California Form 568 - Limited Liability Company Return Of Income - 2012 Page 2

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J Enter the maximum number of members in the LLC at any time during the year. For multiple member LLCs, attach a

California Schedule K-1 (568) for each of these members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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K Is this LLC an investment partnership? See General Information O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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L (1) Is this LLC apportioning income to California using Schedule R? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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(2) If “No,” was this LLC registered in California without earning any income sourced in this state during the taxable year? . . . . . . . . . . .

Yes

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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

O (1) During this taxable year, did another person or legal entity acquire control or majority ownership (more than a 50% interest) of this LLC or

any legal entity in which the LLC holds a controlling or majority interest that owned California real property (i.e., land, buildings), leased such

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property for a term of 35 years or more, or leased such property from a government agency for any term?. . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

(2) During this taxable year, did this LLC acquire control or majority ownership (more than a 50% interest) in another legal entity that

owned California real property (i.e., land, buildings), leased such property for a term of 35 years or more, or leased such property

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from a government agency for any term? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

(3) During this taxable year, has more than 50% of the LLC’s ownership interests cumulatively transferred in one or more transactions

after an interest in California real property (i.e., land, buildings) was transferred to it that was excluded from property tax

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reassessment under Revenue and Taxation Code Section 62(a)(2) and it was not reported on a previous year’s tax return? . . . . . . . .

Yes

(Yes requires filing of statement, penalties may apply– see instructions.)

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P (1) Does the LLC have any foreign (non-U.S.) nonresident members? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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(2) Does the LLC have any domestic (non-foreign) nonresident members? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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(3) Were Form 592, Form 592-A, Form 592-B , and Form 592-F filed for these members? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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Q Are any members in this LLC also LLCs or partnerships? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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R Is this LLC under audit by the IRS or has it been audited in a prior year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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S Is this LLC a member or partner in another LLC or partnership? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If “Yes,” complete Schedule EO, Part I.

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T Is this LLC a publicly traded partnership as defined in IRC Section 469(k)(2)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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U (1) Is this LLC a business entity disregarded for tax purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

(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

(3) If “Yes” to U(1), does the disregarded entity have total income derived from or attributable to California that is less than

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the LLC’s total income from all sources? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

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W Did this LLC file the Federal Schedule M-3 (federal Form 1065)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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X Is this LLC a direct owner of an entity that filed a federal Schedule M-3? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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Y Does the LLC have a beneficial interest in a trust or is it a grantor of a Trust? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If “Yes,” attach schedule of trusts and federal identification numbers.

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Z Does this LLC own an interest in a business entity disregarded for tax purposes?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If “Yes,” complete Schedule EO, Part II.

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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

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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

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CC (1) Is the LLC deferring any income from the disposition of assets? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

(2) If “Yes,” enter the year of asset disposition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

_____________

DD Is the LLC reporting previously deferred Income from:

I..

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(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Installment Sale

IRC §1031

IRC §1033

Other

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EE (1) Did this LLC generate a New Jobs Credit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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(2) If “Yes,” enter the generated amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Side 2 Form 568

2012

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