EFTA01280309.pdf

6
651112
2012 K-1
Schedule K-1 Final —1 Amended K-1 OMB No. 1545-0099
(Form 1066) In Partner's Share of Current Year Income,
For colorer •••2012 a bm
Department of the Treasury S'ac nling APRIL 24, 2012 Deductions, Credits, and Other Items
internal Revenue Service ,„„ rc DECEMBER 31, 2012 1 Ordinary business Income (loss) 16 Crudes
Partner's Share of Income, Deductions, 0.
Credits, etc. le See separate Instructions. 2 Namavallatoterrmmotossi
—7,445. 16 Foreign transactions
3 Other net rental Income (loss)
pelt t Information About the Partnership
A Partnership's employer WentiricatiOn number 4 Guaranteed payments
PartnersNp's name, address, city, state. and ZIP code 5 Interest income
5.
MIDWAY-CAROLINAS 2012 LLC Be Ordinary dividends
270 LAFAYETTE ST STE 409 17 Merman min tax (AMT) items
NEW YORK, NY 10012 13b Qualified dividends A 1, 537 .
C IRS Center where partnership fled return
E—FILE 7 loyalties
18 Tax-exempt:roome and
D n Chick il this is a publicly traded parinershp (PIP) 8 let short-term capital gain (Ion) nondeductible expenses
9a Net long-termcapital gate (loss)
Part II Information About the Partner
E Partners Identifying number fib Criectibles (28%) gain (loss) 19 Distribution:
2,173.
F Partner's name. addrerst.cey, Vacant) DP code 9c Inrecaptured sec 1250 Gain
20 Other Information
BLUE CHIP CAPITAL, LLC 10 Net section 1231 gain Goss) A 5.
27 HIGH TECH BLVD.
THOMASVILLE, NC 27360 11 Other Mcome (bas)
IL
General partner Or LLC Limited partner or other LLC
member-manager member
H Domestk partner n Foreign partner
VI What type of entity Is tins partner? PARTNERSHIP 12 Section 179 deduction
12 It this partner's a retirement ptan (IfWSEPMeogh/etc.), check here
J Partners share of profit, loss, and capital: 13 Other deductions
Beginning Ending PT* STMT
Profit 0.8056130% 0.8056130%
Loss 1.0395010% 1.0395010%
Capital _ 1.0395010% 1.0395010% 14 SelFenuloyment earnings (loss)
K Partners share 01 labillbeS at year end: 0 .
Nonrecourse 2,429.
Needed nonrecouree financing $ *See attached statement for additional in carnation.
Recourse g 143,101.
L Partners capital account analysis:
Beginning caplet account
8
Capital contributed during be year t 50,000.
g
Current year Increase (decrease) —7,479.
Withdrawals & distributions St 2,1734
Ending capital account $ 40,348.
CJ
M Tax basis GAP Section 704(b) book
Other (explain)
M Old the partner contribute property with a built-In gain or loss?
Yet ai No
It 'Yes'. attach statement (see instmctions)
K-1
01-03.13 WA For Paperwork Reduction Act Notice, tea InstnictIont ha Form 1066 IRS.govitorm1065 Schedule (Form 10851 2012
6
CONFIDENTtAt
08020326 758241 21146.221 AS 2012 LLC 21146_G1
SDNY_GM_00033178
EFTA_00143791
EFTA01280309

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
-9.
SCHEDULE K-1 DEDUCTIONS SUBTOTAL
-9.
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.
CONF1 PARTNER NUMBER 6
08020326 758241 21146.221 tfribility 2012 LLC 21146 GI
SDNY_GM_00033179
EFTA 00143792
EFTA01280310

