 4) Fourth Installment 04 Tote) estimated MCTMT paid on behalf of partner (add lines 07 through 04) Partner's share of income, deductions, to. B - Federal K-1 amount - Fartner's distributive share items O C - New Ycrk State amount A 1 Ordinary business Income (loss) 1 1 2 Net centre. real estate Income goes) 2 -14,807. 2 3 Other net rental Income toss) 3 3 4 Guaranteed payments 4 4 5 Interest Income 5 5 5 Ordinary dividends 6 8 7 Royalties 7 7 8 Net short-term capital gain (loss) 8 13 9 Net bag-temp capital gain Goss) 9 0 10 Nei section 1231 gain (loss) 10 10 11 Other Income floss) Idoolitr 11 11 12 Section 179 deduction 12 12 13 Other deductions identify: SEE STATEMENT 13 2 2 . 13 14 Tax preferer ce Items for minimum tax identity: 14 2,554. 14 15 Net earnings (loss) from self employment 16 15 18 Tax-exempt Income and nondeductible expenses 18 18 17 Distributions • cash and marketable securities 17 7,510. 17 18 Distributions -other property 18 18 19 Other items not Included above that we required to be reported separately to partners 19 19 Identity: Partner's share of New York modifications/seeinstructions, 20 New York State additions Number A - Total amount B - New York State allocated amount 20a EA- 16 425. 425. 20b EA- 20c EA- 20d EA- 20e EA- 201 EA- 21 Total addition modficatIons (rota, of column A lines 20a through 201) 425. III11111i 18111111i1111111111 28118a2 11-19.12 CONFIDENTIAL SDNY_GM_00033139 EFTA 00143752 EFTA01280279 IT-204-IP (2012) Pees 3 of 4 Partner's share of New York modifications (continued) 22 New YorK State subtractons Number A- Total amount 22a ES- 21 265. 22b ES- 22o ES- 22d ES- 22e ES- 22f ES- B - New York State allocated amount 265. 23 Total subtractior. modifications (total of column A lines 22a through 22f) 23 265. 24 Additions to federal itemized deductions Letter Amount 24a 24b 24o 24d 24e 241 25 Total addhions to federal itemized deductions (add Ones 24a through 240 25 28 Subtractions from federal itemized decoctions Letter Amount 26e 26b 28c 26d 26e 261 27 Total subtractions from federal itemized deductions (add lines 28a through 260 27 28 New York adjustments to lax pretererce items 28 Partner's other Information 29a Partners share of New York source grosa income 29a 29b MCTD allocation percentage (see rastructrons) 29b Partner's credit Information Part 1 - Flow-through credit bases and factors Brownfield redevelopment tax credit (Form IT-,611 or IT-611.1) A - Form IT-611 B - Form IT-611.1 30 Site preparation credit component 30 30 31 Tangible property credit component 31 31 32 On-sits groundwater remediation credit component 32 32 1180 0 31210 19 nI IIII III 111111111 (II Iii l III Il ill CONFIDENTIAL °la SDNY_GM_00033140 EF1'A_00 143753 EFTA01280280 Rage 4 of 4 It:EGt-IFI (2014 Partner's credit Information (continued) EZ capital tax credit (Form IT-602) 33 Oontributlans of money to EZ community development projects 34 Recapture of credit for Investments in certified EZ businesses 36 Recapture of credit for contributions of money to EZ community development projects OEZE tax reduction credit (Form IT-604) 88 84 35 36 QEZE employment increase factor se 37 QEZE zone &location facto 37 38 QEZE benefit period factor 98 Excelsior jobs program tax credit (Form IT-607) 39 Excelsior jobs tax credit component 30 40 Excelsior nvestment tax credit component 40 41 Excelsior research and development tax credit component 41 42 Excelsior real properly tax credit component 42 Farmers' school tax credit (Form IT-217) 43 Acres of quarried agricultural property 48 44 Acres of qualified conservation property 44 45 Eligible school district proorty taxes paid 45 46 Acres of qualified agricultural property converted to nonquaifled use 46 Other flow-through credit bases and factors Credit bases Code Amount Cods Amount 47a 47d 47b 47e 47c 47f Credit factors Code Factor Code Factor Code Rioter 47g 471 47k 47h 47j 471 Part 2 - Flow-through credits, addbacks and recaptures 48 Longterm care Insurance credit (Form IT-249) 48 49 Investment credit (naiding employment incentive credit and Nato* bent rehabilitation credit; Form IT-212) 49 50 Research and development • investment credit (Form IT-212) 60 51 Other flowth rough credits Code Amount Code Amount 51a 614 51h 611 51c 519 51d 611i 52 Addbacks of credits and recaptures Code Amount Coda 52a 52d 526 52c 52f 81111121III HI II11 I III III Amount 28819072 11-19-12 CONFIDENTIAL SDNY_GM_00033141 EFTA (10143754 EFTA01280281 MIDWAY TRIAD, LLC 45-2929589 NY IT-204-IP OTHER DEDUCTIONS DESCRIPTION AMOUNT FROM NEW YORK FEDERAL STATE SCHEDULE K-1 AMOUNT DUES & FEES 3. PROFESSIONAL FEES 19. TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13 0. 0. 22. 