EFTA01280170.pdf

6
651112
2012
Schedule K-1 El K-1 Amended K-1 OMB No, 1545-099
(Form 1066) est rester201Z a la Paillt Partner's Share of Current Year income,
Department of Me Treasury „.„.0,,,,D APRIL 24, 2012 Deductions, Cracks, and Other Items
Internal Revenue SerAce aarg DECEMBER 31, 2012 1 Ordinary business Income (loss) 15 Credits
Partner's Share of Income, Deductions, 0.
Credits, etc. le• see separate Instructions. 2 Not mail mei ae a ,•W11.0 01.14
—7,445. 10 Foreign transactions
Other net rental Income (loss)
;AeflMJ information About the Partnership
ntercation number 4 Guaranteed Payments
B Partnership's name, address, city. state, and ZIP code 5 Interest income
5.
MIDWAY-CAROLINAS 2012 LLC Ordinary dividends
270 LAFAYETTE ST STE 409 17 Altemabve min tax (MIT) Items
NEW YORK, NY 10012 Oualt5ed dividends A 1,537.
C IRS Center where partnership Med return
E-FILE 7 loyalties
IS Tax-exempt Income and
0 1=1 Check d this leaped,* traded partnership (PIP) 0 Net short-term capital gain (loss) nOndeduCtIOS expenses
ge Net long-term nodal gain (loss)
S titt Information About the Partner
m
umber at CollecMdss (20%) gain Doss) 19 Distributions
A l 2,173.
esa. My, state. and ZIP code treceptured sec 1250 gain
20 Mier Information
BLUE CHIP CAPITAL, MC 10 Net section 1231 gain (loss) A
27 HIGH TECH BLVD.
THOMASVILLE, NC 27360 11 Cther Income (toss)
DE
0 1 —General partner or LLC Limited partner or other LLC
member-manager member
or
H Domestic partner El Foreign partner
It what type of entity is this palter? PARTNERSHIP 12 Section 179 deduction
it If this partner b a retirement obn (IR/SEPitiong MAO. check hem Li
Partnefs share of profit, loss, and capital: 19 Met deducdons
Beginning Ending STMT
Pro* 0.8056130%1 0.8056130%
Loss 1.0395010% 1.0395010%
Capital 1.0395010% 1.0395010% 14 Self-employment earnings Dom)
K Partners share of debilities at year end: 0.
Nerved:tures 2,429.
Oualfted nonnecourse financing SMe attached statement for addtional in ormadon
Recourse S 143,101.
L Partners canal account analysis:
Beginning capital account $
Capital contributed during he year $ 50,000.5
Current year Increase (decrease) S —7,479. i
Withdrawals & distrtutica Sc 2,17342
Ending capital account S__ _ 410a• i
CE Tax basis El ow ED swoon 704(b) book
C Other (explain)
M Did Me partner contribute property with a buribin gain or loss?
DC
C Yes No
If 'OW. attach statement (see instructions)
1 1- 1 0 4 0 6 4 1 3 WA For Papersoft Reduction Ad Notice, see Insfroctions for Form 1066. IRS.gowtorm1065 Schedule it-1 (Form 1065) 2012
6
08020326 758241 21146.221 2012.03013 MIDWAY-CAROLINAS 2012 LLC 21146_G1
CONFIDENTIAL
SDNY_GM_00032989
EFTA 00143602
EFTA01280170

MIDWAY-CAROLINAS 2012 LLC
SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
LEGAL 8.
MAILING 1.
TOTAL TO SCHEDULE K-1, BOX 13, CODE W 9.
SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES)
DESCRIPTION AMOUNT TOTALS
RENTAL REAL ESTATE INCOME (LOSS) -7,445.
INTEREST INCOME 5.
SCHEDULE K-1 INCOME SUBTOTAL -7,440.
OTHER DEDUCTIONS
SCHEDULE K-1 DEDUCTIONS SUBTOTAL
NET INCOME (LOSS) PER SCHEDULE K-1 -7,449.
