Profit or Loss From Business
SCHEDULE C
(Form 1040)
OMB No. 1545-0074
2012
(Sole Proprietorship)
a For
Department of the Treasury
Internal Revenue Service (99)
information on Schedule C and its instructions, go to www.irs.gov/schedulec.
a Attach
Attachment
Sequence No. 09
to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.
Name of proprietor
Social security number (SSN)
A
B Enter code from instructions
Principal business or profession, including product or service (see instructions)
a
D Employer ID number (EIN), (see instr.)
C
Business name. If no separate business name, leave blank.
E
Business address (including suite or room no.)
F
G
H
City, town or post office, state, and ZIP code
Cash
(2)
Accrual
(3)
Other (specify) a
Accounting method:
(1)
Did you “materially participate” in the operation of this business during 2012? If “No,” see instructions for limit on losses
If you started or acquired this business during 2012, check here . . . . . . . . . . . . . . . . .
I
J
Did you make any payments in 2012 that would require you to file Form(s) 1099? (see instructions) .
If "Yes," did you or will you file required Forms 1099? . . . . . . . . . . . . . .
Part I
a
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2
3
4
5
6
Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . .
Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . .
Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) .
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4
5
6
7
Gross income. Add lines 5 and 6 .
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a
7
Part II
Advertising .
9
Car and truck expenses (see
instructions) . . . . .
Commissions and fees .
11
12
13
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Contract labor (see instructions)
Depletion . . . . .
Depreciation and section 179
expense
deduction
(not
included in Part III) (see
instructions) . . . . .
14
Employee benefit programs
(other than on line 19) . .
Insurance (other than health)
15
16
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No
No
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2
3
8
9
10
11
12
13
18
Office expense (see instructions)
18
19
20
Pension and profit-sharing plans .
Rent or lease (see instructions):
Vehicles, machinery, and equipment
19
20a
Other business property . . .
Repairs and maintenance . . .
Supplies (not included in Part III) .
20b
21
22
Taxes and licenses . . . . .
Travel, meals, and entertainment:
Travel . . . . . . . . .
23
24a
25
Deductible meals and
entertainment (see instructions) .
Utilities . . . . . . . .
24b
25
26
27a
b
Wages (less employment credits) .
Other expenses (from line 48) . .
Reserved for future use . . .
26
27a
27b
a
b
21
22
23
24
a
14
15
b
17
28
Total expenses before expenses for business use of home. Add lines 8 through 27a .
.
a
28
29
30
31
Tentative profit or (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . .
Expenses for business use of your home. Attach Form 8829. Do not report such expenses elsewhere .
Net profit or (loss). Subtract line 30 from line 29.
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29
30
16a
16b
17
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• If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2.
(If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3.
• If a loss, you must go to line 32.
32
Yes
Yes
a
1
Interest:
Mortgage (paid to banks, etc.)
Other . . . . . .
Legal and professional services
a
b
No
Enter expenses for business use of your home only on line 30.
Expenses
8
10
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.
Yes
Income
Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on
Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . a
Returns and allowances (see instructions) . . . . . . . . . . . . . . . . . . . .
Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . .
1
.
.
.
If you have a loss, check the box that describes your investment in this activity (see instructions).
• If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and
on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and
trusts, enter on Form 1041, line 3.
• If you checked 32b, you must attach Form 6198. Your loss may be limited.
For Paperwork Reduction Act Notice, see your tax return instructions.
Cat. No. 11334P
.
}
}
31
32a
32b
All investment is at risk.
Some investment is not
at risk.
Schedule C (Form 1040) 2012
Page 2
Schedule C (Form 1040) 2012
Part III
Cost of Goods Sold (see instructions)
33
Method(s) used to
value closing inventory:
34
Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If “Yes,” attach explanation . . . . . . . . . . . . . . . . . . . . . . . . .
Cost
a
b
Lower of cost or market
c
Other (attach explanation)
35
Inventory at beginning of year. If different from last year’s closing inventory, attach explanation .
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36
Purchases less cost of items withdrawn for personal use
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36
37
Cost of labor. Do not include any amounts paid to yourself .
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37
38
Materials and supplies
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38
39
Other costs .
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39
40
Add lines 35 through 39 .
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40
41
Inventory at end of year .
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41
42
Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 .
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42
Part IV
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Yes
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Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
file Form 4562.
/
a
/
43
When did you place your vehicle in service for business purposes? (month, day, year)
44
Of the total number of miles you drove your vehicle during 2012, enter the number of miles you used your vehicle for:
a
No
Business
b Commuting (see instructions)
Yes
No
45
Was your vehicle available for personal use during off-duty hours?
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46
Do you (or your spouse) have another vehicle available for personal use?.
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Yes
No
47a
Do you have evidence to support your deduction?
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Yes
No
If “Yes,” is the evidence written?
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Yes
No
b
Part V
48
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c Other
Other Expenses. List below business expenses not included on lines 8–26 or line 30.
