California Schedule K-1 (568) - Member'S Share Of Income, Deductions, Credits, Etc. - 2015 Page 4

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Member’s name
Member’s identifying number
Other Member Information
Table 1 — Member’s share of nonbusiness income from intangibles (source of income is dependent on residence or commercial domicile of
the member):
Interest
$
Sec . 1231 Gains/Losses $
Capital Gains/Losses
$
Dividends
$
Royalties
$
Other
$
FOR USE BY MEMBERS ONLY – See instructions .
Table 2 — Member’s share of distributive items .
A . Member’s share of the LLC’s business income . See instructions . $
B . Member’s share of nonbusiness income from real and tangible personal property sourced or allocable to California .
Capital Gains/Losses
$
Rents/Royalties $
Sec . 1231 Gains/Losses $
Other
$
C . Member’s distributive share of the LLC’s property, payroll, and sales:
Factors
Total within and outside California
Total within California
Property: Beginning . . . . . . . . . . . . . . . . . . . . $
$
Property: Ending . . . . . . . . . . . . . . . . . . . . . . . $
$
Property: Annual rent expense . . . . . . . . . . . . $
$
Payroll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
$
Sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
$
Side 4 Schedule K-1 (568) 2015
7904153

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