PREPAID RENTS CY- BRIGHTON -13.
PREPAID RENTS CY- MEADOWS -17.
OTHER INCREASES OR DECREASES SUBTOTAL -30.
TOTAL TO SCHEDULE K-1, ITEM L -7,479.
PARTNER NUMBER 6
08020326 758241 21146.221 2012.03013 MIDWAY-CAROLINAS 2012 LLC 21146G1
CONFIDENTIAL
SIDNY_GM_00032990
EFTA_00 143603
EFTA01280171

6
2
Schedule I<-1 (Form 1065) 2012 Facie
This list identifies the tales used en Schedule 0-1 tor all partners and provides summarized mooning hilotmallon for partners who file
Farm 1040. For Walled reportirip and Fling Information, see the separale Partners Instructions tot Schedule 1(-1 and the InstiuttIons
for yowl income las return.
Con Nor ...n
0<iniu• 0.• moo ;tcare ,cloI new To :won,I bove • J aore 00,Crailty cnclt
prase a -cr,ms a roc rte• r your:stun so hi &,m. K camas mese exit
Enoserrert me* aid Peet.
Regan", comparilyar0Crion: cnat 5s to cr Re fret-Jot,.
M Case: for wising rosy.
Panne es See the Parents nstr.civn ttotst: es
Passe lows &teals E. es129. warn 121 N tad ^. borts Ogyer•Ocial HOMO
Napes* km. UMW, G. Ire 28 co amm Ins one Meilea• Ism
Nal:en mass Bd.. le Ire 29. ea 0 O Oftle:43,19•448.9
2. Net on me ends .iccns Ies0 Se the Peewee ,nee g91• P 0,1W aid III
a Ors retails hare fowl
Na 'noon SOCA@ E. Ins 28. earn (0 I Fasces brew! en
Na on 30 the Pats'. V.101.40cas A New or oxresy or U
a S . . - W se a r n e a h g e a W rs r ests F e e d n l n . a 10 4 4 4 4 . S Ir h w e n a caws 0 El M CM a S a I s n co-s from al Gowan Fears 1110, Pt I
l S b t . a d x e w le y : e ° l M sk o ie w rc s le * F Fa e m nn e 1 v 0 i 4 a 4 e 4 r s e 9 99 • C I m n o d w Intro sourced a parswe
7. north* &Sea 3.11,44 Fomip- gross "ors sources at parsorsho leer
9 a s 0 N • : e 4 t 1 o t • o 2 h r 0 O s 4 g m n . • h 4 I r i 2 i n r 8 • c 1 c a 4 a p 9 p i 9 t t a s o l ( r 1 a P 0 s 0 I h K 4 1 O C 9 W Or e n l I S 2 k 9 c t 1 n x 4 e d P d u u a l l e s s D D 3 , , r O H in m s W I 1 2 o rt•Met 'be 4 E • O P O Ot e r h w e s r e t s ll a or w ag a eg y Y Fare Illt Porte
*MSS 3 11113ve$2,0
es 1.(nAmsollati Mr.30/1 1263 pm Seel le Peresse• 'shales DootoSzeis trnociitec Rf °corers. oirtner
10. NM Staten .231 pas loset S..M Pertnses IsMocire • Tassel awn* Form 1114 Pall
11. Orwr Amens NOM H Ore Form 11111. Part 1
cca DiserSrm Mcrae* s4.0 aprencrog • orrererig Im.l le Raga ma
A 09w ream learn 9010 Bee re Pens's Ir•Macdrs tan
• IttCor• lane comeskro Ihesr.sPerver's Irstuctrs Pasty' raw"
o Elso. 1269 corexob stsaates Fr Olt Ars, Qua gitt•SCrY ) Far Pert 1
O Minify solorsOr gosh septum 94.6 Roe BM 09.
