EFTA01280297.pdf

5
651112
Schedule K-0 2012 7 Amended K-1 0M8 No. 1545-009
(Form 1006) Part IH Partner's Share of Current Year Income,
Fa COWS, ye. 2012. Cic
Department of the Treasury oestereba Deductions, Credits, and Other Items
internal Revenue Service nitro I ordinary business income (oss) 16 Credits
0. 1
Partner's Sham of Income, Deductions,
Credits, etc. O. See separate nstructions 2 .44 Meth POO .as IrOteC COlj
I -14,807. 16 Foreign transactions
Pi tt Information About the Partnership 3 Tier net rental Income (loss)
dentlIcadon number 4 Guaranteed payments
9 Partnerships name, addreacIty,Mte. and ZIP code 6 Interest income
MIDWAY TRIAD, LLC tie &dug dividends
270 LAFAYETTE STREET, SUIT 409 17Mo-chines nYn tax (ANT) items
NEW YORK, NY 10012 6b Cruailled dMdends A 2,554.
C IRS Center were partnership filed return
E-FILE 7 Royalties
18 Tax-exempt Income and
0 CO:adrift* Is a nubbly traded prthershIP (PIP) 8 let short-term capital gain (Ion) nonclenoctible expenses
ISIff Information About the Partner et long-Inn capital gain (loss)
E Partners laentrylnp number 9b recbtles (28 Join (Ion) 10 Oistittiotona
7,510.
F Partners name. address. cly, stab, and ZIP code Os Urrecaptured SIC 1250 gain
20 Otter tdormation
BLUE CHIP CAPITAL LLC 10 Net section 1231 gain (loss)
27 HIGH TECH BOULEVARD
THOMASVILLE, NC 27360 11 Other income floss)
13 lip Omenl partner of LLC LIU United partner Of other LLC
member-manager ember
H Domestic partner C Foreign partner
T1 What 1700 cf entity 4 thts padner? PARTNERSHIP 12 Section 179 deducted
12 If this partner is a retirement plan (IFIATSFP/KaogiVetc.), check here
J Partners share of profit, los, and capital: 13 Ogler deductions
Beginning Ending W*I STMT
Profit 1.1346999% 1.1346999%
1.4641288% 1.4641288%
LOSS
capg3i 1.4641288% 1.4641288% 14 Self-employment earnings Goss)
rt 0.
It Partner's share of liablilttee at year eat
3,652.
Harmonise
Oualifted nomecourse financing 135,488. ilSere attached statement for addhisnal in ormation.
Recourse 6 0.
t Partners capital account anslysle:
Beg limbo capital accouM S 45,696. g
Capital contributed during the year S
A
Current year Increase (decrease).. S -14,753.
Withdrawals 8 dstributlorts Ei 7/5104
Ending capital accouM $ 23,433.
CET
Tax basis U GAAP ES, I Section 704(b) book
Other (expialn)
IA
Did the partner contribute property with a buit-A gain or.oss7
MN*
Ei yes
if Nee attach statement isee instructional
ol-os.ra L.MA For Paperwork Reduction 141 Notice, see Instructions for Form 1066. IRSgov/form1026 Sclimilule K-1 (Form 1006) 2012
5
13060311 758241 21146.212 2012.03011 MIDWAY TRIAD, LLC 21146_B1
CONFIDENTIAL
SDNY_GM_00033168
EF1'A_00143779
EFTA01280297

MIDWAY TRIAD, LLC 45-2929589
a
SCHEDULE K-1 OTHER DEDUCTIONS, BOX 13, CODE W
DESCRIPTION PARTNER FILING INSTRUCTIONS AMOUNT
DUES & FEES 3.
PROFESSIONAL FEES 19.
TOTAL TO SCHEDULE K-1, BOX 13, CODE W 22.
SCHEDULE K-1 CURRENT YEAR INCREASES (DECREASES)
DESCRIPTION AMOUNT TOTALS
RENTAL REAL ESTATE INCOME (LOSS) -14,807.
SCHEDULE K-1 INCOME SUBTOTAL -14,807.
