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2015 Schedule 5K-1
Shareholder's Name
ID Number
(a)
(b)
(c)
(d)
(e)
Amount under
Wis. source amount
Pro rata share items
Wis. law
Federal amount
Adjustment
(see instructions)
.00
.00
.00
16
a
Tax-exempt interest income . . . . . . . . . . . . . . . . . 16a
16a
.00
.00
b
Other tax-exempt income . . . . . . . . . . . . . . . . . . . 16b
.00
16b
c
Nondeductible expenses . . . . . . . . . . . . . . . . . . . 16c
.00
.00
.00
16c
Property distributions . . . . . . . . . . . . . . . . . . . . . . 16d
d
.00
.00
.00
16d
.00
.00
e
Repayment of loans from shareholder's. . . . . . . . 16e
.00
16e
17
a
Investment income . . . . . . . . . . . . . . . . . . . . . . . . 17a
.00
.00
.00
.00
17a
b
Investment expenses . . . . . . . . . . . . . . . . . . . . . . 17b
.00
.00
.00
.00
17b
c
Dividend distributions paid from accumulated
earnings and profits . . . . . . . . . . . . . . . . . . . . . . . 17c
.00
.00
.00
.00
17c
d
Other items and amounts (list):
.00
.00
17d-1
.00
.00
1
17d-1
.00
.00
.00
.00
2
17d-2
17d-2
3 Total (add lines 17d-1 and 17d-2) . . . . . . . . . 17d-3
.00
.00
.00
.00
17d-3
.00
18
a
Related entity expense addback . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18a
Related entity expense allowable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18b
.00
b
Income (loss) reconciliation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
.00
.00
19
Gross income (before deducting expenses) from all activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
.00
.00
20
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