0. CONFIDENTIAL PARTNER NUMBER 5 SDNY_GM_00033142 EFTA_00143755 EFTA01280282 NC K:1 (39}. (D-403) 10.11.12 2012 Partner's Share of N.C. Income, Adjustments, and Credits North Carolina Department of Revenue For calendar year or fiscal year beer nine Partner's IdeMilyIng Number 203161309 Partners Name, Address, and ZIP Code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE NC 27360 01 01 12 and ending 12 31 12 Federal Employer ID Number 452929589 Partnership's Name, Address, and ZIP Code MIDWAY TRIAD LLC 270 LAFAYETTE STREET SUIT 409 NEW YORK NY 10012 Partnership's Pro Rata Share Items All Partners 1. Share of partnership income (loss) 2. Additions to income (less) a. Addition for bonus depreciation b. Other Winans to hieome (105s) 3. Deductions from Income (loss) a. Deduction for bonus depreciation STMT b. Other deductions from income (loss) STMT 4. Share of tax credits 5. Share of tax withheld from nonwsge compensation paid for personal services performed in N.C. Nonresidents Only 6. Nonresident's share of N.C. taxable income (loss) 7. Nonregdent'S share of net tax paid by the manager of the partnership Amount Individuals Filing Form 0-400 Enter Amount on: —14807 425 Page 2, Line 95 0 Page 2, Line 36 265 Page 2, Line 441 22 Page 2, Line 49 0 Form D-400TC 0 Page 2, line 23 0 Page 2, Line 51 0 Page 2, line 24c 12-20-12 CONFIDENTIAL SDNY_GM_00033143 EFTA_00143756 EFTA01280283 MIDWAY TRIAD, LLC 45-2929589 NC SCH K-1 DEDUCTIONS FROM FEDERAL TAXABLE INCOME DESCRIPTION AMOUNT PROFESSIONAL FEES 19 DUES AND FEES 3 TOTAL TO SCHEDULE K-1, LINE 3B 22 NC SCH K-1 DEDUCTIONS FOR BONUS DEPRECIATION DESCRIPTION AMOUNT ADJMNT FOR 1ST-YEAR DEPRECIATION ADDED BACK IN 2011 265. TOTAL TO SCHEDULE K-1, LINE 3A 265. CONFIDENTIAL PARTNER NUMBER 5 SDNY_GM_00033144 EFTA_00143757 EFTA01280284 ENBRIDGE ENERGY PARTNERS, L.P. 44AUTOAASO 3-OIGIt 334 77 PS3 776SIAA22-2-I 12315 2 AT 0.364 BLUE CHIP CAPITAL LLC 320 SEABREEZE AVENUE PALM BEACH FL 33480.8132 Enclosed is your 2012 Schedule K-1 tax package. Please refer to the enclosed Individualized Income Tax Reporting Package and Instructions for additional information. Also enclosed is the complete Internal Revenue Service Instructions for Schedule K-1 for additional guidance. In addition to the Schedule K-1, this tax reporting package includes your State Schedule (on the reverse side of this page), your Sales Schedule (if applicable) and your Ownership Schedule. Additional information may be found on our website at www.taxpackagesupport.com/enbridge. You may request changes to information provided on the Schedule K-1 and have additional copies of your K-1 printed. If you would like to receive this information earlier and eliminate the need for mailing a paper K-1 in the future, simply go to www.taxpackagesupport.comienbridge, register your e-mail address, and choose the option to "Eliminate Paper K-1s". By choosing to eliminate paper K-1s, your tax information will bypass the U.S. Postal Service and be delivered securely through the website. We will notify you via email when the K-1s are available. Supplemental Schedule K-1 Information is found below. 2012 SCHEDULE K-1 STATEMENT INFORMATION K-1 CODE DESCRIPTION AMOUNT 131-1 Domestic Production Gross Receipts (DPGR) 51,253 1372 Non-Domestic Production Gross Receipts (non-DPGR) 49,848 1313 Cost of Goods Sold allocable to DPGR 38,435 1374 Cost of Goods Sold allocable to non-DPGR 31,565 13T5 Ex_aanses directly allocable to DPGR 10,869 1376 .enses directly allocable to non-DPGR 21,384 1317 Expenses indirectI llocable to DPGR 1,023 13T8 Expenses indirectly allocable to non-DPGR X041 13T9 Form W-2 Wages 0 20Y1. Gross Receipts 101,120 ITEMS TO NOTE - IRC Section 743(b) adjustments have been included in Box 1 if applicable .w„.220,1,UAI4 CONFIDENTIAL cnmy am nIttt31`914""' EFTA_00 143758 EFTA01280285 ENBRIDGE ENERGY PARTNERS, L.P. PARTNER NAME: ACCOUNT NUMBER: PARTNER FEDERAL ID/ENTITY: CUSTODIAN FEDERAL ID: PARTNERSHIP FEDERAL ID: TM SHELTER REGISTRATION NUMBER BLUE CHIP CAPITAL LLC 141 0022295139 20-3161309 / PARTNERSHIP 39-1715850 92008000124 2012 STATE SCHEDULE (oat, roundng and other State Information may not agree to Federal totals) Federal and Sate differences, totals ail s CO Net Whey ammo( Loa(-) a) Ha Sauton12314a er Is 0 .31 Sheen 1245 GO (4; Poeta., Pia Stwl-Tar,' Cade Gin 0 teal(-) (5) Pate° from* Imam IIU a; IIVOS011an! Litre Allernalt. Menrrun Tie ciihrwesonAdratmeid Oh Gvn Rica tet Cs, aa's .nceme, Tax Adebick AL I -42 4 563 AR -23 2 307 FL -12 ¶ 156 GA -22 2 297 II. -212 20 2.813 IN -16 '1 209 KS -217 20 2,878 KY -1 0 12 LA -290 28 3,966 MI -250 23 3.310 MN -452 42 5.990 MO -47 4 617 1 MS -169 16 2.237 3 MT 0 0 I , 0 3 0 NC -7 0 I 1 se 0 ND -277 I 0 25 3.880 v 5 MY .3 0 I 0 41 0 OK -983 0 al 13,036 18 PA -15 0 0 1 193 0 SC 0 0 .1 0 3 0 TN -15 0 ! • 1 203 0 WI 432 0 I 31 seitte 5 WV -2 I 0 0 21 0 This schedule 51IMMEN120,1 your allocable stare of the Partnership's state tax items based on your unit ownership as reported on the Ownership Schedule. You need this Information to prepare your state Income tax returns. Separate allocations and tax calculations were made for each lot of Partnership units. The sum of these calculations was accumulated to simplify your state tax reporting obligations. These amounts are based on the information reflected on your Ownership Schedule. Each line represents your stare of income tax Items for certain states in which the Partnership had operations. Each state Is Identified by a two-letter code shown to the far left hand column of this schedule. Differences between the sum of amounts in the state information and the federal information (found on Schedule K-1) are due to rounding and variations between state Income tax laws. You may be required to file state Income tax returns in these states. Please refer to the attached Instructions for additional discussion regarding your state income tax filing requirements. The State Income Tax Addbedc is to provide EEP's investors with information necessary to accurately prepare their state income