C Cersollegen a' PQM Fen 1049. dna 21 or Form Mg
F a. "WSW relOC ate Nees Irrrucclors 00.r rbmelor
▪ ma actor taxes so Arr. 1118 Psi
12. Omer 179 deeD•Mon (So Irstucers • 'atm Iroo• Into amt.,' 'cry. '114 Psi
it OtIssaalumare 1 4.edsce en Pi eslAble tram., "o-r '119, In 12
A Cass contr.:01re MO* o ,Dsg- I•OCIN gra •Oceptii am BI73
▪ Caen .wattles ;30%) •Extr•••train Won animator "ter 3973
C Menhir vorrout (130%( O Ce.a (,Sr tanner/re See enP ets,C roft:4km
D Nelms =Youths 00441 940 es Pere,* istfre. re
E Coors end, peocerty10 • 60% IT. AIIIIIrlaf MINIMA, tat MC items I
ogrAtzst ea (30141 A Pod- HIM oesiciefta lelvetesat
a F • O t 0 r s v r a s & l e ts b b 1 r u g o t e s c l t s n h o p o A (1 r r s 0 a 3 l e e , t 1 a f 1 p 2 0 s 1 e 4 s ) , For 4-062. Ine I D • O O O Ar I s L 8 o J g s s • e e A a s s t & M ( w M il e r o n r T a n e m n * a - l m l e g s m s ) I ncome t / s h 3 t e 4 l y , t e u ls s b e s P e r / s e Jo t s n r r y s a I , x
I Dicitior000 ram ty mans Setteas•E Am 19 E 08 ga & geornarei deontlen• ;am EMI
Sam 062022ermr.011.0 Sloths Ames Irestraom F Cow AMT Nan
▪ CoCuOtOoS • pontos 9% Ms) tlehedule A, S23
L Osesuettions • Farb•• (ems) Steam A. ',tea 14 1•14-caost Income MO PantledUCCOiti
/A furors pea Masao ,l revsnc• 3ersetus A nw t or Foot 'On 29 A Tot-ssesspl Interest Hoorn, rani 1040 As So
• Etcdons essistax. eats Sao the Pwlessr• Iwrxtoow B Otte utionerIM 1r1:94"0 9•0 Ira Pstg.'s Inmerais
O (pandenteere welts (or 2441, Hs 12 C Nonialuollole 'manor Sr the Pines Ineraebons
P Psoocisthe piston *mass See Vs PS* te.olIVIS
O l O o w in ir ' s t s e c te is F t oil wade tato *M tee a k., S.. torn $02 In•tvolor• 19. A Dl ote C s a a b s a s id "nubs wars
R Pansbrn sot IFVe See the Petra str.cters • Disralion stemthellteal /37 } Gee Is Painees Inactais
• ReforeeshOon expease delsellas Seethe Renee -ffIr.clIcas C Other a29012/
T Dorset graduals. Salvia Seger, 9933 ...Metro 20. OEssr Irbenstlas
Vonstico A Irssotrmst Mores Fair 4902. .rt• 4s
4, Quads, plICKKIWbr.i2 * Wiles Iron, :ore 55W 1r• Tb • leve.flrent awns ram 4962, ins 5
3 Enciaser's Fenn stow 3crn 38:0. Imo'? C F.O IOC ColOtt rtoiroDoe Fain 4138
W OtheiCooudlors See "(hrew's -Macros O CusitionosolltMorestoendlluse
(err Han mitts ma setolel Sin me PatWts otst-salcso
8•1-srolorreot smogs fr..0 F B Re e m ss o % co r w e. o 24 r t t s o t - r I ( n f c ir o t m Y e ..:(4(•Hg gas the Parses &stamens
Wes a yes sena sector 170 omlstor r try perre-4.e Master. my (••••on Call0 Fens NM he 8
vs Parra., letrkes before ((orrin.ha flasthhe 9E. O PacepOS al ovelnoyro N.,••Lice
A Net anirco Coos) kw? Shebat 3E, Seaton A sr El 040Olt Ale Form MIL VHS
14 Roman rvolnil <Art Bes Farr 4290
8 Onme hviss2 or Nth snare Eats Pert.V•IrOleVeltece I PaPaptire ethge ovens Sea the Papas Ineruodre
C Caves ..r.larml-orr• Sr Ss Partners irewalons J LtaNtKe.0/ .tenet carp steel
gig, torn contacts SinF arr Mel
Cselt• K LooI•oom htsset • Income breast
A Lartorns loserg roan rishoci SeF or .9306
has-as 4.2020 tom ro-23C3 L Deacalibes of sorry ell
oullalms moist 1 TO civangon.
