EFTA Document EFTA01280097

Recourse 14 Sell-eMplernent earnings (loss) A H 0. 2,609. 90 loileCtibles (28%) gain (leoss) 19 Distalbutione i .kirecaptured sec 1250 gain 10 Net section 1231 gaki (loss) -68. tr Carthcomo (loss) 12 Section 179 deduction 13 Other deductions STMT 92 , 108 . Schedule X-1 (Form 1066) Far(.(w,o.ry,w20'?. 0''... Department of the Treasury yon, beginnIN Internal Revenue sendce Partner's Share of income, Deductions, Credits, etc. k See separate instrullens. 2012 r Prat I , Information About the Partnership A Partners:do's employer Nonni, Sinn number 9 Partnership's name, adores& city. state, and ZIP code MIDWAY ASHLEY CROSSING, LLC C IRS Center where partnership fired return F -FILE 65'1112 I -1 Amended OMB No 1$4-0099 Part III Partner's Share of Current Year Income, Deductions Credits, and Other Items 1 Ordinary business ininoMe (ION) 11 010019 0. I 2 'et motel it aver boor* Nap 9 —13 669 . 16 Foreign transactions 3 Other net rental Moon), (inse) 4 Guaranteed payments 6 literetit Income N Ordinary dividends 17 Aterna6ve nen Mx (AMT) Kura 2,024. —6. ft Quadded WY/lends 0 Check it thh is a paMcry (faded partners,* (PTP) 7 Roy n 18 Tax-exempt income and 8 Net shod-term capital gain (loss) nondeductible expenses * Information About the Partner Net Inag-term carkl gain (lose) E Partners kis number F Parteer's name. address. city. state. and ZIP code BLUE CHIP CAPITAL LLC 2. 3 290. O General partner or I.LC member-manager 20 Other Information Limited partner or other Lig mentor °mastic partner El Foreign partner II What type es entty le bids partner/ PARTNERSHIP 12 If MIS partner is a retirement Mart OFWBEPNeoghletc.), check here .1 Partners share of profft. loss, and molter BogInnIng Ending Profit 1.3548951% 1.3548951% Lou 1.7482520% 1 1.7482520% ia .___ 1.7482520%1 1.7482520% K Partner's share of kabilitles at year end: tionreootoSe $ Quaked nonrecourse financing O. I. Partners coltal aocount anabsit Beginning capital account ....... . . ................... $ Capital contributed du Ong the year 2 Current year In crease (decrease) S WAhdrawars ti distributions • 2( Ending ca$al account $ Cr Tax basis E.] GAAp C Other (explain) M Did the partner cabbala prop. web a built-In gab or loss? Ei Yes LAU Re It Yes' attach statement We instructions) or co-is L4A For Paperwork Reduction Act Notice, see Instructions ios Form 1065. 47,413.4 -13,943. J 3,290 4 le 30 , 180 . C Section 704(b) book Irks at statement for ado al remits IRS.goiriform1065 08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY Ssliedele 6-1 (Form 1066) 201 6 CROSSING, LLC 21146 Al CONFIDENTIAL SDNY_GM_00031917 EFTA_00142530 EFTA01280097 MIDWAY ASHLEY CROSSING, LLC SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT ACCOUNTING FEES 15. MISCELLANEOUS 4. TOTAL TO SCHEDULE K-1, BOX 13, CODE W 19. SCHEDULE K-1 ALTERNATIVE MINIMUM TAX, ADJUSTED GAIN OR LOSS, BOX 17, CODE B DESCRIPTION ORDINARY GAIN OR LOSS PARTNER FILING INSTRUCTIONS AMOUNT SEE FORM 6251 INSTRUCTIONS TOTAL TO SCHEDULE K-1, BOX 17, CODE B SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 18, CODE C DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT NONDEDUCTIBLE EXPENSES - SEE IRS SCH. K-1 INSTRUCTIONS PASSTHROUGH 2. TOTAL TO SCHEDULE K-1, BOX 18, CODE C 2. SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES) DESCRIPTION AMOUNT TOTALS RENTAL REAL ESTATE INCOME (LOSS) -13,669. SECTION 1231 GAIN (LOSS) -68. SCHEDULE K-1 INCOME SUBTOTAL -13,737. OTHER DEDUCTIONS -19. SCHEDULE K-1 DEDUCTIONS SUBTOTAL -19. NET INCOME (LOSS) PER SCHEDULE K-1 -13,756. NONDEDUCTIBLE