tax retum(s). Each state's filing requirements are unique, but there are some states that require an addback of state income taxes. This column represents each investors apportionable share of the particular state's addback. For further queslions. please consult your tax advisor or refer to the state websiteicontact information provided to you in your Individualized Instruction packet This information Is for state income tax returns only and should not be used in the investor's federal Income tax return preparation. Do not attach these schedules to your Fedora' or Slab Income Tax Returns. See tax Information instructions for notes and other information. IMPACIS'IZPWA 011 EFTA01280286 2012 OWNERSHIP SCHEDULE ENBRIDGE ENERGY PARTNERS, L.P. PARTNER NAME: BLUE CHIP CAPITAL U -C ACCOUNT NUMBER: 141 0022295139 PARTNER FEDERAL ID/ENTITY: 204161309 / PARTNERSHIP CUSTODIAN FEDERAL ID: PARTNERSHIP FEDERAL ID: 39-1715850 This schedule contains a summary of your unit ownership history from your original acquisition of Partnership units to December 31, 2012. This Information came directly from tho transfer argent s records if you are a registered holder. Ovmorship information for street name owners (who hold units in a brokerage norneme account) was provided from your brokers or nominee's records, if tho broker or nominee provided the Information In accordance with Internal Revenue Code Section 6031(c). IRS regulations concerning partnerships require brokers and nominees to inform the partnership directly of your unit activity so that the partnership may automatically furnish you with tax Information. If you held multiple lots of Partnership units, the ownership information has been accumulated for oath lot having a common federal lax identification number and entity type, except for lots attributable to an individual retirement account (IRA), Keogh or similar type of account, which are reported in a separate package. For IRA, Keogh. or Pension accounts, the federal tax Identification number of the custodian Is shown. You will receive a separate indlvklualized Income Tax Reporting Package for each lot with a different tax Identification number. Dispositions of Partnership units have been treated as If they relate to the Ids with the earliest acquisition date. If your records do not agree with the information reported on this Ownership Schedule. then the amounts reported on the following schedules may not be correct To correct this, you can make changes on our webaite at www.taxpackagesupportcontionbridge. You can also make the necessary corrections directly onto this schedule, Including any necessary explanations, sign where indicated and mail before May 31, 2013 to: Investor Relations Enbridge Energy Partners, L.P. PO Box 799080 Dallas, TX 75379 or you may contact our K-1 Call Center (provided by a third party on behalf of the Partnership) by phone at (800) 525-3999. by fax at (866) 554-3842. The partnership will be filing a Schedule K-1 with the IRS based upon amounts reported In this Individual Income Tax Reporting Package. If you have notified the Partnership of any necessary corrections prior to May 31, 2013, the corrected Information will be flied with the IRS. Any corrections made altar this date may require you to fie Form 8082-Notice of Inconsistent Treatment or Administrative Adjustment Request (AAR) with your return. You may find it necessary to extend your filing date for your personal lax return by filing Form 4868 - Application for Automatic Extension of Time to File U.S. Individual Income Tax Return by April 15, 2013. If the Ownership Schedule Is the only schedule containing Information (I.e. Schedule K-1 is blank), then your ownership history received from the transfer agent, brokerage firm or nominee, Is Inaccurate or incomplete. Please contact the Partnership for instructions on how to proceed. Transaction Description This Is the typo of transaction for the group of units involved. The "Desuiption• column provides explanations for the abbreviations used in this column. Transaction Date - This is the date on which the transaction occurred as reported to the Partnership by either the transfer agent (if you aro a registered owner) or by your broker or nominee (if yew units are in street name). Broker Code or Certificate Number - This column will indicate a broker I.D. It the transaction was reported to the Partnership from a broker or nominee. This column wit also report a certificate number for transactions registered with the Partnership's registrar. Units - This is the number of Partnership units associated with oath certificate or transaction less arty sales applied to that transaction. Investor Tax Information (Schedule K-1) may be accessed through our wobsite at ihww.taxpackagesupporl.conVenbridge. NOTE: THIS OWNERSHIP ACTIVITY SCHEDULE IS NOT PROOF OF OWNERSHIP NOR SHOULD IT BE CONSTRUED AS PROOF OF OWNERSHIP IN ENBRIDGE ENERGY UNITS. TRANSACTION DESCRIPTION ft C BUY END OF YEAR UNITS DATE 12-11-2009 BROKER CODE OR CERTIFICATE NUMBER 141 UNITS 3 920.0000 3,920.0000 If the Information reported on this schedule dons not accurately reflect your ownership history through December 31, 2012, please note any corrections that need to be made. By signing this schedule, you authorize the Partnership to make the axtections indicated above. Signature rwwashe $4. - C &INF parrot EFTA_OO14376O EFTA01280287 Schedule K-1 (Form 1065) Deportment of Lho 'Resets, Internal Revenue SENVICO 651112 0 Filet K-1 0 Amended K-1 OMB No. 1545-000 Z.012 =gip; -P4 t;D,eilteatbitocatirstitzykaoticotk.t4:4 For calendar year 2012, or lax yore beglmting ending Partner's Share of Income, Deductions, Credits, etc. See heck of fern and separate instructions. 