6
Schedule K.1 (Form 10651 2012 Papa 2
This Its1 Identifies the codes used on Schedule K•1 for all partners and provides summarized reporting Information for partners who rile
Form 1040. For detailed reporting and Sling Inlormetlon, see the separate Partners Instructions for Schedule K-1 and the Instructions
lot your Income lax return.
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M Omit Min:rani neural
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Perm rare Schellule E, Ilne 28, co Jrni*: N Cant trenneysr »dal smutty
Nor map ye cm Sew/OM& ilne a PO mire (1: ei Meecere »ea
Net »se» noon» EalneOule E. II» 28, » J•re Q O Realm* etchre eng
Net term 7el set»h ome tom See Pm 'Mies »Met vs P OMceeb
Other ne rental Wale (MX
Net occor• senora» F. II on 28, oe Jnm 1& Fete traratectons
Net ces Son he »trees »act cne A Nome et cony or 3.
Gammon payments &NO» E. IIM 28, co• Jinn () posinenon
*meow Mom» eorn Ste» B Goon Noe*. 'men all so. tat %mill& PM I
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.6ctreaue D immix*
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• C S M o a c u le M a ay c c o o rti r c r e e s r & • « MS» F S e te rn th 6 e 7 P 6 1 a , M t» s ' . t neMetlee I J G % e Iv r a a n a or l e in se e rc " Form111&
D Minn" **Mt m mete m'spx:x Zee R:t. 535 K Otte,
E Corona:Imo( of» roan "CaO, lire 21 or Toren 062
r Corer moon...toe) Sse IntlPeres in•Inetlerill Cher Monomer
L -ots amgn 'an »cl AVM ill& Pet I
Selon 179 deduct on Ste DeP irtle* Insotelon M t'ots »neon tees MM..» Forn Ill& PM
CMor imanoncre I N Reducten taxes ems» b• «ton Forn1110, Me 12
A Can coo 011anma X31% LI Ere or tic ng gram »seta Forit4473
S Carl °entractes:m23m P EdnIterit.ilA Ire•Yr.0 «NUS« Fier 8873
C Nonnoten conolbuttre 6.396: O Other Mole I:errata:ma In•Pertnechtlnalniodcow
• Noncom conMoutcre DOM: Ste Me Paine* Ins:melon
E Cent »In propene to see% 17. Ann** m Moen so We ten• 1
F G ov re e t r a n g ic ai e n p 0 r 3 o % ce ; rti eo%) B A A Po p t 4 a .1 te 00 ] » 6 O n e o n r a k le m tto n eidlastmerl Sabi Parretti
H C I C ne r s a t i o nn g ti r l e W ? e I n C , O . N ox geese For &sea, anal D C » O D il e ga t s e , r 8 t g o e tt r e k r i » d a ie n r• o a w 3 g o a n s ) W O« t t h rt e s M tre e b l u o c re tIc e r n i> c i t a
K J » ° O M m nd e in if n f i b o 6 n O n 5 (e XP r p o : e r y e t a e l. > t x y t e c 'r l e , o M o x O m k S e el S a S c e o e ti l c t e h lU » e P • e a E r , t l n e e e s 1 I 0 n erucCone C 0 O . I n . a rA l, V & T r ir le o m c s ir ria culi.cinans Fas710261
L 0Muctiont: wet. t(ce«) Sam» s & linen 18, Tom compt !nuns one TOMMUCCO» eMerste
M Amu 1M >NCI In, Mon ea rearm »redo • A. line 1 er Tor I C40. 0,7,20 A femempt »tree Mon» renn1C4C, Ina an
N Eopenson anM ince binette Soc the Pence. Inennende • Gthe, tax•exempt Incene Sea Pre Pare Irrrxten
O Dependeot aire »nee» For 2‘41, m12 Noideiduclible t•-•Tallaro $6* IN* Port:des Instr.otors
O O C P a ro rn m m » e m ntia e n m p o o ta rt t e O d r * lo p o e d n al t u e e llon a Se n c T 'e o r n % 6 m 66 e 2 t I e n I s m tn ow e b tr o e n s 10. C Dirra Dean
Mr, •er up real et» colvitee A »an and :mows» seatIles
7 %Tibia ere Am BeeI I»P lebe» Mermen 3 Dlembutbn s Met to seem 737 } See Me 5entrer's Inemelkos
• nert.nraMi open» Oelatlim See theP an«. Ineratle» C Othr P•OPerl
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... (no lb& pm. elm met», 'morn Fare 8903 'am To 9 Mien& maxim Fom.. se area
3 Drn eyes Foin W-2 ewes Tarn 3903 Me • 7 C F:e tax peel n'orrnmer For 4138
W Otweeouctbre See •tie Panne'. MstruoIlms D Outran retelnilltater en:malt:»
Corn era, vital SC »We Soothe Pat»'» IrePtclone
14 Segmimployrreit tarungs dosai E Rana ot mew money See the Pares Inatuelene
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Nom II you reee • melon 170 cieduallot er try prerœlove leductlorta see coedit Ottel en 42ai3O Forte 861I. Ire 8
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9 Ono» hen nai m %map Mome Ses te Peres Iretuolens I neopurn n. Om« evnelli See te Pertness Irsauelms
C Omer nomlbrrn Poems See to Porycea iratNelces J _ook-cem lame cemplem0
onactonncotectop See For 8M7
16. CrediN K Look•oecic Inborn; - Moms meant
A trle.ire01110 Fouslrç credit menoct See rem. 8869
@man a2('(o)bom prc 2MS L DeposiSces el Mee/
IRMO» »eon 579 deduct»
8 Lormincone Cowart; creak lathe, M Raplare C' «Mai '79 :feu cn
from me-2O36 tataIngs N Interest «pan» lor costa.» oartain
C low•trr,,rx, loailry credit >eh,' O »Mon 4.3.74A Mornatoo
00(,:: inn. cent 200: el In n» P serer ,I53é4q naweton
I/ LcvnInnarra »Joins Credit mneri See me Dann«, mt.:aces O 126O(bleraietol
per-23C2 »Margo R Meer» • loantb• prcalMon See te Penes
E Cutlet, enscilltatier mosnoltues imendlters Irene:it:nu
Sr» M Mbre a ccr Nei:welded %etcseats
F Ota meal and crate =di% T DefAelon Inter/314w - oi are gee
O &taw» coellis U Ann:nation M wormer« cnes
H Uteleibilsol eel» »Ins melt Tee 1O4O, heel 71; an» box • 3 Unrstrion »Omen »Ms 'tome
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met X Scent, 13e, naprist»
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211202
01-00-13
6
08020326 758241 21146.221C ON ENT/PALM 2012 LLC 21146 G1
SDNY_GM_00-(7133180
EFTA_00 143793
EFTA01280311