OTHER DEDUCTIONS -22.
SCHEDULE K-1 DEDUCTIONS SUBTOTAL -22.
NET INCOME (LOSS) PER SCHEDULE K-1 -14,829.
MADISON - PREPAID RENTS - CY -66.
MADISON - PREPAID RENTS - PY 132.
WILLOW BROOK - PREPAID RENT CY -24.
WILLOW BROOK - PREPAID RENT PY 34.
OTHER INCREASES OR DECREASES SUBTOTAL 76.
TOTAL TO SCHEDULE K-1, ITEM L -14,753.
PARTNER NUMBER 5
13060311 758241 21146.212 2012.03011 MIDWAY TRIAD, LLC 21146_B1
CONFIDENTIAL
SONY_GM_00033167
EF1'A_00143780
EFTA01280298

5
2
.c.119C1110 K-1 (Form 1355) 2012 Page
Tn is Ilst Identifies the codes used on Schedule K-1 for all partners and provides summarized reporting Information for partners who file
Form 1040. For detailed reporting and filing information. see the separate Partners instructions ter Schedule K-1 and the Instructions
for your Income tax return.
Cam Pao.: ..10
Omlery tans -avr. Coat 01norrnno Melee 0 issOoS J YAM Oppaluntty welt
Plena 1Draosa rc oar of ION 'Sr in &Oa K Disaol4KI wan rKKO:
L Freasmont zo, • rid memo
Flocat on cornets orroIorrom met t'••• Potroes bolr.elcni
IA Crook for 'noway name
Feat as Soo pie Porn/8 bevy:1r ocl.Vbes
F P 4 i 0 a ,1 n 0 o .4 l o o hy o I n o n s S a ol r lo i[ c kso 4 w la e s 2 t 4 w W e i re e lth l 0. 0 S 1 O b s e a r l V e . IS o S matly
Napolonto .ore 9000.61 lea calve O Ellekopelleer4Vig
2 t . Not 08110 IS atm loss SO Illoo thsPrtnes In&Jo•Jono P Olercoolli
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NM Intorno &NSA, F. fro 24 court (cc 10 Rat IlMoe0O-0
Hot Ian See to near@ ;i40rAturta A Nee el gamey or U R
4 O -g t e a e n d a I n r d o n O ns ob O vo cr r o ' c ' o C lo a l to 'n o S 2 o 0 cokem • 0 p0 /0 10 •0 •1 i 1 s 1 o 4 r ,1 n o ten W eve* } FOily 1110 PAO I
e S a t O OM va t r o y O * N A a p r r il a s F Fo a - r r 1 10 0 4 4 0 4 . S e , , • S 9 o b • & A o * w Income rural Sarre
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let sert-lorn =obi got- :**0 Sciesul• 0. Oat, Pool.Morey
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fad/ea D menoloal
OP LIsr000ptad abet 1931 pan Fa Tai traes lecicebis 300hCbril •ECC•30 eV aPootrod at par Ulo, ate
'al mato 123* oat cao Soo 114 Potreo keouetno o lane ammo rin IVI, Pt I
11. Oflercono(loo0 14 Otte Faun 11,11k Put
Cob Delvotono accobio red Kocrolcr nal id ortatilp &M an @WM
A etre pato ‘o =mo(ale) SOD IN /4~ • ritawfcve
B C I S m oo o ' l 2 a e 8 < c a o b -v e o ts r ea * boccie S F o a o m th 0 e 7 P 81 a . n 1 n 1m e • 1 wavolons I G N o a e v l e d a n l a f y lo Y } Four 11119 Prig
O VION OxPais:a cab moan Soo NO 630 K Ott
F Crest tea °lad Foe 12.40. 1r4 21 a Rs 942
F Ott erg 02610 • tNKKetrat• [nersions Obw ofomatrOg
L Tofu bee BARR OW Form lilt Pitll
Sector 179 c1Kre‘oo Sea ens Peres Iran/mon M lee Into ea venue! Fr 1111 Pair