1 Ordinary business Income (Vett) 15 Crocks -7,624 2 Net metal real oblate InCOSTIS (loss) Pan I . :information About the Partnership TS.:...e.V.4."-24. A Partnerships on 'plow- donut :taboo rOSOr 39-1715850 B PerbeweNes name, address, oily, slate, and ZIP code ENBRIDGE ENERGY PARTNERS L.P. 1100 LOUISIANA SUITE 3300 HOUSTON TX 77002 3 Otter not rental inflow (loss) 4 Guaremood payments 15 Foreign transactions 5 a-4°mM Income 0 Ordinary dividends 6b Qualified dividends C IRS Center where partnership filed robin Ogden, UT ? Royalties El Check Ygds is a publicly poled partnership (PIP) s NQt thomenn capital gain foes) -2 ,Atsgtvottga as Net long-term capital gain Oat) E Penner's Identifying number 20.3161309 91) Collectibles (213%) gain doss) F Penmen name, address, city. stab, and ZIP code BLUE CHIP CAPITAL LLC 329 SEABREEZE AVENUE PALM BEACH FL 33480 ly Menthes rrornum (CM 703 tto Unrrocuptured braon 1250 gain 10 Net section /231 gain (loss) COMAS partner or ILC r.1 binned partner or other MC O mernber-menector member H Int DorsigsliC partner K Foreign partner II Whal two of entity Is tIi partner? (ewe insausenris) PARTNERSHIP_ 12 It this partner is a tenement plan (IFUVSEFIKeogliretc.), cheek here (see instructiOns) K J Partner's sham of profit. loss, and capital One instructions): Profit Beginning 0 001557 % LOSS 0 001557 % Caplet DA/Q.1557 % K Nineties snare of timblettes al year end: Nonrecone Qualified nnnrecourse financing $ Recourse Ending _CL021461 % _2001461 % 0.001461 % 11 Other Anne (loss) 1$ Tax-exempt MOM° and nondeductible ewer s 12 Section 179 deductko 13 006t dediet0one A' 16 r STMT 19 Diseibutbms A 8,436 14 iSellemploymonl comings 0004) 20 alier n14444040 A V 0 -7,623 101,120 'See attached statement for additional information. L Partners Caplet aocra.nt analysis- Beginning capital recount . Capital contributed during Ow W. Oxford year Increase (derrease) . Withdrawals a distributions. . . Ending capital account CI Tex basis K GAAP K Section 701(b) clod O Other (explain) M Did the partner contribute property wkh a bult-in gain or loss? El No If 'Yes: attach statement ;Bee inStrIXSOnb) $ 73,021 $ 0 -7,678 $ (8,436) $ 56,907 K Yes , 2012 , 20 2 For Paperwork Reduction Act Notice, see Instruct:lona for Farm 1055. IRS.govilorm1065 CaL No. 11394R Schedule K-1 (Paint 1065)2012 rpm.frwri v),63, CONFIDENTIAL SONY GM 0001314B EFTA_00143761 EFTA01280288 Schedule K-1 (Fonn l(1rs5) 2012 Page 2 This fist Identities the Codes used on Schedule K-1 tar all partners and proWdeS summarized reporting information for partners who fee Form 1040. For detnited reporting and I fling Information, see the separate Partners Instructions for Schedule K-I and the instructions la your Income tax return. I. Ordinary trimness income (loss). Deternene whetnev :he iris ne tins; is eassive a nonpaesiee and eider as your tsetse ad felons. Report on Pareske toss See ile Partner's insirrectineu Passko income Schedule E. line 28, column (g) Nceptisalwe Mu Schedule E. tine 28, column (19 Nonpralw> income Schedule E, line 28, column () 2. Net rental mul estate income poet) See the Partners Inatrartions 3. Other net rental income (ties) Net nrorne Net kiss 4. Guaranteed payments 6. Interest income On. Ordinary dividends Ob. Qualified dividends 7. Royalties 0. Net abort-term capital gain (loss) 9e. Net long turn capital gain Foss) Ob. Collectibles (28%) gain (loyal 9c. Unrocapturod section 1260 gain 10. Nat section 1231 gain (loss) II. Other Income lions) Code A Other pertioSe ,neons ((lose) See the Partners Instructions B Involuntary tenvenblena See the Partners :emotions C Soc. 1256 contracts 8 shaddlee Fain 6181, he D Minna expk.ration costs ramptre See Pub. MIS E Canerdiation el debt ' Form 1040. One 21 or Form 982 F Other income 0334 See be Paitnees inettuctions 12. Section 179 deduction See the Partner's Instructions 13. Olher deductions A Cosh contributions (50%) B Cush contritaitions :33%) C Noncash winerthatnes (SC%) • NeneaSe coreribibm130%) Seethe Partner° E Capital an (roped>, to a 50% Instructions organization p" F Capital gain (needy 23%) a Contributions (100%) ernmetment Intemat expense Fenn 4952, hoe 1 I Deductions -royalty income Schedule F, Ilre tal J Suction 59(0(2) expenditures See the Porter's instructkert K Deductions-portfolio 2% lban Schedule A, l le 73 L Deductions - portfolio :mbar) Schedule &Sao 28 M Amounts paid for moo cal low/anon Sdnue Aline 1 or Pam 1040. the 29 N Educational assiatance benetts See the Partner's Instructions o Dependent are benefits Form 2441, roe 12 P Preprcductive poeiod expense.; See the Partner's hdeuctions O Commercial reveal:alien deduction See Fame 8582 Instruct cos item rental real estate activities Fl Pensions and IRAs See the Pariner's Instructions S Reforestation expense deduction See the Partner's Instructions T rioter-Mac prod irt:Ien ~lie, Sees Forte 89«.1 Instructions information U Ormmod production ectrvitina nedine Fenn 8(1C3. lire 7o  °Moyers Forth W-2 waged Form 8903, line 