• Low-irano knell reit ',Vol Fileapturo 'ocean • 79 roducban
Ton popraobildrag N 1r sows, spent tor corporate Peruse
C tww4rworm 'towns awn merlon O Dear 4S1D0, ni:•••••to,..
COD fen poet-21377 mildew P eoctlon 4CI3frlet:IrraKO"
O Lotto:caw /10.1s2 as:81MM Soo the Patna* trot...aces O SOctel 12/130KKOn)0^
err ocel.2037 bulkOnge ▪ Iran* slow.* mast arm Soothe0,9)We
E Ousitleg reatirtaer sependltoes 1602IIKKI IstRAdoste
gets is salt a CCF norqualled wItcmomhp
F Or rens/ tee shear sett T Dstislen ntornstlar • 24, re pm
0 Olsen sec* • Arrorkiltlor teleessionon cash
H UrettrteAsa e•Mbl gabs ant Fowl ICAO Ins ?I: shack box • 3 amnia Suess tat. I400rne
I Amok+ and c•Sloic Skew *His So• ro Pserers hstuatier• 1.4 oscallbseal 001• DM:
soak X &meat 1080 Ir txtston
3 Ohm InterenrAles
211282
31-3-13
6
08020326 758241 21146.221 2012.03013 MIDWAY-CAROLINAS 2012 LLC 21146_GI
CONFIDENTIAL
SDNY_GM_00032991
EFTA_00143604
EFTA01280172

New York State Deoanment of Taxation and Rnance IT-204-IP
New York Partner's Schedule K-1 6
2012
Tex Lew - Article 22 (Personal Income Tax)
Final K-1
For calendar year 2012 or tax year beginning 04-24-2012 mAtimmv 12-31-2012 Amended K-1
Partners: Before completing your income tax return. see Form M204-IP.I. Partners instrodons for Form IT-2044P Ovatee at www.taxiny.goss.
Partnership's information4see instructions)
Partnership's name (as shown on ern 11.204) Partnere he SIN
MIDWAY-CAROLINAS 2012 LLC
A Mark an X In the box if either applies to your entity E: Publicly traded partnership 0 Portfolo Wedded pernerehlp
B Tax shelter registration number. if any
C Buolnees alocation percentage O
Partner's information free inductions)
Partners name
BLUE CHIP CAPITAL, LLC
Partner's address
27 HIGH TECH BLVD.
City suits EP Dade
THOMASVILLE NC 27360
fl
D The partner tants...4n Xi, issinnerearies General partner cr LLC member-manager BD Limited partner or other LW member
E What Is the tax filing status of the partner? MM iik X e se sans a if know%) El Individual E Estate/trust X Partnership
F If the partner is a disregarded entity or grantor trust,
enter the tax ID of the entity or individual reporting the income s known F
G did the partner sal its entire Interest during the tax ye& G Yes .1-D No 10
Beginning Ending
H Partners share of wog, bee, and capital
1) Profit Hi 0.8056 % 0.8056 %
2) loss 1-12 1.0395 % 1.0395 %
3) Capital H3 1.0395 % 1.0395 %
I Partner's ahem of liabilities at the and of the yew
pi 2,429.
1) Nonrecourse
2) Goaded nonrecourse finning 12
143,101.
3) Recourse 13
J Partners capital account analysis
1) Beginning capital account J1
2) Capeal contributed daring the year - cash . J2 50,000.
3) Capital oontibuted durng the yea • property J3
4) Current year increase (decrease) a -7,479.
a 2,173.