Ler acluctIone 1 irognomo, Iva gala* aeo,t Fan 11141, 12
A Coe Gov:mut on (ROW O P :' E 0• a 0 . 9 t. 1 v P w a s n g :t o a . t 0 e 0 accaon F Fo a r n n a tS n 7 3
C 0 V * o * n c a o " l c l o a n t > e l , o oS 0 cr 9 o 1 r 6 5 ) C 141 O Oterbirolan ITOODSCTII Eats Panto Inamolles
C Noncom cto:,:ort ad 0010 Soo Ow Parl*Ner Morita ore
Cabla son omportno a 6014 IT Artometho Mfaran out 1AM0Porro
or n&, 0:730 A Pr.44.12011doome11/101 WeiuseAM 1
F Goad godo repay 20%) 8 AoIaolse ale or nos Ea Om Needs
O Grvlbutarts(10C•KI C Comae (one, tan logs tresuotono are
F' -avian mar more Tan 4412. Sno 1 o Cl, sec gooTorral • crow Income no roop,..i.ono tor
.., S D a o l d o u p cb * o 0 e 0 ea 4 , 0 ,04- 1 4 - 1 o 1 c - a e o l S Bo d o e dJ. P 4 o it P to ro to 1 9 la mathro • F O G r e . L e e A . M a T n i o n u n n s ,v mag - *axe env Pr 0201
K Caootta • portkin ,2% coal 58110.40 A, lbw 22
L 11•Pace0 • Po.* ‘3 (Mel edad.411. 25 tL tash•PPIIicornesno noncloa xi bio weed
IA Aran* pal h' ,roca.1 Svelte Sow0444 las 1 or Form 1040. lano 20 A la-sornpt ,bat lawns Fr 1010, no do
*SWVSa. baits 130.010PeatWo O One boxeSTP1 Man Soo To 'nye,' •ootscel000
O Ceinclatoro Loreto Rom 2441. Inv 12 • NaddailbIliocareos Ere to Pees monactorta
O P C l P oo • o m O r r e r e o r n s t a a c l m e 1 t a w o c e I o f w r o n u a b = o r r I . . n . ,: , s l o b * n e a cdoi 3 S 4 a * la F r PR 26 e 8 n 2 o t t o o eh u k ct - r tk no 10. C A / W C al a bo n tk a n l o rnotaboolo ae•-•41a
A Prow Ma 11/As asno Pttn'. Vstr.ctono B 0644140os sajoo:Io mete 73) } S.a to !Imes/ a Ireeltb,.•
• IlobetstIo., wen dieJo0or Soo eo Parlret• letycolono O Colnorpoopely
T DerIeetc prOC.000. actIletop 5the. From, aal 4,47sotao 20. 00wleternsta
Intanafol A Mears mare Form 4852. Ire 4.
U Roo wo:ItAnce or.are more Fr 0903 Ivo 7, B Immanent seines Form 41252 Ines
3 0-pbyes Foe Vb2 eel Form 0903, Ire '7 o Fo0 prooM1rbrObal Foe 4135
S,. 114. P•ertmes Tol/LCOOTO O Ot.0 Vitilesetrietpeltne•
Paw to, reel AS elits116 Sr Me Peer. inn:CO:al
E Oath Of Inn/ 0.0pry Bev. Potato Inatnttcoo
14 901.4roiloymal atnIngo pool F !Yeepa-no ev.Ircomonowirg
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ar.erpoym H Fleenbao *Pant/rat 5,91 Soo Foe 42E6
O Cmoo Iry co Ilsd*Q ran Sr to Pr oe• Ira:vox-a I FIetoftro olOIEW ben Soo Cre Pelee. IrsoncRoa
O rol-Irm 'non Sr The Pie's Irstrucbcrs J Leak-bile. Iltrea • crying
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A LaeIncorro noising woe rated Soo Fan BM
snow. cane pa20:19 L Deletions of 'ropey Mm
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• Low-Ircomo euvino tacit ioRm9 14 Kocoptve &sector '010.0.iclon
Iron pro2C0111A/rIoIrsco 11 Moira: tirant60
C .04,1r.00mo Masa tacit 1..21o. o Sacco 403f)% WIrrr ghee
