Form 565 - Partnership Return Of Income - 2016 Page 3
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R Was there a distribution of property or transfer (for example by sale or death) of a partnership interest during the taxable year? .
Yes
No
If “Yes,” see the federal instructions concerning an election to adjust the basis of the partnership’s assets under IRC Section 754
Yes
No
S Is this partnership a publicly traded partnership as defined in IRC Section 469(k)(2)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
T Is this partnership under audit by the IRS or has it been audited in a prior year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
U (1)
Does the partnership have any foreign (non U .S .) nonresident partners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
(2)
Does the partnership have any domestic (non-foreign) nonresident partners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
(3)
Were Form 592, Form 592-A, Form 592-B, and Form 592-F filed for these partners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
V Is this an investment partnership? See General Information O, Investment Partnerships, in the instructions . . . . . . . . . . . . . . . . .
Yes
No
W Is the partnership apportioning or allocating income to California using Schedule R? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
X Has the partnership included a Reportable Transaction or Listed Transaction within this return? . . . . . . . . . . . . . . . . . . . . . . . . . .
(See instructions for definitions .) If “Yes,” complete and attach federal Form 8886 for each transaction .
Yes
No
Y Did this partnership file the Federal Schedule M-3 (Form 1065)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Z Is this partnership a direct owner of an entity that filed a federal Schedule M-3? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Yes
No
AA Does this partnership have a beneficial interest in a trust or is it a grantor of a trust? Attach name, address, and FEIN . . . . . . . . . .
BB Does this partnership own an interest in a business entity disregarded for tax purposes? If “Yes,” complete Schedule EO, Part II .
Yes
No
Yes
No
CC (1)
Is the partnership deferring any income from the disposition of assets? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . .
(2)
If “Yes,” enter the year of asset disposition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DD Is the partnership reporting previously deferred income from:
Installment Sale
IRC §1031
IRC §1033
Other
EE “Doing business as” name . See instructions:
____________________________________________________________________
FF (1)
Has this partnership operated as another entity type such as a corporation, S corporation, General Partnership,
Yes
No
Limited Partnership, LLC or Sole Proprietorship in the previous five (5) years? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(2)
If “Yes”, provide prior FEIN(s) if different, business name(s), and entity type(s) for prior returns filed with
the FTB and/or IRS . (see instructions): _______________________________________________________________________________________
Yes
No
GG (1)
Has this partnership previously operated outside California? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
(2)
Is this the first year of doing business in California? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to ftb.ca.gov and search for privacy
notice . To request this notice by mail, call 800 .852 .5711 .
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct,
and complete . Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge .
Sign
Date
Signature of
Here
Telephone
general partner
(
)
General Partner’s email address (optional)
Paid
Date
PTIN
Paid
Check if
Preparer’s
Prepar-
self-employed
signature
er’s Use
Telephone
FEIN
Firm’s name (or yours if self-employed) and address
-
Only
(
)
May the FTB discuss this return with the preparer shown above (see instructions)?. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Form 565
2016 Side 3
3663163
C1
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