EXPENSES PARTNER NUMBER 6 08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146_Al CONFIDENTIAL SDNY_GM_00031918 EFTA 00142531 EFTA01280098 MIDWAY ASHLEY CROSSING, LLC PREPAID RENTS - CY -198. PREPAID RENTS - PY 13. OTHER INCREASES OR DECREASES SUBTOTAL -187. TOTAL TO SCHEDULE K-1, ITEM L -13,943. PARTNER NUMBER 6 08320312 758241 21146.213 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146_Al CONFIDENTIAL SONY_GtA 00031919 EFTA 00142532 EFTA01280099 Schedule K-1 (Fe'rm 1065) 2012 • Page 2 This list WentMet the code' used on Schedtle K-1 for all partners and provides summarized reporting In torrnalion tar partners wile Ille Form 1040. 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N lnlreal ~wet be oorpont• ~ton O Secrau4E3O0; • ~eon 463/44 lubro14.^ O Slae :29C0.1 info/waxen Fl Wares? ago/flab Dmaxtbi •Narlburo• • OCF ~quarto w erase T tractor ~era, ard gee U Agoarasoco of rarestattiet opt.  llerwalec buoneSe laarale intone W iurecoaoovoco gab /owl K %cow ICISIFF~ • Ole lebr.T.seen ØM Sr Po Nrour • iretr.craos .4 I Panel Illk girl Fran 1119 Pert 1 Far Ills, aril Fern '119~1 lwel 61 beige source } Fem 1, 16 Pel Fran 11'9 Peril ern Ille, Pets ~isms molt Fan 9873 1/173 Eles tm ~Ore F11~8 I Se On ~Pt, mbi,C6Clil end PM ~COCO/ lb lwn. ea' Fang 1010, iwe Se• 94Fri/or'. OialiUraw• S«l.beArebatntatM ) Sags Parris, * Irytarawr, Fore 4662. 9ne 4a Fart, 4962. One 6 For, 4139 Se• ihe PerSw t.oretceone Ss Panwre Favour-coo bon, eats. era I Fan dill. LON, 94o err 4:955 See M Partner* Instnelloi• Si. Fran 1927 Sr For per See M Pre*, -ors 6 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146_111 CONFIDENTIAL SONY_GM_000'31920 EFTA_00142533 EFTA01280100 6 SCHEDULE NJK-1 (Form NJ-1065) 2012 PART Firernets BSI cy /Axiom IN rAMINIIIIIIL Proles Nome STATE OF NEW JERSEY PARTNER'S SHARE OF INCOME For Calendar Year 2012. or Fiscal Year Beginning _ General Information !BLUE CHIP CAPITAL LLC (see instructions) NP Cob _ .2012 aro 'riding Dote Partners interest In Partnership began: 0 8/17 /2011 Month NV Yew L...j Final IsUl(-1 C HEW Fund r— Amended N,X-1 El Member 0 CoM00a0 Return PrInnhars Nast. E'h Narmaiwoum. IDWAY ASHLEY CROSSING, LLC ' 1010 /000 Enter Partner's percentage of: 0) Soo Oecreass or Termination OR End of Year Profit Sharing 1.3548951 % 1.3548951 % LOSS Sharing 1.7482520% 1.7482520 s. usimmemill 1.7482520% 1.7482520 % 1- fr ilri / II IIMIII III0 SIIIIIJTIIICIWIJII Income Clneldeellone k A. Total Diseltivilon NJ*10 4 0 Men Enter Amounts on LM Shown Below B. New Jersmounb ey SNIP A NJ-1040NA Filet{ 1. Pattnenhip Income gou t —13 732. ' ' 1.07 :. ‘'ssc. ' „ , • , . ...- 2. Net Guaranteed Payments e.. 3. Fanners 401(InContribuilar agi... e ' 411 stir.k. • 4. Distributive Share of Partnership Income (loss) (the 1 phis Line 2 minus Line 3) —13 732. Una 20. Page 2 , Una 22, Page 1 5. Pension Ibis 19. Page 2 . A 8 Net Gain doss) front Disposition of Assets as a Result of a Complete LidolttiOn Una 18. Page 2 We 18, Page I PART III Partner's Information 1. Nonresident Patters Shan of NJ Tax L_ Line 19a, Page 1 C8T-100 Lire 10a, Page 100T-100S Ole 8. PART-100 Line 48. ti -104,49 Um 22. NJ-1060C Line 311. NJ-1041 2. Partners NE2 Deduction 2. _v.] AD 3. Partners Sheltered Workshop Tax CrecIN 3. ND . *..ci:P 44 1 PART N Supplemental Information (Attach Schedule) 12.0412 08320312 758241 21146.213 THIS FORM MAY BE REPRODUCED 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146_Al CONFIDENTIAL SDNY_GM_00031921 EFTA_00 142534 EFTA01280101 MIDWAY ASHLEY CROSSING, LLC 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 