422A1 ten bal.2C07 0.1.dtros P Soctkr 46.1A10 rrVomeloo
O L70.61Ourna Nowec malt Ow! See Ts Ps•Trge• cortrWecns o OKolvt 'MO) Non.=
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F 0:1110 WIZ WI anted ends Opedon Ithrooca • cl rod sr
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6 Axed aro (elute c SOW low Saab Porlaeolnie..car• W .Imoorwlo.Iet goInte4.0
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3 071a1nloreKol
211202
01.03-I3
5
13060311 758241 21146.212 2012.03011 MIDWAY TRIAD, LLC 21146_81
CONFIDENTIAL
SDNY_GM_00033168
EFTA_0014378 I
EFTA01280299

SCHEDULE STATE OF NEW JERSEY 1019
NJK-1
PARTNER'S SHARE OF INCOME
(Form NJ-1065)
2012
For Calendar Year 2012, or Fiscal Year Beginning 2012 end train;
PART I General Information
r Pietwe's 99 t et FPS EN Patinerip's F000rs RN
20-3161309 45-2929589/000
Puma/.Nor ParawsNces Nino
BLUE CHIP CAPITAL LLC MIDWAY TRIAD, LLC
aMeriArkInse PortnIpre Sine Ars
27 HIGH TECH BOULEVARD 270 LAFAYETTE STREET, SUIT 409
as, sem asses 14City *a Te Coq
THOMASVILLE, NC 27360 EW YORK, NY 10012
Mg type of *say is partner? NP Eder Partners percentage of
(see Instructions) Code (I) Before Owens (I) End of Year
or Termination
Date Partnar's interest in Partnership began: 08/05/2011 Profit Sharing 1.1346999% 1.1346999%
Monti Off Var loss Shamir 1.4641288% 1.4641288%
C Final NJIC-1 I= Hedge Fund Capital Oanershlp 1.4641288% 1.4641288%
Cl
Amended htlif.t 1 "lifter Of ComPoSIe PALM
PART II Income Information
NJ.1040 Films
B. Net Jersey
Income Classifications A. Total MatrIbullon Etter Amounts on NJ.1013NR Fliers
Source amounts
Line Shown Below
1. ParWershio income Ora) —14,669. _____
I
2. Nel Guaranteed Payrnenb r
___,....
Contribution
3 Partners 4010s)
4. Oistnbutive Share of Partnership
Income (loss) us. 20, Page 2 I t Fr a 22. Papa 1
(ate I pus Line 2 minus Una 3) —14,669. I
S. Pansbn Lite 19, Page 2 ,,
6. NO Gain (loss) from Oispostion I 1
of Assets as a Result of a Une 18. Page 2 Line Ia. Page I l
o LL.iquidation
PART III Partner's Information
Lew 19a. Page 1 CBT-100
Line 10a, Pap 1 CBT-100S
Lbw 8, PART-100
1. Nonresident Partners Share of NJ Tax 1 line 46, NJ-1C40118
lire 22. NJ-1080C
_ tine 3m NJ-1041
2. Partner's KZ Deduction la ll4.474el4?.-
3. Partners Sheltered Workshop Tax Credit .
PART IV SuPplomental Information (Attach Schedule)
THIS FORM MAY DE REPRODUCED
aaaan
1241-it
13060311 758241 21146.212 2012.03011 MIDWAY TRIAD, LLC 21146_81
CONFIDENTIAL
SDNY_GM_00033169
EFTA_0 0143782
EFTA01280300

45-2.929589
MIDWAY TRIAD, LLC
NJ NJK-1 GIT-DEP PRO-RATA SHARE
AMOUNT TOTAL
DESCRIPTION
0.
FEDERAL DEPRECIATION
NJ SECTION 179 DEDUCTION ALLOWABLE 0.
0.
NJ DEPRECIATION ALLOWABLE
0.
SUBTOTAL
NJ ADJUSTMENT TO FEDERAL 179 RECAPTURE INCOME 0.
NJ ADJUSTMENT TO FEDERAL GAIN (LOSS) ON
0.
