California Schedule K-1 (100s) - Shareholder'S Share Of Income, Deductions, Credits, Etc. - 2016 Page 3

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Shareholder’s name
Shareholder’s identifying number
Table 1 — Each shareholder’s share of nonbusiness income from intangibles . See instructions .
Interest
$
Royalties
$
Dividends $
IRC Section 1231 Gains/Losses $
Capital Gains/Losses $
Other
$
FOR USE BY SHAREHOLDERS ONLY. SEE INSTRUCTIONS.
Table 2 — Shareholder’s pro-rata share of business income and factors . See instructions .
A . Shareholder’s share of the S corporation’s business income $________________________________
B . Shareholder’s share of the nonbusiness income from real and tangible property sourced or allocable to California:
Capital Gains/Losses
$
Rents/Royalties
$
IRC Section 1231 Gains/Losses $
Other
$
C . Shareholder’s share of the S corporation’s property, payroll, and sales:
Factors
Total within and outside California
Total within California
Property: Beginning
$
$
Ending
$
$
Annual Rent Expense
$
$
Payroll
$
$
Sales
$
$
Schedule K-1 (100S) 2016 Side 3
7873163

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