2012.03011 MIDWAY ASHLEY CROSSING, LLC 21146 Al CONFIDENTIAL SDNY_GM 00031922 EFTA 00142535 EFTA01280102 New Yak State Department of Taxation and Amerce 2012 New York Partner's Schedule K-1 IT-204-1P Tax Lew - Article 22 (Personal Income Tex) 6 Final K•1 For calendar year 2012 or tax year beginning 0 1-01-2012 and ending 12-31-2012 Amended K-1 Partners: Before combating your income tax return. see Form fT•2344F4, Partners Instnictions for Form 17-204-IP(evallable at www.tax.ny.gov). Partnership's Information (see instruct/one PertnenshIp's name (as shown on Form 11•204) MIDWAY ASHLEY CROSSING, LLC Partnership's FIN A Mark an X in the box If either applies to your entity Public% traded Partnership 0 Portfolio investment partneran In B Tax shiner registration number, if any C Business °location percentage Partner's information (see Instructens) Partners name BLUE CHIP CAPITAL LLC Stele NC ZIP code 27360 Partners beatifying number E F The partner is a mew knurrernis use C General partners LLC membermanager EILLymited partner or other LLC member YPtat s the tax f of the partner? flea ion X In t,. •PPeCat• ere , . ,. Individual Estatertneat al Partnership If the partner Is a disregarded entity or gtantor trust. enter the tax ID of the entity or °Whit:lab reperting the income, Ulan:win 0 Cld the partner sell its entire Interest during the tax year? G Yes No LIC H Partners share of profit, lose. and What Beginning Ending 1) Profit H1 1.3549 96 1.3549 76 2) Lose H2 1.7483 1.7483 3) Capital H3 1.7483 96 1.7483 I Partner's shank of lablitke at the end of the yew 1) NonnecoUrs• 11 2,609. 2) at:riffled nonreccuree financing 12 92,108. 3) Recourse LI J Partner's capital account analysis 1) Beginning cabled account J1 47,413. 2) Capital contributed during the yew • owl 3) capital contnbuted during the yew • property J3 4) Current year Increase (decrease) a -13,943. 5) Withdrawals and cgstrIbtlionli • cash JS 3,290. 6) Withdrawals and ostrbutIons • property J6 7) Ending capital account J7 30,180. CO Method or accounting (waken a the appropriate bre° XI Tax baaie Q GMP El Book 0 Other Ombra exPianarion) K Resident status Imp* an X In f t i bone that apply) WS full-year resident 0 Yonkers ful•year resident P NYS part•yete resident 0 Yonkers part-year resident DC NYS nonresident 0 Yonkers nonresident L If the partner was included in a group return, enter the special MIS !dent ficatIon number, If known I. 118007121019 C NYC f ulyear resident 0 NYC parnew resident 288651 CONFIDENTIAL SONY_GM 00031923 EFTA_00142536 EFTA01280103 Page. 2 of 4 17-2044P (20/2) M 1) Was Form I7-21358-E led %eh the partneraNp? M1 2) Was Form MTA-4055 filed with the partnership? M2 14 NYS estimated tax pad on behalf of partner (from Form IT-2658) 1) Fust installment N1 2) Second installment N2 3) Third Installment N3 4) Fourth installment N4 Total WS estimated tax paid on behalf of partner (ace Ilnee NI through N4) 0 Estimrded MCTMT paid on Deficit of partner (from Form MTA-405) 11 First installment 01 2) Sicced instaihnent 02 3) Third hatatment 03 4) Fourth installment 04 Total estimated MCTMT 03.1 on behalf of partner (add Ores O1 through O4) . Partner's share of income, deductions, etc. A - Partners dietreoullve share dents 13 - Federal K-1 amount I Ordinary business Income 009e) 1 0 C - New York State amount I 2 Net rental real estate incOrne NOS) 2 —13,669. 2 3 Other net rental income (Ices) 3 3 4 Guaranteed payments 4 4 5 Interest income 5 e 8 Ordinary dividends e 8 7 Royalties 7 7 8 Net shod-terrn capital gan (toes) 8 a 9 Net long-term cap8al gag) Oats) 9 9 10 Net section 1231 gain goes) 10 —68. to 11 Other income (loas) Men*: 11 11 12 12 12 Ce...:ruc 179 de:Nalco 13 Other deductions kienoly: SEE ST/V2EMENT 13 19. 