DISPOSITION OF ASSET(S)
0.
SUBTOTAL
160.
NEW JERSEY DEPRECIATION ADJUSTMENT
PARTNER NUMBER 5
13060311 758241 21146.212 2012.03011 MIDWAY TRIAD, LLC 21146 B1
CONFIDENTIAL
SDNY_GM_00033170
EFTA_00 143783
EFTA01280301

IT-204-IP
New York State Department of Taxation ar.d Finance
New York Partner's Schedule K-1
2012
5
Tax Law • Article 22 (Personal Income Tax)
Final K-1
For calendar year 2012 or tax year beginning 01-01-2012 and ending 12-31-2012 Amended K-1
Partners: Before competing your floor* tax return. see Form Partners Instructions for Form IT-204-IP (available at iwne.tex.ny.gov).
Partnership's InforTnetien (see insatickm) Partnere/10's EIN
Partnership's name (as shown on Form IT204)
45-2929589
MIDWAY TRIAD, LLC
A Mark an ,K In the box if ether applies to your entity ED Publcly traded pi:entire-lip i Portfolio Investment partnership
B Tax shelter ratintratrdn number, if any
c Business ollmatior percentage .
Partner's information (see AriefrVetion9) Partners tdentrhing number
Partner's name
20-3161309
BLUE CHIP CAPITAL LLC
Partner's address
27 HIGH TECH BOULEVARD
State DP code
City
THOMASVILLE NC 27360
riu Limited
D The partrer Is a war. in X in re noiontria as4 0 General partner or LLC membermanager partner or other LLC member
E What is the tax tlIrng status of the partner? raw an X In int onnnopaaaa OWL w -.) C Individual p EstateArest ila Pennant*,
F If the partner is a disregarded entity or grilmtor twat,
enter the tax ID of the entity or individual repotting the Income. If known F
G Did the partner sell its enure interest during the tax year? a Yee — No I]
Beginning Ending
H Pe
1
r
)
t ne
P
t'
r
s
o
s
lh
h o red profit. 1011, and OWNS H
14
1
2 1
1
.
.
4
1
6
3 4
4
7
1
%
% 1
1.
.
1
4
3
6
4
4
7
1 %
%
2) Lees
3/ Capital HH33 1.4641 % %
1 Partner's share of bailie* at the end of the year
It
3,652.
1) tionrecourse 13 5,488.
2) OuaThed nonrecouree Manning 12
13
3) Recourse
J Partners capital account analysis 45,696.
JI
1) Beginning capitaitcount
2) Capital contributed during the year-cash J2
3) Capital contributed during tee year • Pronely J3 —14,753.
4) Cuntmt year increase (decrease)
J4
7,510.
,15
6) Withdrawals end attributions • cash
6) Withdrawals and chatrIbutions • property Jo 23,433.
7) Ending caPhal account . .. . .. J7
8) Method of accounting (ne& an XS, the appropriate COX)
Cr Tax beets 0 GMP E ,l Book L__J Otter (submit excianadcn)
K Resident status (ma* in X in a' boxes that apply)
I NYS ruttiest resident Li Yonkers full-year resident El NYC full/war resident
L7' 1 NYS puttee, resident 0 Yorkers pert-year resident C WC pert-year resident
[Xi NYS nonresident 0 Yonkers nonresident
L It the partner wee included In a group return, enter the special NYS Identification number, If Imown L
118 00 112 1019
2Sa2S1
CONFIDENTIAL
SDNY_GM_00033171
EFTA_00143784
EFTA01280302

Page 2 of 4 IT :204-IP (2012)
msEi No Li
M 1) Was Form IT•28584 Med vnth the partnership? M1
2) Wee Form MTA-406E fled with the pertnemhip? M2 "a El No 0
N NYS estimated tax paid on behalf c4 partner (from Form 17.2668) Dale Amount
1) First installment N1
2) Second Installment N2
3) Third instansen1 143
4) Fcurit. Installment N4
Total NYS estimated tax paid on behalf of partner (addI des NI through I44) N
0 Estimated MCTMT Pall on beta d miner (from Form 147;4405) Date Amount
1) First Installment 01
2) Second installment 02
3) Third Installment 03
4) Fourth installment 04
Total erelmated MCTMT paid on behalf of partner (add Ones 01 through 04) 0
Partner's share of Income, deductions, etc.