5) Withdrawn, and distributions • cash
a
6) Withdrawals and dbtrIbutions - property
40,348.
7) Encino aspen, account J7
8) Method of accountng Oren X in the appropriate bag
[X-. Tax basis 0 GAAP D Book C other ((ssuubbmmiitt explanation)
K Resident status (mark an X GI oil boxes that ny)
C NYS full-year resident Yonkers full-year resident NYC full-year resident
ET:, NYS part-year resident C Yonkers part-yeer resident C NYC pan-year resident
L.& NYS nonresident C Yonkers nonresident
L If the partner was Included in a group return, enter the spectre NYS Identlficabon number, if lineal .. L
118001121019
Hai
CONFIDENTIAL
SDNY_GM_00032992
EFTA_00143605
EFTA01280173

Pegs 2 of 4 IT-204-IP 12012)
M 1) Was F0IMIT•2656-E filed with the partnership? 1,11 Yes C No
2) Was Form MTA•405-E fled with the partnership? 142 Yes O No
N NYS estimated tax paid on behalf of partner (from Forth?-2868) Dais Amount
1) First installment 111
2) Second Sterna! 112
3) Tiled installment P13
4) Fourth Installment N4
Total NYS estimated tax paid on behalf of partner (addi 's. NI through IH)
0 EPimaged MCTMT paid on behalf of partner Mont Form MIA-408) DM* Amount
1) First insta/Iment 01
2) Second Inatalkment 02
3) Third installment 03
4) Fourth instalkneM O4
-dial estimated MCTMT paid on behalf of partner (sdd Ines O1 through O4)
Partner's share of Income, deductions, etc.
A - Partners datnbutwa share Hanel El - Federal K-1t amount C - New York State amount
I Ordinary business income Qoasl 1 1
2 Net rental real estate 'rooms iloss) 2 — 7, 44 5. 2
3 Other net rental Income (toss) 3 3
4 Guaranteed payments 4 4
S Interest income 6 5 . 5
6 Ordnary dividends 6 6
7 Royalties 7 7
8 Net shcet-term capital gal (loos) 8 8
9 NM longterm capital gain (loss) 9 9
10 Net section 1231 Gain floes) 10 10
11 Other booms 6oss) !don*: 11 11
12 Section 179 deduction 12 12
13 Other deductions/dander SEE STATEMENT 13 9. 13
14 Tax preference items for mhirnum tax 14 1,537. 14
Identify:
15 Net awnings !loss) from self-employment 15 15
10 Tax-exempt income and nondeductible expenses 16 14
17 Distributions- cash and marketable securities 17 2, 173. 17
18 Distributions • other property 18 16
19 Other sterna not ;ncluded above that arm n-glu rod to he
reported separately to partners 19 5. 19
bdrandry: SEE STATEMENT
Partner's share of New York modifications (see treat/acme
20 New York State additions
Number A - Total amount B - New York State allocated amount
20a EA- 16 226.