New York State Department of Taxation and Finance IT-204-IP
New York Partner's Schedule K-1
2012
Tax Law - Article 22 (Personal Income Tax) 6
Final K-1
For calendar year 2012 or tax year beginning 04-24-2012 and encrmg 12-31-2012 Lj Amended K-1
Partners: Before completing your income tax return, see Form IT•204•IN, Partner's Instructions for Form IT-204-IP (availetae at vainv.tax.ny.gov).
Partnership's Information (see instructions)
Partnership's name (as shown on IT•204) Partnership's £IN
Font
MIDWAY-CAROLINAS 2012 LLC
A Mark an X In the box if either applies to your entity E. Publicly traded partnership IT1 Portfolio investment partnership
B Tax shelter rag stration number, If any 8
C Business allocation percentage C
Partner's information (see instructions)
Partner's name Partner's identifying number
BLUE CHIP CAPITAL, LLC
Partners address
27 HIGH TECH BLVD.
City State ZIP code
THOMASVILLE NC 27360
D The partner is a ;win on X ir General partner or LLC member-manager IM Limited partner or other LLC member
he .prop et Do4 n
E What is the tax fling status of the partner? ;gm( tri X b. me co troprate bax. if Inowla C Individual Estate/trust LE Partnership
F If the partner Is a disregarded entity or grantor trust,
enter the tax ID of the entity or individual reporting the income, If known
G Did the partner sell its entire interest during the tax year? G Yes El No 71
Beginning Ending
H Partner's share of profit, loss, and capital
1) Profit H1 0.8056 % 0.8056 %
2) Loss H2 1.0395 % 1.0395 %
3) Capital H3 1.0395 % 1.0395 vo
I Partner's share of liabilities at the end of the year
1) Ncurecourse 11 2,429.
2) Qualified nonrecourse financing 12
3) Recourse 13 143,101.
J Partner's capital account shalysb
1) Beginning capital account J1
2) Capital contributed during the year • Cash J2 50,000.
3) Capital contributed during the year - property J3
4) Current year Increase (decrease) J4 —7,479.
5) Withdrawals and distributions • cash J5 2,173.
6) Withdrawals and datnbutions • property JO
7) EMing capital account a 40,348.
8) Method of accounting (mark en ill the 0pp:opiate box)
ir Tax basis El CIAAP 0 Book El Other (submit explanation)
K Resident statue (mark an A' In all boxes that apply)
O NYS full-year resident C Yonkers full-year resident C NYC full-year resident
n
El WS part•year resident Yonkers part•year resident E NYC part-year resident
M NYS nonresident C Yonkers nonresident
L If the partner was Included in a group return, enter the special NYS Identification number, if known L
118001121019
HIE
MSS,
V-S-12
CONFIDENTIAL
SDNY_GM_00033181
EFTA_00143794
EFTA01280312

