Schedule Sk-1 - Shareholder'S Massachusetts Information - 2011 Page 2
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3TAXPAYER IDENTIFICATION NUMBER
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Net income or loss from rental real estate activity(ies) (from Schedule S, line 26) . . . . . . . . . . . . . . . . . . . . . 5
6
Net income or loss from other rental activity(ies) (from Schedule S, line 27) . . . . . . . . . . . . . . . . . . . . . . . . . 6
7
Interest from U.S. obligations (from Schedule S, line 29). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8
Interest (5.3%) from Massachusetts banks (from Schedule S, line 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9
Other interest and dividend income (from Schedule S, line 31) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10
Non-Massachusetts state and municipal bond interest (from Schedule S, line 32) . . . . . . . . . . . . . . . . . . . . . . . 10
11
Royalty income (from Schedule S, line 33) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12
Other income (from Schedule S, line 34) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13
Short term capital gains (from Schedule S, line 35) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14
Short term capital losses (from Schedule S, line 36) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15
Gain on the sale, exchange, or involuntary conversion of property used in a trade or business held for
one year or less (from Schedule S, line 37). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16
Loss on the sale, exchange, or involuntary conversion of property used in a trade or business held for
one year or less (from Schedule S, line 38) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17
Long term capital gain or loss (from Schedule S, line 39) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18
Net gain or loss under Section 1231 (from Schedule S. line 40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19
Other long-term gains and losses (from Schedule S, line 41) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20
Long-term gains on collectibles (from Schedule S, line 42) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21
Differences and adjustments (from Schedule S, line 43) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22
Property distributions made to shareholder (from U.S. Form 1120S, Schedule K-1, line 16d) . . . . . . . . . . . 22
Shareholder’s Basis Information
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a. Enter the date of the federal basis. It must be 12-31-1985 or later. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23a
b. Number of shares owned. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23b
c. Shareholder’s percentage of stock ownership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23c
d. Dollar value of basis as of the date in line 23a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23d
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Massachusetts basis at the beginning of the tax year
a. Stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24a
b. Indebtedness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24b
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Net Massachusetts adjustments
a. Stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25a
b. Indebtedness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25b
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Net federal adjustments
a. Stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26a
b. Indebtedness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26b
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Massachusetts basis at end of tax year
a. Stock (add lines 24a and 25a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27a
b. Indebtedness (add lines 24b and 25b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27b
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