13 14 TeX preference items for minimum 18X 14 2,018. 14 I- 15 Net earnings (ices) from selfemployment IS 15 18 Tax-exempt income and nondeductible expanses . 18 2 . 16 17 Distributions- cash end mares:able securities.... 17 3,290. 17 18 Distributions • other property 18 18 19 Other items not Inctuded above that are requesd to be reported separately to partners . .. . .. . . 19 19 /dean/ y. Yee D No Yes No E: Date Amount N Date Amount Partner's share of Now York modifications (see Instructions) 20 New York Stale additiors Number A - Total amount B- New York State allocated amount 20e EA- 16 133. 133. 209 EA- 20c EA- 20d EA- 20. EA- 20/ EA- 21 Total ackttion modflcations Cotaf of column A Lees 20e through 200 . 21 1111 118002121019 1i(j UP VIII 133. 118852 11.14.2 CONFIDENTIAL SDNY_GM_00031924 EFTA 00142537 EFTA01280104 Partner's share of New York modifications fcortinuedi 22 New York State subtractions Number A - Total amount B - New York State allocated amount 22a ES- 21 110. 110. 22b ES- 22c ES- 22d ES- IT-204-IP /2012) • Page 3 o14 22* ES- 221 ES- 23 Tote/ subtraction mooroatIons (total of tauten A, lines 22a through 220 23 1 10 . 24 Additions to federal itemize° deductions Letter Amount 24a 24b 24c 24d 244, 241 25 Total additions to federal .temttecf deductions (add Ones 24a through 240 26 20 Subtractions from federal imitated deductions Letter Amount 26a 26b 262 20d 26e 28f 27 Total subtractions from federal nommic deductions (add Ones 26a through 260 27 28 New York adjustments to faX Preference items Partner's other information 29e Partner's share of New York sou roe woes income 20b NICTD allocation percentage (see Instructrons) Partner's credit information Part 1 - now-through credit bases and factors Brownfield redevelopment tax credit (Fan, IT-611 or 17-611.1) 30 Site Preparation credit component 30 31 Targible property credit oomoonent 31 32 On-site groundwater remedial:on credit component 41111;illifilli A - Form IT-811 B - Form IT-611.1 90 31 32 Mal 1'.99.12 CONFIDENTIAL SDNY_GM_00031925 EFTA_00142538 EFTA01280105 Page 4 of 4 . 17•204-IP (201Z Partner's credit information (continued) EZ capital tax credit (Form IT-602) 33 Contribution of money to EZ community development protects 33 34 Recapture of credit for investments In certified EZ badness** 34 35 Recapture of credi for contributions of money to EZ community development projects 96 QEZE tax reduction credit (Form 17--60,6 38 CUE employment increase factor 30 37 OEM tone alloadion facia 37 38 OEZE benefit period factor 36 Excelsior fobs program tax oredit (Form 1T-607) 39 Excelsior Jobs tax credit component 30 40 Excelsior investment tax credit component 40 41 ExcelScr research and development tax cacti component 41 42 Excelsior real property tax credit component 42 Farmers' school tax credit (Form 1T-2 I 7) 43 Acres of qualified agricultural property 43 44 Aces of qualified conservation property 44 45 Eligible school district property taxes paid 45 46 Acres of qualified agricultural property convened to nonquatfied use 46 Other flow-through credit bases and factors Credit bases Code Amount Code Amount 47a 97d 478 47e 47c 47f Geoff `actors Code Factor Code Factor Code Fodor 47g 471 4Th 47h 471 471 Part 2 - Flow-through credits, addbacks and recaptures 48 Long-term care Insurance credit (Form 1T-249) 46 49 Investment crag (inciticling employment incentive credit end Moto& tutm rehabilitation molt form IT-212) 49 50 Research end development • investment credit (Pomp ff-212) Bo 51 Other flow-through credits Cods Amount Code Amount 51a 61e Sib Si, Sic 81g bid 51h 52 Ada:eats of credits and recaptures Code Amount Code Amount 528 52d 626 52e 520 521 118 0 0 4 12 10 19 2Seara 11..4-12 CONFIDENTIAL SONY_GM 00031926 EFTA_00142539 EFTA01280106 MIDWAY ASHLEY CROSSING, LLC 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. 