Pepe 2 of 4 IT-204-IP (1012)
M 1) Was Form IT•2658•'c Ned with the partnership? MI Yea Q No
2) Was Form MTA•406•E fled with the partnership? M2 Yes Q No
N NYS estimated tax paid on behalf of partner Mom Form mass) Deto Amount
1) First Instalknent N1
2) Second Installment
3) Third installment PS3
4) Fourth Installment N4
Total NYS estimated tax paid on behalf of partner Odd Ales NI through N4)
O Estimated RICTMT paid on behalf of partner (horn Form MTA-406) Date Amount
1) Fret installment O1
2) Second nstal!•ront 02
3) Third installment 03
4) Fourth Installment 04
Total estimated MOUNT paid en behalf of partner (add lines 01 through O4)
Partner's share of Income, deductions, etc.
A - Partner's distributive share Items - Federal K-1 afilount C - New York State amount
1 Ordinary business Income (loss) 1 1
2 Net rental real estate ircome (loss) 2 —7,445. 2
3 Other net rental income (loss) 3 3
4 Guaranteed payments 4 4
5 Interest income 6 5. 5
o Ordinary dividends 6 6
7 Royalties 7 7
8 Net short-tern capital gain (loss) 8 8
9 Net long-term capital gain (loss) 9
10 Net section 1231 gain hoes) 10 10
11 Other Income Goss) Identity: 11 11
12 Section 179 deduction 12 12
13 Other deductions Identify: SEE STATEMENT 13 9. 13
14 Tax preference Items for minimum tort 14 1,537. 14
Identify:
15 Net earnings (loss) from self-employment 13 15
15 Tax-exempt income aid nondeductible expenses 10 16
17 Distributions • cash aid marketable :actuates . 17 2,173. 17
18 Distributions other property 18 18
19 Other rams not included above that are required t0 bs
reported separately to partners 19 5. 19
idenfiry: SEE STATEMENT
Partner's share of New York modifications (seeinstmcrions)
20 New York State additions
Number A - Total amount 6 - New York Stale allocated amount
20a EA- 16 226.
20b EA-
20c EA-
20d EA-
20e EA-
201 EA-
21 Total addition modifications (total of cobmn A, fines 20a through 200 21 226.
118002121019
IIII lIII III I III III I III1 11II1I I II I
11-1912
CONFIDENTIAL
SDNY_GM_00033162
EF1'A_00143795
EFTA01280313

IT-204-IP i2t)12i Page 3 of 4
Partner's share of New York modifications .'cor;:i
22 New York Slate suotractions
Number A - Total amount B New York State allocated amount
22a ES-
22b ES-
22c ES-
22d ES-
22e ES-
22f ES-
23 Total subtraction moddications (total of column A, fnes 22a through 221) 23
24 Additions to federal Itemized deductions
Letter Amount
24a
24b
24c
24d
24e
24f
25 Total additions to federal itemized deductions (add lines 24a through 24!) 25
28 Subtract Ions from federal itemized deductions
Letter Amount
28a
28b
26c
26d
28e
26f
27 Total subtractions from federal itemized deductions (add foes 26a through 266 27
28 New York adjustments to tax preference items 28
Partner's other information
29a Partner's share of New York source gross Income 29.
29b MOTO alocatlon percentage (see Instructions) 29b
Partner's credit information
Part 1 - Flow-through credit bases and factors
Brownfield redevelopment tax credit (Form IT-6i7 or /T-617.1)
A • Form 17411 B - Rpm IT-811.1
30 Site preparat on credit component 30 30
31 Tangible property credit component 31 31
32 On-site groundwater remedlation credit component 32 32
1180 0 3121019
211Setri
11.1912
CONFIDENTIAL
SDNY_GM_000331,33
EFTA_00143796
EFTA01280314

Page 4 0(4 IT-2044P Q012)
Partner's credit information (continued)
EZ capital tax credit (Form !T-602)
33 Contributions of money to EZ community development protects 33
34 Recapture of credit for Investments in certified EZ businesses 34
35 Recapture of credit for oontributions of money to EZ community development projects 35
QEZE tax reduction credit (Form IT-604)
38 Cil2E employment ircrease factor 36
37 O¢E zone allocation factor 37
38 (DEM benefit period factor 38
Excelsior jobs program tax credit (Form IT-607)
39 Excelsior jobs tax credit component 39
40 Excelsior investment tax credit oomponent 40
41 Excelsior research and development tax credit component 41
42 Excelsior reed property tax credit component 42
Farmers' school tax credit (Form IT-217)
43 Acres of qualified agricultural property 43
44 Acres of qualified conservation property 44
45 Eligible school diMrict property taxes paid 46
46 Acres of qualified agricultural property converted to nonqualifid use 46
Other flow-through credit bases and factors
Credit base,'
Code Amount Cods Amount
47a 47d
47b 470
47c 471
Credlz factors
Code Factor Code Factor Cods Fedor
47g 47i 47k
471t 47i 471
Pert 2 - Flow-through credits, addbacks and recaptures
48 Long-term care Insurance credit (Form IT-249) 48
49 Investment cleat (including employment incentive credit end hIstonc bar rehabilitation crook Form 1T-212) 40
SO Research and development - Investment credit (Form IT-212) 60
61 Other flow-through credits
Code Amount Code Amount
61a 51e
51t. 511
510 51g
51d 51h
52 Addbacim of credte and recaptures
Code Amount Cods Amount
52a 62d
52b 52e
52c 521
118004121019
II IIII I IIII I II II IIII I II III II
III
CONFIDENTIAL
SDNY_GM_00033184
EFTA_00143797
EFTA01280315

