California Schedule K-1 (568) - Member'S Share Of Income, Deductions, Credits, Etc. - 2012

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Member’s Share of Income,
TAXABLE YEAR
CALIFORNIA SCHEDULE
2012
Deductions, Credits, etc.
K-1 (568)
For calendar year 2012 or fiscal year beginning month _______ day _______ year _______, and ending month _______ day _______ year _______ .
Member’s identifying number
LLC’s FEIN
Member’s name, address, city, state, and ZIP Code
California Secretary of State file number
LLC’s name, address, city, state, and ZIP Code
D Member’s share of liabilities:
A What type of entity is this member?
Nonrecourse . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ _________________
(1)
Individual
(5)
General Partnership
(9)
IRA/Keogh/SEP
Qualified nonrecourse financing . . . . . . . . . . . . . .
$ _________________
(2)
S Corporation
(6)
Limited Partnership
(10)
Exempt Organization
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ _________________
(3)
Estate/Trust
(7)
LLP
(11)
Disregarded Entity
E Reportable transaction or tax shelter registration
(4)
C Corporation
(8)
LLC
number(s) ___________________________________________________
B Is this member a foreign member? . . . . . . . . . . . . . . . . .
Yes
No
F (1) Check here if this is a publicly traded partnership
C Enter member’s
as defined in IRC Section 469(k)(2) . . . . . . . . . . . . . . . . . . . . . . . . . . .
percentage (without
(2) Check here if this is an investment partnership
regard to special
(i) Before decrease
(ii) End of year
(R&TC Sections 17955 and 23040 .1) . . . . . . . . . . . . . . . . . . . . . . . . . .
allocations) of:
or termination
G Check here if this is:
.
.
Profit sharing
. . . . . . . . . . . . . .__ __ __
__ __ __ __%
__ __ __
__ __ __ __%
(1)
A final Schedule K-1 (568) (2)
An amended Schedule K-1 (568)
.
.
Loss sharing
. . . . . . . . . . . . . . .__ __ __
__ __ __ __%
__ __ __
__ __ __ __%
H Is this member a resident of California? . . . . . . . . . . . .
Yes 
No
.
.
Ownership of capital
. . . . . . . .__ __ __
__ __ __ __%
__ __ __
__ __ __ __%
 
 
 
 
I Analysis of member’s capital account: Check the box
(1)
Tax Basis (2)
GAAP (3)
Section 704(b) Book (4)
Other (explain)
(a)
(b)
(c)
(d)
(e)
Capital account at beginning of year
Capital contributed during year
Member’s share of line 3, line 4, and
Withdrawals and distributions
Capital account at end of year,
line 7 Form 568, Schedule M-2
combine column (a) through column (d)
(
)
Caution: Refer to Member’s Instructions for Schedule K-1 (568) before entering information from this schedule on your California return .
(a)
(b)
(c)
(d)
(e)
Distributive share items
Amounts from
California adjustments
Total amounts using
California
federal Schedule K-1
California law . Combine
source amounts
(1065)
col . (b) and col . (c)
and credits
where applicable
1 Ordinary income (loss) from trade or
business activities . . . . . . . . . . . . . . . . . . . . . . .
2 Net income (loss) from rental real
estate activities . . . . . . . . . . . . . . . . . . . . . . . . .
3 Net income (loss) from other rental activities . .
4 Guaranteed payments to members . . . . . . . . . .
5 Interest income . . . . . . . . . . . . . . . . . . . . . . . . .
6 Dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Net short-term capital gain (loss) . . . . . . . . . . .
9 Net long-term capital gain (loss) . . . . . . . . . . . .
10 a Total gain under IRC Section 1231
(other than due to casualty or theft) . . . . . . . .
b Total loss under IRC Section 1231
(other than due to casualty or theft) . . . . . . . .
11 a Other portfolio income (loss) . Attach schedule
b Total other income . Attach schedule . . . . . . .
c Total other loss . Attach schedule . . . . . . . . . .
7901123
Schedule K-1 (568) 2012 Side 1
For Privacy Notice, get form FTB 1131.

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