0. 4. 0. 19. 0. PARTNER NUMBER 6 CONFIDENTIAL SDNY_GM_00031927 EFTA_00 I 42540 EFTA01280107 NC k- (39). (D-403) :0.11.12 2012 Partner's Share of N.C. Income, Adjustments, and Credits North Carolina Department of WON!, For ca anger year or fiscal year beginnng Pannert bienel.aaa Partners Name. Address. and ZIP Coda BLUE CHIP CAPITAL LLC 01 01 12 and ending 12 31 12 Federal Employer ID Number 453131018 Partnership's Name, Address. and ZIP Code MIDWAY ASHLEY rRORSTMa T.T.0 Pertnenh la's Pro Rata Snare Items MI Partner 1 Share of partnership Income (loss) 2. Adddions to income (loss) a. At/din:in for bonus depreciation b Other additions to Income (loss) a. Dedonons from Mcomeposs) a Deouctfon for bonus depredation STMT b. Other deductions DM InC01110 (loss) STMT 4. Share of tax credits 5. Share of tax Witilbekl from naming, compensation paid for persona/ st*es performed In H.C. Nonresidents Only 6. Nonrestlents shall of Pd C. taxable Income (loss) 7. NO0 leSiderlYS sham of net tax paid by the manager of the partnership Amoont Individuals Filing Form 0400 Enter Amount on: —13737 133 Page 2, Line 35 0 Page 2,1.116 36 110 Page 2, Line 44e 19 Page 2. Une 49 0 Form D-4001C 0 Page 2. LMe 23 0 Page 2. Una 51 0 Page 2. Lir e 24c 12 2.; )2 CONFIDENTIAL SDNY_GM_00031928 EFTA ()(1142541 EFTA01280108 MIDWAY ASHLEY CROSSING, LLC 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_00031929 EFTA_00142542 EFTA01280109 r 101, • II 6 For calernSa r rtai 2012 a 10X IM119 Partner's identifying number la Partners name, address and ZIP code BLUE CHIP CAPITAL LLC STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE PARTNER'S SHARE OF SOUTH CAROLINA INCOME, DEDUCTIONS, CREDITS, ETC. 01/01/12 and ending Partnership's FEIN Partnership's horns. address and ZIP code i 801086 K-1 (Rev. 3515 12 31/12 MIDWAY ASHLEY CROSSING, LLC Cheek if anaficebe: ;.1; U Final K-1 R1 I._ Amended K 1 J 4 NonrSdsnt Partner's Share of Current Year Income, Deductions, Credits. etc. I I (A) Federal Plus or Minus 101 Amounts SC Adjustments (C) Amounts Not Allocated Cr Apportioned to SC (D) Amounts Allocated or AppatIoned to SC 1 Ordinary business Income (lose) . 2 Net rental rea! estate income Qcea) 3 Other net rental income doss) 4 Guaranteed payments 5 Interest income 8 Dividends 7 Royalties 8 Net shorrterm capital pain Qoss) 9 Net long-term capitol gain floss) 1C Net Section 1231 gem doss) 11 Other Income nose) 12 Section 179 deduction C 13 Other deducrtions SEE STATEMENT 1 2 43 7 10 —13,669. 1 2 3 STMT 1 2 3 30. —13,639. 2 3 4 5 —68. —68. 7 8 9 10 4 $ 6 7 9 10 4 5 6 7 8 9 10 11 12 11 12 1 12 11 12 12 19. 19 13 13 19. le Withholding tax for nonresident partner 15 List applicable South Cumin tax credits (Attach en additional Ghat if needed.) 14 16 0. -1 16 16 17 17 18 18 19 Totei South Carolna tax onticitts . . 119 L 35151018 777521 00.02-12 0. CONFIDENTIAL SDNY_GM_00031930 EFTA 00142543 EFTA01280110 MIDWAY ASHLEY CROSSING, LLC 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. O. 0. 19. COLUMN TOTAL 19. 0. 0. 19. PARTNER NUMBER 6 CONFIDENTIAL SDNY_GM_00031931 EFTA_00142544 EFTA01280111 CONFIDENTIAL SONV_GN,a918,12 EFTA,10.2543 EFTA01280112