Shedule Vc - Wisconsin Venture Capital Credits - 2013 Page 2

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2013 Schedule VC
Name
ID Number
Page 2 of 3
Part II
Early Stage Seed Investment Credit
7 F ill in the following information regarding your investments paid to a certified fund manager that the Wisconsin Economic Develop-
ment Corporation has verified as eligible for a tax credit in 2013 (attach separate schedules if more space is needed):
Name of Certified
Qualified
Date Investment
Total
Made
Fund Manager
Investment
Investment
.00
.00
7a
7a
7a
7a
M
M
D
D
Y
Y
Y
Y
.00
.00
7b
7b
7b
7b
M
M
D
D
Y
Y
Y
Y
.00
.00
7c
7c
7c
7c
M
M
D
D
Y
Y
Y
Y
7d Total qualified investment (add lines 7a through 7c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
7d
Multiply line 7d by 25% (0.25) or enter the credit specially allocated to you . . . . . . . . . . . . .
.00
8
8
Fill in the 2013 early stage seed investment credit passed through from other entities:
9
9a Entity Name
FEIN
Amount 9a
.00
9b Entity Name
FEIN
Amount 9b
.00
.00
9c Total pass through credits from additional schedule
9c
9d Total credits (add lines 9a through 9c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9d
.00
Fill in the amount of credit transferred from other taxpayers in 2013 (from Part III page 3) . 10
.00
10
Add lines 8, 9d and 10. This is your 2013 credit (see instructions) . . . . . . . . . . . . . . . . . . . . 11
.00
11
11a Fiduciaries - enter the amount of credit allocated to beneficiaries . . . . . . . . . . . . . . . . . . . . 11a
.00
.00
11b Fiduciaries - subtract line 11a from line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b
.00
12
Carryover of unused early stage seed investment credit . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Add lines 11 and 12 (lines 11b and 12 if fiduciary). This is the available early stage seed
13
.00
investment credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

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