California Form 568 - Limited Liability Company Return Of Income - 2004 Page 3
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Schedule K Members’ Shares of Income, Deductions, Credits, Etc.
(a)
(b)
(c)
(d)
Distributive share items
Amounts from
California
Total amounts using
federal K (1065)
adjustments
California law
b
1
1
Ordinary income (loss) from trade or business activities (Side 2, line 22)
2
2
Net income (loss) from rental real estate activities. Attach federal Form 8825
3 a Gross income from other rental activities . . . . . . . . . . . . . . . . . . . .
3a
b Less expenses. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . .
3b
c Net income (loss) from other rental activities. Subtract line 3b
b
from line 3a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3c
4 Portfolio income (loss). See instructions:
b
a Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4a
b
b Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4b
b
c Royalty income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4c
d Net capital gain (loss) (Schedule D (568)) . . . . . . . . . . . . . . . . . . .
4d
b
e Other portfolio income (loss). Attach schedule . . . . . . . . . . . . . . .
4e
b
5 Guaranteed payments to members . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6 Net gain (loss) under IRC Section 1231 (other than due to casualty
b
or theft). Attach Schedule D-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7 Other income (loss). Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8 Charitable contributions. See instructions. Attach schedule . . . . . . . .
8
9 Expense deduction for recovery property (R&TC Sections 17267.2,
17268, and IRC Section 179). Attach schedule or worksheet for 179
deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
10 Deductions related to portfolio income . . . . . . . . . . . . . . . . . . . . . . . .
10
11 Other deductions. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
b
12 a Interest expense on investment debts . . . . . . . . . . . . . . . . . . . . . .
12a
b (1) Investment income included on lines 4a, 4b, 4c, and
line 4e above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12b(1)
(2) Investment expenses included on line 10 above . . . . . . . . . . .
12b(2)
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
13 a (1) Withholding on LLC allocated to all members . . . . . . . . . . . . .
13a(1)
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
b Low-income housing credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13b
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
c Credit(s) other than credits shown on line 13b related
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
to rental real estate activities. Attach schedule . . . . . . . . . . . . . . . .
13c
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
d Credit(s) related to other rental activities. Attach schedule . . . . . .
13d
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
b
14 Other credits. See instructions. Attach schedule . . . . . . . . . . . . . . . . .
14
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
a Total credits received. Add line 13b through line 14 . . . . . . . . . . . .
14a
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
15 a Depreciation adjustment on property placed in service after 1986
15a
b Adjusted gain or loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15b
c Depletion (other than oil and gas) . . . . . . . . . . . . . . . . . . . . . . . . .
15c
d (1) Gross income from oil, gas, and geothermal properties . . . . .
15d(1)
(2) Deductions allocable to oil, gas, and geothermal properties . .
15d(2)
e Other adjustments and tax preference items. Attach schedule . . .
15e
16 a Total expenditures to which IRC Section 59(e) election
may apply. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16a
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2
b Type of expenditures ____________________________ . . . . . . .
16b
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2
17 Tax-exempt interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
b
18 Other tax-exempt income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
19 Nondeductible expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
20 Distributions of money (cash and marketable securities) . . . . . . . . . .
20
21 Distribution of property other than money . . . . . . . . . . . . . . . . . . . . . .
21
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2
22 Other items and amounts reported separately to members.
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2
See instructions. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 1 2 3 4 5 6 7 8 9 0 1 2
23 a Total distributive income/payment items. Combine line 1 through
line 7 above. From the result, subtract the sum of line 8 through
b
line 12a and line 16a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
b
Analysis of members:
(b)
(a)
(c)
(d)
(e)
(f)
Individual
Corporate
Partnership
Exempt
Nominee/Other
LLC
Organization
i. Active
ii. Passive
Members
56804303
Form 568
2004 Side 3
C1
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