California Form 568 - Limited Liability Company Return Of Income - 2010 Page 2
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5 J Enter the maximum number of members in the LLC at any time during the year. Attach a California Schedule K-1 (568) for
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each of these members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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K Is this LLC an investment partnership? See General Information O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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L () Is this LLC apportioning income to California using Schedule R? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
(2) If “No,” was this LLC registered in California without earning any income sourced in this state during the taxable year? . . . . . . . . . . .
Yes
No
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M Was there a distribution of property or a transfer (for example, by sale or death) of an LLC interest during the taxable year? . . . . . . . . . . .
Yes
No
O () For this taxable year, was there a change in control or majority ownership for this limited liability company (or any legal entity in
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which it holds a controlling or majority interest) that owned or (under certain circumstances) leased real property in California? . . . . . . . . . . .
Yes
No
(2) For this taxable year, did this LLC (or any legal entity in which it holds a controlling or majority interest) acquire control or
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majority ownership of any other legal entity that owned or (under certain circumstances) leased real property in California? . . . . . . .
Yes
No
(3) If this limited liability company (or any legal entity in which it holds a controlling or majority interest) owned or
(under certain circumstances) leased real property in California, has more than 50% of the LLC ownership interest cumulatively
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transferred in one or more transactions since March 1, 1975, which was not reported on a previous year’s tax return? . . . . . . . . . . .
Yes
No
(Penalties May Apply – See Instructions).
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P () Does the LLC have any foreign (non-U.S.) nonresident members? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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(2) Does the LLC have any domestic (non-foreign) nonresident members? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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(3) Were Form 592, Form 592-A, Form 592-B , and Form 592-F filed for these members? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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Q Are any members in this LLC also LLCs or partnerships? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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R Is this LLC under audit by the IRS or has it been audited in a prior year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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S Is this LLC a member or partner in another LLC or partnership? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” attach a statement with the name(s) and identification number(s) of each entity.
T Is this LLC a publicly traded partnership as defined in IRC Section 469(k)(2)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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U () Is this LLC a business entity disregarded for tax purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
(2) If “Yes,” see instructions and complete Side 1, Side 2, Schedule B, and Side 4, if applicable. Are there credits or credit
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carryovers attributable to the disregarded entity? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
V Has the LLC included a Reportable Transaction, or Listed Transaction within this return?
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(See instructions for definitions). If “Yes,” complete and attach federal Form 8886 for each transaction. . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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W Did this LLC file the Federal Schedule M-3 (federal Form 1065)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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X Is this LLC a direct owner of an entity that filed a federal Schedule M-3? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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Y Does the LLC have a beneficial interest in a trust or is it a grantor of a Trust? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” attach schedule of trusts and federal identification numbers.
Z Does this LLC own an interest in a business entity disregarded for tax purposes?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” a statement with the name(s) and identification number(s) of each entity.
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AA Is any member of the LLC related (as defined in IRC Section 267(c)(4)) to any other member of the LLC? . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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BB Is any member of the LLC a trust for the benefit of any person related (as defined in IRC Section 267(c)(4)) to any other member? . . . . .
Yes
No
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CC () Is the LLC deferring any income from the disposition of assets? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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(2) If “Yes,” enter the year of asset disposition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_____________
DD Is the LLC reporting previously deferred Income from:
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(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Installment Sale
IRC §1031
IRC §1033
Other
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EE () Did this LLC generate a New Jobs Credit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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(2) If “Yes,” enter the generated amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FF () Did this LLC or an entity in which this LLC has an ownership interest elect to defer income from the discharge of
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indebtedness as described in IRC 108(i) for Federal purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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(2) If “Yes,” enter the portion of the discharge of indebtedness attributable to the LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Side 2 Form 568
2010
3672103
C1
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