MIDWAY-CAROLINAS 2012 LLC
NY IT-204-IP OTHER DEDUCTIONS
AMOUNT FROM NEW YORK
FEDERAL STATE
DESCRIPTION SCHEDULE K-1 AMOUNT
8.
LEGAL 0.
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_00033i85
EFTA_00143798
EFTA01280316

NC K-1. (39) 2012 Partner's Share of
(D-403)
N.C. Income, Adjustments, and Credits
10.11.12 North Carolina Department of Revenu►
For calendar year or fiscal year beginning 04 24 12 and ending 12 31 12
Partner's (dent I Number Federal Em r ID Number
Partners Name, Address, and ZIP Carle Partnership's Name, Address, and ZIP Cede
BLUE CHIP CAPITAL LLC MIDWAY-CAROLINAS 2012 LLC
27 HIGH TECH BLVD 270 LAFAYETTE ST STE 409
THOMASVILLE NC 27360 NEW YORK NY 10012
Individuals Filing Form
Partnership's Pro Rata Share items Amount 0-400 Enter Amount on:
All Partners
-7440
1. Share of partnership Income (loss)
2 Additions to income (loss)
a. Addition for bonus depredation 226 Page 2. Line 95
b. Other additions to Income (loss) 0 Page 2, Une 36
3. Deductions from income (loss)
a. Deduction for bonus deprecation 0 Page 2. Line 44e
b. Other deductions from Income (loss) 0 Page 2, Line 49
4. Share of tax credits 0 Form 0.400T0
5. Share of tax werheld horn nonwage compensation
paid for personal services performed in N.C. 0 Page 2. Line 23
lioncesIdents GeV
6. No n resklent's share of N.C. taxable lucerne (loss) 0 Page 2, Une 51
7. Nonresident's share of let lax paid by the manager
of the partnership 0 Page 2, Une 24c
289291
12.28.17
CONFIDENTIAL
SDNY_GM_00033186
EFTA_00 I 43799
EFTA01280317

sclossicA
J
STATE OF SOUTH CAROLINA
1
DEPARTMENT OF REVENUE
PARTNER'S SHARE OF SOUTH CAROLINA
(Rev. 5/27/11)
INCOME, DEDUCTIONS, CREDITS, ETC. 3515
Forcalendaryeer 2012 ar b Inning 04/24/12 and ending 12 31/12
Partner's Ident number OP ParbenshIp's FEIN
Partners name, address and 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
Check If applicable: (1) 1 Final IC1 (21 — Amended K•1 (3) Lai Nonresident
Amoun a
(Al (3)
Partner's Share of Current Year Federal Plus or Minus ts Not Amounts Allocated
Income, Deductions, Credits, etc. Ic1 Amounts SC Adjustments Allocated or Apportioned to SC
or Apportioned to SC
STMT
1 Ordinary business income (loss) ,,, 1 1
2 Net rectal real estate income (loss) -7,445. 2 193. 2 -3,685. 2 -3,567.
3 Other net rental income (toes) 3 3 3
4 Guaranteed payments 4 4 4
5 Interest Income 5. 5 5 5. 5
6 Dividends 6 8 8 8
7 Royalties 7 7 7 7
8 Net short-term capital gain (loss) 8 8 8 -1
9 Net long-term capital gain (loss) 9 9 9
10 Net Section 1231 gain (loss) 10 10 10 10
11 Other income floss) 11 11 11 11
12 Section 179 deduction 12 12 12 12
13 Other deductions 13 9.13 13 4.13 5.
SEE STATEMENT
14 Withholdina tax for nonresident pan nee 14 0.
List applicable South Carolina tax credits. (Mach an additional sheet If needed.)
15 15
16 16
17 17
18 18
19 Total South Carolina tax credits
0.
2tiet21 01401-12
L J
35151018
CONFIDENTIAL
SDNY_GM_00033187
EFTA_00143800
EFTA01280318

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
SDNY_GM_00033188
EFTA_001143801
EFTA01280319