17 W Other deductions Soo the Partner's Instructions 14. &rieemployment earnings floss) Noted/you bum a section 179 deduction or any petineclevei neeloctIong 500 the Partner's instmcletos beforo completing Schedule SE A NW etsnings (on) kan Schedule SE. Section A or B sell-empieyment • Ortes farming or fisNrer bourne C Gross non-fann income IS. Credits A Low-income housing credit (seclion 42(8;56 kin, pre-2008 hairdnas B Low-income homey credit (*thee, truce pro 2408 bulidinge • low income rousing credit (section 424(5)1 from peel 2007 builoings O Low-income 'outing crod4 (other) Irene peat-2C07 balding* E Queened rehMeltistein expenditures (genta' reel (elate) F Other rented reel estate credits Other rented credits H Undistributed capital gains credit I Alcohol and ceilulesic hief.eni foe" Soo tho Partner's Instructions credit Schedule L. rte 28, column (e) See the Partners InteNclions Schedule F. I rte 28, °Senn 9) Form 1040, Inne 8a Form 1040, neo 9a Fann 1040, hoe 90 Schedule E, I no 4 Schedule D, Ile Schedule O Ina 12 28% Rate Oren Worksheet. leno 4 (ScheeMe Dirmertters) See tho Parsers Instructions See the Partners Inseuctions See the Penner's Instructions See the Panners Instructiore Soo the Partner's Inseimaions Forte 1040, lino 71: creek box a Code J Work opportunity credit K Nimbler' auxes credit L Empowerment :one erne renewal community employment wedt M Owe( for increasing research activItice N Creel lor ennioyer social mosey and Modioa-o Inxm O Res rap withholding P Other Credits 18. Foreign tnnsections A Name of country or U.S. possession B Grob income fram a I neuroses C Gross income entireed at Report in 1 See the Partner's Ineelinbore Form 1116, Pen I Foreign pews income sourced at pertnerehip love! D Passive category E Coved category learn 1118, Pert F Other Deductions ~aged and apportioned M minim load O Interest expense Form 1118. Pert I H Ohre Fenn 1118, Parti Otextions °Notated mw upteortemort at portmexhip level le foreign SOUrCe income I Passive category J ~one cateuen I Form 1116, Pest I K °leer Other Informedion L Fold foreign lama NMI Fornt 1118, Prat II OA Total foreign taxes accrue" Form 1116, Pert II N Reduction in tang; avaibdie for credit Form 1116, line 12 O Fenian sliding enema roceipte Forte 8873 P ExIsaren Neel Yxart axe baron Forn 8873 Q Oboe foreign transactions See the ~nets Inelnxalwes 17. Alternative minamem tax (AMR Items A Peet 1988 depertiaber wijustmag B Adjusted gain a less Soo the Partners C Depletion NO her then a & spot iodinate% end D 011, gm 8 wahertnerrirces raceme the Instructions Sar E (..9, gm, LK geothertrolecioductices Form 5251 F Other AMT items It Tax-exempt Income end nondeductible expanses A Tax-exempt 990'0° Income Rem 1040. line 8o B Other tax-excerpt income Son tho Pertnar's instruction, C Nondeductible expenses Se. the Planners Inebec &we 19. Distributions A Cash and ~Ratable %Cut* B Okstation subiter to :echo, 137 I See the Partner's Instructions C Cenv property 20. Other nfonnetion A Investment income Form 4%2, line 'a B Investment expense" fterm 4952, lone 5 C Fuel tax credit inforeration Kenn 4136 D Qua alert refugee Mier Green:Stu:es See the Penner's iremucticns (other than rental reel estate) E Po* of energy property See the Partnee's isstructions F Recapture of low-income haeurcj credit (section 44,(5); G 'recapture of Inv-intala housing I orm 8611, line 8 credit (other) H Aix:epee° ol innutment credit See Form 4256 I ~lure el other credl:s See the Partner's instructors J Look-back Merest—ownple:ed See Form 8697 long-tarn contracts K Leek-back intermit —Income formes: See Form 8866 ~Pod L Dispositions al property with ~Non 179 deductions M Rempureof medal ITO deckstce N Interest expense for corporate partners O Section 4530(3) irtormation P Section 4:33A(c) Inionnegion a Section 126069 information R Interest :allocable to prodacbor expenditures S CCF nonquelified withdrawals T Depebon information—ell ann. pes U Arecetizatice of relecestation costs  Unrelated business taxable inotens W Priecontrbution gah (on; X Benton 108411Vereneturt Y Olhly *gamut° Form 8811, lined See the Portner's irestmctions iii54.411111 meur CONFIDENTIAL SONY nmb ilfletla1411/ EFTA_00143762 EFTA01280289 BOARDWALK '000 PIPELINE PARTNERS° I./a:Mini-DIGIT 33480 28 PS5 775L2A826-8-1 4142 2 AV 0.360 BLUE CHIP CAPITAL LLC 329 SEABREEZE AVENUE PALM BEACH FL 33480-6132 February 28, 2013 Dear Unitholder: Enclosed is your Boardwalk Pipeline Partners, LP tax package for 2012. This package contains important information that you will need to prepare your federal and state Income tax returns for 2012 - please do not discard. In the tax package, Boardwalk Pipeline Partners, LP is providing the following documents to you: I. Schedule K-1, (Form 1065) 2. Schedule K-1, Additional Information 3. State Income Schedule 4. Ownership Schedule 5. Sales Schedule (if Applicable) 6. Individualized Income Tax Reporting Package Instructions 7. Graphic Guide of Federal Tax Forms 8. Pariner's Instructions for Schedule K-1, Form 1065 Please carefully review the information on your Ownership Schedule. If the information is inaccurate, please contact us as explained on the form. We will issue a corrected Schedule K-1, Slate Schedule, Ownership Schedule, and Sales Schedule, if applicable, as soon as possible. The enclosed general instructions and graphic guide are provided for your general guidance, and are not intended to be, nor should they be construed as tax advice. The tax information in this package, as reflected on the schedules provided, is based on existing federal and state tax laws and regulations as interpreted by the General Partner. Before completing any tax filing, we recommend that you consult with your tax advisor. If you should have any questions regarding this tax package, please call toll free (866) 867-5085 or logon to our tax package support webslte at www.taxpackagesupport.com/boardwalk. Sincerely, Boardwalk Pipeline Partners,a ..IMAWOKICAPI4 ONFIDENTIAL SIDNV.