206 EA-
20c EA-
20d EA-
20e EA-
201 EA-
21 Total addition modifications (total of column A. 131445 20a through 201) 21 226.
III IFIIIYIliiiIIIILIIII
243452
• I-I4-'2
CONFIDENTIAL
SONY_GM_00032993
EFTA_00143606
EFTA01280174

IT-204-I0 (2012) Pege 3 of
Partner's share of New York modifications (continue();
22 New Yak State su ot ract ions
Number A - Total amount B Now York State allocated amount
22a ES-
22b ES-
22c ES-
22d ES-
22e ES-
22t ES-
23 Total subtraction mod:bcatrons (total of column A boas 22e through 220 23
24 Arkirtions to federal itemized deductions
Letter Amount
24a
24b
24c
24d
24e
241
2s Total additona to federal itemized deductions (add Ones 24e through 240
26 Subtrectkos from federal itemized deductions
Letter Amount
26a
26b
26o
26d
26e
261
27 Total subtractions from federal temized deductions (add lines 26a through 26t) 27
28 New York adjustments to tax preference items
Partner's other information
29e Partners share of New York source gross Income 29e
2% MCTO &location percentage (see instructions) 290
Partnaes credit Inhumation
Part 1 - Flow-through credit bases and factors
Brcremlleld redralopment tax coedit (Form 1T-811 or IT-811.1)
A - Form I7-611 B - Form 17-611.1
30 Site preparation credit component 30 30
31 Tangible property cruet component 31 31
32 Onottegroundwater remeddlon coedit component 32 32
26e8S1
1..19.12
CONFIDENTIAL
SDNY_GM_00032934
EFFA_00143607
EFTA01280175

Page 4 o(4 IT-9044P (2012)
Partner's credit Information (continued)
EZ capital tax credit (Form IT-602)
33 ContnbutIons of money to EZ community development protects . 33
34 Recapture of erica for iwestments in certified EZ businesses 34
35 Recisoture of croon for ocntributIons c4 money to EZ carenunIty development projects 36
OEZE tax reduction credit (Form /7-604)
36 LEIS employment Increase factor 30
37 OEZE zone allocation factor 37
38 OEZE benefit period factor 3$
Excelsior lobs program tax erode !Form (T-607)
39 Excelsior jobs tax credit component 30
40 Excelsior Investment tax credit component 40
41 Excelsior research and development tax credit component 41
42 Excelsior real property tax credit component 42
Farmers' school tax credit (Form fT•277)
43 Acres of qualified agricultural property 49
44 Acres of qualified Lai wee virdlon property 44
45 Eligible saohooi district property taxes oak' 45
48 Acme of qualified agricultural property converted to nonqualified use 45
Other flow-through oredtt bases and factors
Credit bases
Code Amount Code Amount
47a 4Th
47b 475
47o 471
Credit factors
Code Factor Code Feeder Code Fedor
47g 471 47k
4Th 47J 471
Part 2 - Flow-through credits, addbacks and recaptures
48 Longterm care Insurance credit Form 1T-249)
49 Westmont Credit (Include° employment Incentive astir and historic barn rehabaktaSon credit; Foam IT-272) 49
50 Research and development - investment credit (Form IT-212) 50
51 Other flow-through credits
Cod* Amount Code Amount
51a Ste
51b 511
51c 51g
51d 51h
52 Addbacks of aedlta and recaptures
Code Amount Code Amount
52a 52d
526 52e
52c 521
118004121019
111111I1I1 1111111U1H I
211062
CONFIDENTIAL
SDNY_GM_00032995
EFTA_00143608
EFTA01280176

MIDWAY- CfIROLINAS 2012 LLC
NY IT-204-IP OTHER DEDUCTIONS
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION SCHEDULE K-1 AMOUNT
8. 0.
LEGAL
MAILING 1. 0.
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13 9. 0.
NY IT-204-IP OTHER ITEMS REQUIRED TO BE REPORTED SEPARATELY
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION SCHEDULE K-1 AMOUNT
5. 0.
INVESTMENT INCOME
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 19 5. 0.
