Shareholder’s Share of Income,
TAXABLE YEAR
CALIFORNIA SCHEDULE
2012
K-1 (100S)
Deductions, Credits, etc.
For use by an S corporation and its shareholders only.
For calendar year 2012 or fiscal year beginning month ________ day ________ year _______, and ending month _______ day _______ year _______.
Shareholder’s identifying number
California corporation number
Shareholder’s name, address, and ZIP Code
Corporation’s name, address, and ZIP Code
.
A Shareholder’s percentage of stock ownership at year end . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___ ___ ___
___ ___ ___ ____ %
B Reportable transaction or tax shelter registration number(s):____________________________________________________________________________
C Check here if this is:
(1)
A final Schedule K-1
(2)
An amended Schedule K-1
D What type of entity is this shareholder? . . . . . .
(1)
Individual (2)
Estate/Trust (3)
Qualified Exempt Organization (4)
Single Member LLC
Yes
E Is this shareholder a resident of California? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
Caution: Refer to the shareholder’s instructions for Schedule K-1 (100S) before entering information from this schedule on your California tax return .
(a)
(b)
(c)
(d)
(e)
Pro-rata share items
Amount from
California
Total amounts
California
federal Schedule K-1
adjustment
using California law
source amounts
(1120S)
Combine (b) and (c)
and credits
where applicable
1 Ordinary business income (loss) . . . . . . . . . . . . . .
2 Net rental real estate income (loss) . . . . . . . . . . . .
3 Other net rental income (loss) . . . . . . . . . . . . . . . .
4 Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Dividends . See instructions . . . . . . . . . . . . . . . . . .
6 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Net short-term capital gain (loss) . . . . . . . . . . . . . .
8 Net long-term capital gain (loss) . . . . . . . . . . . . . .
9 Net Section 1231 gain (loss) . . . . . . . . . . . . . . . . .
10 a Other portfolio income (loss) . Attach schedule . .
b Other income (loss) . . . . . . . . . . . . . . . . . . . . . .
11 Expense deduction for recovery property
(IRC Section 179 and R&TC Sections 17267 .2,
17267 .6, and 17268) Attach schedules . . . . . . . . .
12 a Charitable contributions . . . . . . . . . . . . . . . . . . .
b Investment interest expense . . . . . . . . . . . . . . . .
c 1 Section 59(e)(2) expenditures . . . . . . . . . . . . .
2 Type of expenditures ____________________
d Deductions-portfolio . . . . . . . . . . . . . . . . . . . . . .
e Other deductions . . . . . . . . . . . . . . . . . . . . . . . . .
13 a Low-income housing credit.
See instructions . Attach schedule . . . . . . . . . . . .
b Credits related to rental real estate activities
other than on line 13(a) . Attach schedule . . . . . .
c Credits related to other rental activities . See
instructions . Attach schedule . . . . . . . . . . . . . . .
d Other credits . Attach schedule . . . . . . . . . . . . . .
e New jobs credit . . . . . . . . . . . . . . . . . . . . . . . . . .
14 Total withholding (equals amount on Form 592-B
if calendar year) . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule K-1 (100S) 2012 Side 1
7871123
For Privacy Notice, get form FTB 1131.