‘614.00033150 EFTA_00143763 EFTA01280290 651112 CI Final K-1 Ei Amended K- I Schedule K-1 (Form 1065) 2012 Dope:intent of the Treasury For calendar year 2012. or lax Internal Revenue Service s beginnng , 20:2 .20 ending Partner's Share of Income, Deductions, Credits, etc. is- so* back of form and separate instructions. r-Zrflaiffisiatiaw- 1 :1;; NIT%Si.4;141Warrn11,:Yetar Income, - ‘`‘6~ . Other Items 1 Ordinary business income (lossi 15 Credits -3,686 2 Not rental rote estate Income (loss) 4P16191W1tv841)~ A Penner-Mt:is employer idernfication number 20-3265614 B Palma* a Mme, address. city, state and ZIP code 3 Olhor not rental Income (loss) 4 Gunnies(' payments BOARDWALK PIPELINE PARTNERS, LP 9 GREENWAY PLAZA, SUITE 2800 HOUSTON, TX 77048 5 Intranet income 10 Is Ordinary Olvleenes 80 Quelified aivioende C IRS Center where purtnen4hip 0 ed return Ogden, UT 7 Royalties 16 Foreign transactions Cneck dials Is a pubic& traded partnership (PIP) Part II .4k, lebiS900~811~84ftlikei..V".1rfesit*Sital E Partners identifying number 20-3161309 Not shod-Sum capital gatt (loss) Sa Nut long.tett capital gain (lees) 17 AaeWs we're's( la‹(AMNees 0 A -12 9b Collectibles (28%) gain (loss) F Partners name. address, city. state, and ZIP code BLUE CHIP CAPITAL LLC 329 SEABREE7_E AVENUE PALM BEACH FL 33480 9c Unreceptured section 1250 gen 10 Net section 1231 gain (less) 0 K General partner or LLC r.--A limited peter or tit's' LIS =1' 1 member member-manager H Doinesic Partner p Foreign earner Il What type or entry e ms partner? (sots instruchcns) PARTNERSHIP 12 If this mainly Is a retirement plan (IRA/SEP/Keogh:etc.). chock hero r (sac Instructions) LJ J Partners share of wont loss, and capital (see .meterrettens): Beginning Ending Profit 0.001727 % Loss 0 001727 % Capital _0,00172_7 % K Partners share of ilaWnes al year ene: Nonrecourac Qualified nerirecourse financing $ Recourse 0,001487 % 0.001487 0.001487 % 52,076 11 Oat« inoune (loss) 18 Tax-exempt Income and nondeductible toperises C 19 12 Ølion 179 °eduction 13 Other deductions A! 9 STMT 19 Distelbutions A 7.446 14 Self oencroymeri earnings (bee) 211 Other Infcralc9 A 10 V t -3,685 r r 19,327 - - - • - • • . - • - • - • 'See attached statement for additional information. t. Partners capital account analysts: Beginning capital accourt 73,639 Capital corttoled during tie year. $ 0 Current year inuuaso (decrease). $ -3,704 Withdrawals & cistrIbutiOns. . . $ (7.446) Ending capital account 62,489 El Tax basis Q GAAP K Section 704(b) book El Other iexploln) Outside Tax Bees rD—idi the Partner COirtriblitu property with a built.in gain or loss? LJ Yet [3 No If 'Vas,* attach statement (see Heber:lions) PA å LL or Paperwork Reduction Act Nods», see Instructions for Form 1065. IRS.g olorm i065 Cut No. 11394R Schedule K-1 (Form 1005)21)12 CONFIDENTIAL SDNY_GM_00033151 EFTA_00143764 EFTA01280291 2012 OWNERSHIP SCHEDULE BOARDWALK PIPELINE PARTNERS, LP PARTNER NAME: BLUE CHIP CAPITAL LLC ACCOUNT NUMBER: 141 0022488551 PARTNER FEDERAL IDIENTITY: 20-3161309 I PARTNERSHIP CUSTODIAN FEDERAL ID: PARTNERSHIP FEDERAL ID: 20.3265614 "IWsZnedulickitalls Your history of owneranip of Boardwalk Pitman° Partners, LP units ffecugh 2612. The enclosed tax package reflects yew ewnershio it unitsreeslernd WAr the pennant*. and units hate In a broker exeunt if such Information was provided by Iho broke.' on your Wool. ft your words do not 80/430 with the transactions shown. the enamel lax information may be :ncomple:e. In such an event. you may request changes (I) on the InZernet. (2) by mail or (3) by p'ro'ud. To request (naves oy mar, disks make corrections on this schedule find write any needed explanations on the schedule. Sign the statement below and submit toe corrected schedule before May 31.2013 to: Boardwalt Pipeline Partners. LP Tax Package Supped P.O. Box 799060 Colas, TX 75379-9030 Phone: 1.866-867-5085 werw.mxpackagosupporLuorn/hcardwalt Upon reorapt a revised K-I wit be forwarded to Pe eodress on your Schadthe K-1. This schedule does not have to be returned unless changes have been mace. It is important that you submit corrections to the partnership by May 31. 2013. Corrections submitted to the partnership Our May 31. 2013. may 11140 in a requirement to include Fonn 8082 - Notice of Inoonseamt Trealmont or Admnistrative Adjustment Request (AAR) to your re:um. Corrections whinnies siker May 31, 2013. will not be rehectec in thu partnership's ox return filed WM the In:ernal Revak+, Service. The Partnership Me, Its fedora: lax return MU! the Ogden. UT IRS Servico Conics. NOTE: RECEIPT OF THIS SCHEDULE IS NOT PROOF OF OWNERSHIP TRANSACTION DESCRIPTION DATE BROKER OR CERTIFICATE NUMBER UNITS AC BUY 12-10-2009 141 3.500.0000 END OF YEAR UNITS 3.500.0000 SEE TAX INSTRUCTIONS FOR ADDITIONAL INFORMATION ACKNOWLEDGEMENT FOR CORRECTIONS ONLY The infommtion reported on thls schedule. as corrected, accurately and completely presents my ownership history through 12131112. By signing this schedule, I authorize the Partnership to make the corrections as indicated above to my Schedule K-1. Spada IIIONMAJO.,4142A. CD NFID E NT IL SDNY_GM_00033152 EFTA_00143765 EFTA01280292 L Fins K.1 651112 -1•="'Icti,i.,;', K-1 (Form -465) Fre CtiC•163, eV 2012, es ,r.