PARTNER NUMBER 6
CONFIDENTIAL
SDNY_GM_00032996
EFTA 00143609
EFTA01280177

NC K•1• (39) • 2012 Partner's Share of
(D•4031 N.C. Income, AdJustments, and Gretne
10-11-12 North Carol na Department of Revenue
For calendar year or fiscal year begimIng 04 24 12 and ending 12 31 12
Portalen Fade
Pulsen Name, Maress, and ZIP Cage Partnerstfire Name, Ad dress. and ZIP CIM°
BLUE CHIP CAPITAL LLC MIDWAY-CAROLINAS 2012 LLC
27 HIGH TECH BLVD 270 LAFAYETTE ST STE 409
THOMASVILLE NC 27360 NEW YORK NY 10012
Indlelcuals Hin; Form
PertriershIpl Pta Rate Snare Rømt *mimt 0.400 Enter Amount on:
All Partnar*
1. Snare of partiershlp buene dess) -7440
2 Additions to kicome (loss)
a. Addition tor bonus depreaatIon 226 Page 2. Une 35
b. Other additions to income (loss) 0 Page 2. Une 38
3. Oeductions from mone (loss)
a. OnuctIon for bonus deprocatIon 0 Page 2. Une 44e
b. Other deductbns hom 'nome (loss) 0 Page 1, Une 49
4. Snare of lex credlls 0 Form tl-4007C
5. Share of tax wICiftekl from namne cOmpensatton
pata for pennal services pedorrnee In M.C. 0 Page 2, Une 23
NØaleents 001/
6. Non resIdents stare of ha C. taxatle income (loss) 0 Page 2. Une 51
7 flon resklenEs stram of let tex hald by the manager
or the partners/no 0 Page 2. Une 24c
289291
•2 2C t;
CONFIDENTIAL
SDNY_GM_00032997
EFTA 00143610
EFTA01280178

'in19
II STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
SCUMA KA 1
6 PARTNER'S SHARE OF SOUTH CAROLINA (Rev. 527/11)
INCOME, DEDUCTIONS, CREDITS, ETC. 3516
11/11 /17
For calendar rear 20 mg 04/24/12 and end,
Partner's identifying number In Partnership', FEIN
Pwtn&s name, address Bed ZIP code Partnership's name. address and ZIP code
BLUE CHIP CAPITAL, LLC MIDWAY-CAROLINAS 2012 LLC
27 HIGH TECH BLVD. 270 LAFAYETTE ST STE 409
THOMASVILLE, NC 27360 NEW YORK, NY 10012
• 77 -Final Kg Amended I( 1 Nonresident
de (B) (G.) 42)
Partrior's Share of Current Year Federal Plus or Mhos Amounts Not Amounts Allocated
Income, Deductions, Credibr eta. K•1 Amounts SC Adjustments orSo A rt J i l o oo n s e te d d to SC or Apportbned to 8C
STMT
1 Ordinary business income (loss) 1 1 1 1
2
Net rental real estate noon* aoss) 2 —7,445. 2 193. 2 —3,685. 2 —3,567.
net rental income doss) 3 3 3 3
3 Other
4 Guaranteed payments ' 4 4 4 4
5 interest lncorne 5 5. 5 6 5. 51
6 D)Adenda 8 5 6 6
0
c
7 Roy4tes 7 7 7 7
8 Net anon-tem capital gain (loss) _IL a a a
9 Net long-term capital dam aces) 9 9 9 9
10 Nat Section 1231 gain (oss) 10 10 10 10
11 Otter income (loss) 11 11 11 11
I 12 Section 179 deduction 12 12 12 12
L 13 Other deductions 13 9 . 13 i13 4 . 13 5.
SEE STATEMENT
14 Within:4(4nd tax tor non reddent partner 14 0.
Lbt swear* Scut Carcana tax create. (Attach an additional sheet if needed.)
15
16
8
tai
18
0
17
17
18
18
19 0._
19 Total South Carolina tax credits
277621 0141-12
J
L
35151018
CONFIDENTIAL
SONY GM_00032998
EF1'A_00143611
EFTA01280179

MIDWAY-CAROLINAS 2012 LLC
SC SCHEDULE K-1 SCHEDULE K-1 ADJUSTMENTS
AMOUNT
LINE NO. DESCRIPTION
LINE 2 ADJUSTMENT FOR BONUS DEPRECIATION 193.
TOTAL OF FORM SC1065, SCHEDULE K-1, COLUMN B 193.
SC SCHEDULE K-1 OTHER DEDUCTIONS
DESCRIPTION COL A COL B COL C COL D
OTHER DEDUCTIONS 9. 0. 4. 5.
COLUMN TOTAL 9. 0. 4. 5.
PARTNER NUMBER 6
CONFIDENTIAL
SIDNY_GM_00032999
EFTA_00 I 43612
EFTA01280180