U.S. TREAS Form treas-irs-8865-sk1-2001 SCHEDULE K-1 (Form 8865) Department of the Treasury Internal Revenue Service OMB No. 1545-1668 Partner’s Share of Income, Credits, Deductions, etc. � See Instructions for Form 8865. For calendar year 2001 or tax year beginning Partner’s identifying number � Partner’s name, address, and ZIP code , 2001, and ending 2001 , 20 Partnership’s identifying number � Partnership’s name, address, and ZIP code (a) Beginning of tax year Enter partner’s interest in: Profits Capital Deductions Losses (b) End of tax year % % % % % % % % Analysis of partner’s capital account: (a) Capital account at beginning of year (b) Capital contributed during year (c) Partner’s share of lines 3, 4, and 7, Form 8865, Schedule M-2 (e) Capital account at end of year (combine columns (a) through (d)) (d) Withdrawals and distributions ( ) (b) Amount 1 2 3 1 2 3 4 a b c d e Ordinary income (loss) from trade or business activities Net income (loss) from rental real estate activities Net income (loss) from other rental activities Portfolio income (loss): Interest Ordinary dividends Royalties Net short-term capital gain (loss) (1) Net long-term capital gain (loss) (2) 28% rate gain (loss) (3) Qualified 5-year gain f Other portfolio income (loss) (attach schedule) 5 Guaranteed payments to partner 6 Net section 1231 gain (loss) (other than due to casualty or theft) 7 Other income (loss) (attach schedule) Deductions 4a 4b 4c 4d 4e(1) 4e(2) 4e(3) 4f 5 6 7 8 9 10 11 8 9 10 11 Credits Income (Loss) (a) Distributive share item 12a Low-income housing credit: (1) From section 42(j)(5) partnerships (2) Other than on line 12a(1) b Qualified rehabilitation expenditures related to rental real estate activities c Credits (other than credits shown on lines 12a and 12b) related to rental real estate activities d Credits related to other rental activities 13 Other credits Charitable contributions (see instructions) (attach schedule) Section 179 expense deduction Deductions related to portfolio income (attach schedule) Other deductions (attach schedule) For Paperwork Reduction Act Notice, see Instructions for Form 8865. Cat. No. 28396B 12a(1) 12a(2) 12b 12c 12d 13 Schedule K-1 (Form 8865) (2001) Schedule K-1 (Form 8865) (2001) Page Adjustments and Tax Self-em­ Investment Preference Items ployment Interest (a) Distributive share item 14a b(1) b(2) 15a 15b 15c 16a 16b 16c d(1) d(2) 16e 15a Net earnings (loss) from self-employment b Gross farming or fishing income c Gross nonfarm income Depreciation adjustment on property placed in service after 1986 Adjusted gain or loss Depletion (other than oil and gas) (1) Gross income from oil, gas, and geothermal properties (2) Deductions allocable to oil, gas, and geothermal properties e Other adjustments and tax preference items (attach schedule) 16a b c d Foreign Taxes e f g h Name of foreign country or U.S. possession � Gross income from all sources Gross income sourced at partner level Foreign gross income sourced at partnership level: (1) Passive (2) Listed categories (attach schedule) (3) General limitation Deductions allocated and apportioned at partner level: (1) Interest expense (2) Other Deductions allocated and apportioned at partnership level to foreign source income: (1) Passive (2) Listed categories (attach schedule) (3) General limitation Total foreign taxes (check one): Paid Accrued Reduction in taxes available for credit (attach schedule) 17b 17c 17d(1) 17d(2) 17d(3) 17e(1) 17e(2) Amount � b Amount � 17f(1) 17f(2) 17f(3) 17g 17h 18b 19 20 21 22 23 18 19 20 21 22 23 24 a b Section 59(e)(2) expenditures: a Type � Tax-exempt interest income Other tax-exempt income Nondeductible expenses Distributions of money (cash and marketable securities) Distributions of property other than money Recapture of low-income housing credit: From section 42(j)(5) partnerships Other than on line 24a 25 Supplemental information required to be reported separately to the partner (attach additional schedules if more space is needed): 24a 24b Supplemental Information Other (b) Amount 14a Interest expense on investment debts b (1) Investment income included on lines 4a, 4b, 4c, and 4f (2) Investment expenses included on line 10 17a b c d 2 Schedule K-1 (Form 8865) (2001)