Member’s Share of Income,
TAXABLE YEAR
CALIFORNIA SCHEDULE
2013
Deductions, Credits, etc.
K-1 (568)
For calendar year 2013 or fiscal year beginning
and ending
(m m / d d / y y y y)
(m m / d d / y y y y)
Member’s name
Member’s identifying number
Address
City
State
ZIP Code
LLC’s FEIN
California Secretary of State file number
LLC’s name
Address
City
State
ZIP Code
A What type of entity is this member?
Individual
C Corporation
LLP
Exempt Organization
(1)
(4)
(7)
(10)
S Corporation
General Partnership
LLC
Disregarded Entity
(2)
(5)
(8)
(11)
Estate/Trust
Limited Partnership
IRA/Keogh/SEP
(3)
(6)
(9)
B Is this member a foreign member? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
C Enter member’s percentage (without regard to special allocations) of:
(i) Before decrease
(ii) End of year
or termination
Profit sharing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
%
%
Loss sharing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
%
%
Ownership of capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
%
%
D Member’s share of liabilities:
$
00
Nonrecourse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
Qualified nonrecourse financing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
.
00
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
00
.
E Reportable transaction or tax shelter registration number(s)
F (1) Check here if this is a publicly traded partnership as defined in IRC Section 469(k)(2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(2) Check here if this is an investment partnership (R&TC Sections 17955 and 23040 .1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
G Check here if this is:
(1)
A final Schedule K-1 (568) (2)
An amended Schedule K-1 (568)
H Is this member a resident of California? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Schedule K-1 (568) 2013 Side 1
7901133
For Privacy Notice, get FTB 1131 ENG/SP.