< I:Swirled ol re Treasury mu *se envie • zoI2 416 ;ediCslualincalinher Items Millet bedrralti 0 n;i: 1 Ordinary business Income Coss) -72. 15 Cretin) Inieno. hew nom Sonto OrKina Partner's Share of Income, Deductions, Credits, etc. . See separate Instructions, 2 fist renal reel ere trans (lost) 3 Other net rental income (loss) 10 Foreign tmnsactions Information About the Partnership 4 Guaranteed payments A Partnership's employer identification number 26-3172589 5 Interest Income B Partnership's name, address, dty, stab). and ZIP code Level Management, LLC 19401 Old Jetton Road Cornelius, NC 28031 6a Ordinary dividends 6b qualified thydends C FtS Center where partnemrilp filed return Cincinnati, OH 7 Royalties D ['Check if this Is a publicly traded partnorshiP (PiP) 8 Notshottamn cadtal Diadem) ROW Information About the Partner 9* Net longterm capital gain (loss) 17 Altrymtne retort cm (AYR lbsrs E Partrer's Identifying number 20-3161309 9b Collectibles (28%) gain (loss) F Partners name, address, city, stale, and ZIP coca Blue Chip Capital, LLC 27 High Tech Blvd. Thomasville, NC 27360 9c Unrecaptured section 1250 gain 10 Net section 1231 gain 009S) 81 Tax-exempt income. and norsiodustle expensas 11 Other income (loss) O gl General partner or LI.0 'Limited pi:finer of other LLA nomber-manager • JI.I.0 member H g Domestic partner OForeign partner 11 Vat broadest, is trib ostler? Mes instr)ihs tpe runi c 12 If this partner is a retirement plan OFtAISEPAteoghletc), check here (see instructions) .1 Partnees share of profit, loss, and Capital Beginning Profit 25.00000 8 ,--i U (see insimelions): Ending 25.00000Ar 19 Distributions 12 Section 179 deduction 18 Other deductions _ . 20 OTher information Loss 25 00000 8 25.000 0 t Capital 25,00000 % 25.00000 %.,- K Partner's shwa of liabilities at year end: Nonrecourse * —/14 A Self-employment earrings (loss) —72. Qualified nonrecourse finning $ Recourse $ 1. Partners capital account analysis: Beginning capital account $ 947 *See attached statement for additional Information. Capital contributed during the year $ r ° i 1st u 1 o II yl. Current year increase (decrease) 9 —72. Yethdrawals and distributions $ Ending capital account $ 875. IA Did K 'a basis DGAAP I Section 7040)) book Other (explain) the partner contribute property with a bullbin gain or loss? Dyes g)N° II Yes alltch slOteonal Oa traltxtlor.$) BAA For Paperwork Reduction Act Notice, see Instructions for Form 1065. Schedule K-1 (Form 1005) 2012 PTPA:412 Ta02113 CONFIDENTIAL SDNY_GM_00033153 EF1'A_00143766 EFTA01280293 Stifedula H-1 (Form 1065) 2012 Blue Chip Capital, LLC 26- 3172589 Par 2 TN: inst Identifies tie coon used on Schedule K-I for '11 partners and gram eurenartted reporting information for miners ate file Faro 1140. For detailed MCOrt1110 and Ming Informatics'', see rho separate Partes Inert Wort for Schage K-1 eid thenstrsellone for your Income tru return. 1 Ordinary bunion I/KammU(4» Otttunna vemenr !to income (lau) 3 assivo c od e Report on ranpeterse en0 einY on yew' reltrn a *Okra. Penh% 515) %n+" mane %rams VI hi: Morpout4e kutten 2 NM revile rod estate Menem doss) 3 Other not rent& Inoone Goss) Ne1 in“'" Ne; tan 4 Guitentad prpnente 5 Icemen Income 6 a Onto'ry dIAlloner b CluellInd &Mende 7 Royellms 8 Net Mort-lens cestal gin (Mee) 9 a Na ongdmm embei tgen One) 9 b censuses (WM n 111(l0,6) n Cm:reaps/me maim 1260 P 111 10 hot ~don ten gal dent 11 Otnebeolum0ces) Code A Ofher »Moen rIterne (,ea.) B Inattntery conmenns C Suellen 125644We= end Mrad,Ues D kiln; suplenlien coon %%PO% E Coacollaller 0'6e: F ova- kØ (I544) 12 secure 179 emluden 13 ON« doenctkane A Cmh cm "Mutant X44) B Cis!. ccuviwtani t3" C tercenh rentetolinns (BC%) D trondal: ruchlb.Ants (Clt) E cam 9ein ~rirb a tre,"% elgan ally. (3Pta) F Cede& tub wort/ (77%) O Ccontotatt ("41:11) H InmeerrnulAtuma; expmee I Dedte4CM — myely inccom J Sed« 59(0)41 eaperdtne1 K Newham — sateen (214 OW) DeOLCI.Ond — 9ccif&e ('-‘11~1 • Arosti red ss reee , severe N t cluutan esMetenen smelt O D9q:enden1 we tenet P Pm:manta pw.i.xl rgorua Q LailintreSI codachar 'Torn wiping ontan ',bbs R PentionsaNimm • Fielmechrtial eymne asionim T »reek ctoit441 eGtivtlin U :).ane proctotma actin,. Lace*  Enpoyent Ran vr.2 vaunt W 0lnerdidoclant 14 Sell.enirgermil‘ramlnea (105e) klolt n'yOu here a sadden 179 <,,:cf..:6en or ivy Null« 4~1 dentWil. see te Parma's LINN.Y.kos DN'te ornoteUrg .?ttinvio SE. A No: 04t771 00•41 /on rar erralennont 3chulun SE. Static A a R B GoestorvepleL^ainØ Bed the Fogner's lastreelam C limm rtn.taern Iacono Sc. Cm EntInet's Item:liens 15 CIntEt11 Report an Set tbe Po'e't bi*.tb't ficnodok E, tro N. ether 41 '<nettle L. In 29, colcrur ) !Moak E. Ire ES. mAnn to. to Portions Itttats Stacdols E, coRonn tg) See tie 'WOW'S IrtgrItOn5 Schedule E, toe 28. edliann Q) Fenn 104C. in. Se Firm 104C, ene 90 Run, Mo 95 44+14e E, MA 4 Schedule 0, be 5 Selena C. em :2 a% Rehr GM,- Vrodshool. Pre 4 (Schedule 0 Ingncticcul Res tie Pa-rors Inehmaces Seer Om PerMON :mecum/am See to Partiets inflections ten It* Pernere hulatheos ram 0/11, hne 1 !"