B • Federal MI amount C - Now York State amount
A - Partnels distnbctive share items
1 Ordinary business Income (loss) 1
2 Net rental real estate Income (lose) 2 -14,807. 2
3 Other net rental income (loss) 3 3
4 Guaranteed payments 4 4
5 Interest income 5 8
8 Ordinary dividends 6 6
7 Royalties 7 7
0 Net short-term capital gain (ices) 8 8
9 Net longterm capital pain aces) 9 9
10 Net section 1231 gab 03s o) 10 10
11 Other Income Goss) kaivir* 11 11
12 Section 179 deduction . ....................... ... 12 12
13 Other decbctions identify: SEE STATEMENT 13 22. 13
14 Tax OfelefenCe Items for minlmam tax 14 2, 554 . 14
Identify:
15 Net eamnge (oss) from selfernployment . . 18 15
16 Tax-exempt Income and nondeductbie expenses 18 18
17 Cistnbutions • cash and markelatie *Kuria., . . 17 7, 510 . 17
I8 Di:urban:Ons • other property 18 18
19 Other items not Included above that are required to be
reported separately to partners 19 19
identify:
Partner's share of New York modifications (see instructions)
20 New York State addilixis
Number A - Total amount B - New York State allocated amount
20a EA- 16 425. 425.
20b EA-
20c EA-
20d EA-
20e EA-
20f EA-
21 Total Pilaw modifications (total of column A Ones 20a through 209 . . 21 425.
BIIIII 1112112111 III II
2aaba2
190
CONFIDENTIAL
SDNY_GM_00033172
EFTA_00143785
EFTA01280303

IT-204-IP 00: c. Pao* 3 of 4
Partner's share of New York modifications (ton tE,et)
22 New Yam State sub:rad:cr.u
Number A- Total amount B • New York State allocated amount
22a ES- 21 265. 265.
22b ES-
22c ES
22d ES-
22o ES-
22f ES-
23 Total subtracthoP mollfIcationa (total of coJuron A, fines 22a through 221) 23 265.
24 Addition to tederol Itemized deductions
Letter Amount
24a
24b
24o
24d
24e
248
25 Total additions to federeJ rtemled deductions (add Naas 24a through 241) 25
26 Subtractions from Mears) :tented deductions
Letter Amount
26e
266
26c
26d
26.
268
27 Total subtractions bent federal itemized deductions (mid lines 26a tnrough 260
213 New York noluot mania to lax pretererce items 26
Partner's other information
29a Partner's share of New York source gross Income 208
29b MCTD allocation percentage (see Instructions) 29b Wei
Partner's credit Information
Part 1 - Flow-through credit bases and factors
Brownfield redevelopment tax credit (Porn IT-671 or1T-611.1)
A - Form IT-611 B - Form IT-611.1
30 Site preparation credit component 30 30
31 Tangible property credit component 31 31
32 Onelte grour.dwater remediation credit component 32 32
141111121111il 2tISSI
i 1, 912
CONFIDENTIAL
SDNY_GM_00033173
EFTA_00143786
EFTA01280304

Page • of 4 IT-204-IP (2012)
Partner's credit information (continued)
EZ capital tax credit (Form IT-602)
33 ContnbutIons of money to EZoommunIty development projects 33
34 Recapture of credt for Investments In certified EZliceineeses 34
36 Recapture of credt for contnixidoca of money to EZ community development projects. 35
OEZE tax reduction credit (Form (7.604)
36 CUE employment Increase factor 36
37 OEZE zone allocation factor 37
38 OEZE benefit period factor 38
Excelsior jobs program tax credit (Form IT-607)
39 Excelsior jobs tax credit component 39