•• Puz 53.5 %ITN ICAO. ; m 21 a ram 9N Soo Ix Patton !mtmellms seg Portnere 'istrmiden 5•4 Fe Part's', Instnerlme Font 4952, One I SChOd eee E. Sr r9 tee ha Prim."' Ina...cores A. Wig 21 Schedule A leg, a 713nedia A. nt. I or Farr '0'4 1111.1 29 See no Parinere turnskam Forts 2441. k» II tee Be Po, trees 1metctora toe Fenn 8543 :mince ens See lie Penmen Intent:done See the Porkers Into-tabu, 144 Fun 6933 hestebys Fern e9C3, lire lb Fein. 8903, lb e 17 53. ha PaMiere I tenndons A Low.ileome haisirg 0•111(.7.ecton 429)95); — Lem me-7004 I/Mina B Loma:acre will tra=ll (4711141.°111 lard24:11 td) ne, C Lon oor b e Idlt (action 47(ix5)) pool-2007 Wpm,. D lconirenrat Fuzing teol (tahe) 1ran 4061-200? hailtlfrua E 0ualikd ogleKtellan expenditaS erne teal silk) F Canr twat los slate cf,7b G am Isis' cods H Unalidinded capital gelt. antra Stun IOW. me ?I; ched, Ø * Flatel ral mei« blohni Nile mode See Ste ?Moen Irelndllont S% 8n PattileS 7arstAlion J was uppertnlp twit K Daaled >cOnss cant L 5,54111•61, acne end ~all mane* eltekiPII7' M Creel: f7f Inc~ nlItertti act teen N Creeit eracieder KAM ~My at Merl: ne .Yren O Bacup wat«an. P one crcdit; 16 Yongontreneection• A ewe a mulry a0Messbn B Coco Irk", kon ail saute, Form 11' 5. Pa( I C Gras tveran touted el ceilnet 7~1 Foreign gross income sourced at pannership level D ~Iva eahconc E amoral cowry Form ;;15, %AI F 0ut Deductions allocated and apportioned a. paroler level G Intones! «mase Fenn 1116, Peril H Olt Fan 1116, Pod, Deductions allocated and apportioned at partnership Mn! to foreign source Income %salve meget J Orval øa204 K ern Other information L Total *Sign has ps'e N Total forden Imes acumen N Fax44.41 In :arm ~Age la ~It O Fore44 ewers von recedes P hi:a Warne nelota Q Demean tr Senseeklare 17 Allernethm mIremun lox (Mn) Memo A irus.ISS6 decreclentnathatraent B Arend celn or lest C Depelkei (42 Ar cd cm) D Or, On a smotherral — 'ass bØ E 0 1. 77.7. a pinhead — J•eatinie F e1w Ar sea 18 Tsocientre :memo end nonemluelbe axataM A Tie.enernpt ialumet ireon• B Cow Issarlept hose C lbrrtwgaalesausa 19 Ontributbne A Cam 44 nub:4MM tecuteo B Dh719,..-bon se heel b fACIOn 737 C q79' ennn”ly 20 One intoned« A Pm:gm« noxne B headmen* spines C Fuel lat oc<15 ;tram D °need relaelue/cn expeneties (Wet tron wad mel eslake) E Sege 4 mangy gem* F ~pare el selncome mud% rain (maim 430(5)) G aoseaurecr Ictutrcone Sucre teat lored 14 Fbne~e d Invegnienl dent I noceahre nthmerec J 1.0Cluba:'< at ui s— coatted sresen K fz uffietrismyzrze — sneer: L Oke~oru al monody *Rh seelion 179 decluenro R•Cal.fe of cactee 179 runs:ton N meant summit lor oncemba patinas • 5dcbon 4530(3) enernalun P mum Ware inwrinba Q SUSS 1260(1) rneenoten rt Irlerett albeit.% to twolucilto spomalkies S CEP neleverree volltuorole T åppeNrklrrNtale—eiendom U Nowt robs d tokenism cost.  I.Incitated bights lanke khans W ~Salon gan (1.45.1 X Seelkyi 103() nkrmwa Y Oh« inkummkn PTP40312 OV02/13 Sae re WNW'S Ine~ortz } NM, III6,Pan I hem 111E. Part II Fenn 1116. Pan 11 Fan 1115, 8th 12 Font 8873 Fern 8873 Ste no Pe'tne?e Pgrunlone 1_. $e* On i3:9.1.9.7. •:. INIACliont ad ro le airmSone let Fenn 6231 refe tom. awn See M Patten inischos Svc to Pam« s irelmedane 1 — See the Dense. lealresluds Fan 4962, Ste 4e Fan 4952. rem 5 Font 4136 Swine ParIne.'s Intent-inn 3ee ate Patties leek. dems Fenn h'e8 Form 5611. Ink B sea Fern 4255 Sot eta Prefneis I itutrico 5 Sno Firm 86O7 Sou ram 8166 SCO Vie Ponre's Inks:Ss Seleedrae K-1(Frem 1(165) 2012 CONFIDENTIAL SDNY_GM_00033154 EFTA_00143767 EFTA01280294 NC K-1 (50) ()-403) 10-11.t2 2012 Partner's Share of N.C. Income, Adjustments, and Credits North Carolino Department o' Revenue For ca.:ender year 2012 o fiscal year beginning Partner's Identifying Number 203161309 Partner's Name, Address, and Zip Code BLUE CHIP CAPITAL LLC 27 HIGH TECH BLVD. THOMASVILLE NC 27360 Partnership's Pro Rita Share Items All Partners 1 Share of partnership intara Coss) 2 Additions to income (loss) a Addition ler bor.us depreciation b Other actions to Vairie(icas) SSE SLIPP :NITO 3 Deductions troll', income (loss) a Ooducion for bonus depreciation b Ott deist= from Irma (bat) 4 Share of tax credits 5 Share of tax witriteld from nonwago compensation paid for personal services performed hi V.C. Nonresidents Only 6 Nonresident's share of N.C. taxable income (loss) 7 Nonresident's share of net tax pad by the manager of :he partnership SEE SLPPI.F.VENTAL INFORMATION and end n6 Federal Employer ID Number 263172589 Partnership's Name, Address, and Zip Code LEVEL MANAGEMENT LLC 19401 OLD JETTON ROAD CORNELIUS NC 28031 Amount -72 51 0 0 0 0 0 CONFIDENTIAL Individuals Filing Form DADE Enter Amount on: Page 2, Line 35 Page 2, Line 36 Page 2, Line 44e Page 2, Line 49 Forrr 0-400W Page 2, Line 23 Page 2, Line 51 Page 2, Line. 24e sciimom M4Dra SDNY_GM_0003.3155 EFIA_00143768 EFTA01280295 Level Management, LIS 26-3172589 1 FORM D-403, SCHEME NC K•103tUE CHIP CAPITAL LLC) SUPPLEMENTAL INFORMATION LINE 2 - OTHER ADDITIONS TO FEDERAL INCOME: STATE TAXES DEDUCTED ON US RETURN TOTAL 51 51 CONFIDENTIAL SDNY_GM_00033156 EFTA_00143769 EFTA01280296