40 Excelsior investment tax credit component .. .. ... . 40
41 Excelsior research and development tax credit component 41
42 Excelsior real property tax credt component 42
Farmers' school tax credit (Form 17--217)
43 Acres of qualified agricultural property 43
44 Acres of qualified conwystion property 44
45 Eligible school district property taxes paid 45
46 Acres of quaffed apiculture' property converted to nanquairfled use 46
Other flow-through credit bases and factors
Credit bases
Code Amount Code Amount
47a 47d
47b 47e
47c 47f
Credit lectors
Code Factor Code Factor Code Factor
47g 471 41k
47h 47j 471
Part 2 - Flow-through credits, addbacks and recaptures
48 Long-term care Insurance credit (Fern IT-249) 48
49 Investment credit (Including employment incentive crock aid historic ban rehabeitation credit; Form IT-212)49
60 Research and development • investment credit (Form IT-212) 50
61 Other flovnthrough credits
Code Amount Code Amount
61a 61e
51b 511
510 51g
51d 51h
52 Addbacks of credits and recaptures
Cods Amount Code Amount
52. 52d
62b 52e
52o 62f
11&o: 21013
Ill 2M842
I M0.12
CONFIDENTIAL
SDNY_GM_00033174
EFTA_00143787
EFTA01280305

45-2929589
MIDWAY TRIAD, LLC
NY IT-204-IP OTHER DEDUCTIONS
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION
SCHEDULE K-1 AMOUNT
3. O.
DUES St FEES
PROFESSIONAL FEES
19. O.
TOTAL TO FORM IT-204-IP, PAGE 2, LINE 13 22. 0.
PARTNER NUMBER 5
CONFIDENTIAL
SON V_GM_00033175
EFTA_00143788
EFTA01280306

NC K21 (39). 2012 Partner's Share of
(D-403) N.C. Income, Adjustments, and Credits
10.11.12 WM Carcdir4 Deparlinert of Revenue
For retarder year vilsca I year beginning 01 01 12 ant ending 12 31 12
ParMeta identifying Number Federal Employer PO Number
203161309 452929589
ParInes Name, Address, and ZIP Code PartnershlAs Namt, Address, and ZIP Code
BLUE CHIP CAPITAL LLC MIDWAY TRIAD LLC
27 HIGH TECH BOULEVARD 270 LAFAYETTE STREET SUIT 409
THOMASVILLE NC 27360 NEW YORK NY 10012
Individuals FIIIng Form
Partnership's Pro Rata Share items Amount 0-400 Enter Amount on:
All Partners
—14807
1. Share cf partnership income (loss)
2. Additions to Income (ots)
a. Addition for bonus depredation 425 Page 2. Une 35
b. Other addtions to Income (loss) 0 Page 2, Une 38
3. Deductions horn Income (loss)
a. Deduction for bonus depreciation STMT 265 Page 2, Une 44e
b. 011ter deductions from income (loss) STMT 22 Page 2, line 49
4. Share of taxcredds 0 Form D•4C0TC
5. Slum of tax withheld tromnonwage compensation
pail for personal services performed in ND 0 Page 2, line 23
Nonresidents Only
6 Nonresident's share of N C. taxable Income (loss) 0 Par 2, Line 51
7. Nonresident's share of net tax paid by the manager
of be partneronfO 0 Page 2. Une 24c
284201
20-12
CONFIDENTIAL
SDNY_GM_00033176
EFTA_0011 43789
EFTA01280307

45-2929589
MIDWAY TRIAD, LLC
NC SCH K-1 DEDUCTIONS FROM FEDERAL TAXABLE INCOME
AMOUNT
DESCRIPTION
19
PROFESSIONAL FEES
3
DUES AND FEES
22
TOTAL TO SCHEDULE K-1, LINE 38
NC SCH K-1 DEDUCTIONS FOR BONUS DEPRECIATION
AMOUNT
DESCRIPTION
ADJMNT FOR 1ST-YEAR DEPRECIATION ADDED BACK IN 2011 265.
TOTAL TO SCHEDULE K-1, LINE 3A
265.
PARTNER NUMBER 5
CONFIDENTIAL
SDNY_GM_00033177
EFTA_00143790
EFTA01280308