Total other expenses. Enter here and on line 27a .
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48
Schedule C (Form 1040) 2012
1120
U.S. Corporation Income Tax Return
Form
Department of the Treasury
Internal Revenue Service
A Check if:
1a Consolidated return
(attach Form 851)
.
b Life/nonlife consolidated return .
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2 Personal holding co.
(attach Sch. PH) .
.
For calendar year 2012 or tax year beginning
a
OMB No. 1545-0123
, 2012, ending
TYPE
OR
PRINT
Name
B Employer identification number
Number, street, and room or suite no. If a P.O. box, see instructions.
C Date incorporated
City or town, state, and ZIP code
D Total assets (see instructions)
3 Personal service corp.
(see instructions) .
.
4 Schedule M-3 attached
1a
Income
Deductions (See instructions for limitations on deductions.)
$
Initial return
E Check if: (1)
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1a
2
3
4
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1b
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1c
2
3
4
5
6
7
Interest
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Gross rents .
Gross royalties
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5
6
7
8
9
10
Capital gain net income (attach Schedule D (Form 1120)) . . . .
Net gain or (loss) from Form 4797, Part II, line 17 (attach Form 4797)
Other income (see instructions—attach statement) . . . . . .
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8
9
10
11
12
13
Total income. Add lines 3 through 10 . . . . . . . . .
Compensation of officers (see instructions—attach Form 1125-E)
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14
15
16
Salaries and wages (less employment credits)
Repairs and maintenance . . . . . .
Bad debts . . . . . . . . . . .
Rents . . . . . . . . . . . .
11
12
13
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14
15
16
17
18
19
Taxes and licenses . .
Interest
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Charitable contributions .
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17
18
19
20
21
22
Depreciation from Form 4562 not claimed on Form 1125-A or elsewhere on return (attach Form 4562) .
Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Advertising
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20
21
22
23
24
25
Pension, profit-sharing, etc., plans
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Employee benefit programs
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Domestic production activities deduction (attach Form 8903) .
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23
24
25
26
27
28
Other deductions (attach statement) . . . . . . . . . . . . . . . . . . . . .
Total deductions. Add lines 12 through 26 . . . . . . . . . . . . . . . . . . .
Taxable income before net operating loss deduction and special deductions. Subtract line 27 from line 11.
29a
b
Net operating loss deduction (see instructions) .
Special deductions (Schedule C, line 20) . . .
c
31
32
33
34
35
36
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Add lines 29a and 29b . . . . . . . . . . . . .
Taxable income. Subtract line 29c from line 28 (see instructions)
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a
a
26
27
28
a
29a
29b
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29c
30
Total tax (Schedule J, Part I, line 11) . . . . . . . . . . . . . . . .
Total payments and refundable credits (Schedule J, Part II, line 21) . . . . . . .
Estimated tax penalty (see instructions). Check if Form 2220 is attached
. . . . .
Amount owed. If line 32 is smaller than the total of lines 31 and 33, enter amount owed
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31
32
33
34
Overpayment. If line 32 is larger than the total of lines 31 and 33, enter amount overpaid
Enter amount from line 35 you want: Credited to 2013 estimated tax a
.
. . . .
Refunded a
a
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35
36
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct,
and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Date
Signature of officer
Paid
Preparer
Use Only
Print/Type preparer’s name
Preparer's signature
F
F
Sign
Here
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Address change
(4)
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Name change
(3)
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30
Gross receipts or sales .
Final return
(2)
Returns and allowances . . . . .
Balance. Subtract line 1b from line 1a .
Cost of goods sold (attach Form 1125-A)
Gross profit. Subtract line 2 from line 1c
Dividends (Schedule C, line 19)
. .
b
c
Tax, Refundable Credits, and
Payments
2012
, 20
Information about Form 1120 and its separate instructions is at www.irs.gov/form1120.
May the IRS discuss this return
with the preparer shown below
(see instructions)?
Yes
No
Title
Date
PTIN
Check
if
self-employed
Firm’s name
a
Firm's EIN
Firm's address
a
Phone no.
For Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 11450Q
a
Form 1120 (2012)
Page 2
Form 1120 (2012)
Schedule C
Dividends and Special Deductions (see instructions)
(a) Dividends
received
(b) %
1
Dividends from less-than-20%-owned domestic corporations (other than debt-financed
stock) . . . . . . . . . . . . . . . . . . . . . . . .
70
2
Dividends from 20%-or-more-owned domestic corporations (other than debt-financed
stock) . . . . . . . . . . . . . . . . . . . . . . . .
80
3
Dividends on debt-financed stock of domestic and foreign corporations .
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see
instructions
4
Dividends on certain preferred stock of less-than-20%-owned public utilities
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42
5
Dividends on certain preferred stock of 20%-or-more-owned public utilities .
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48
6
Dividends from less-than-20%-owned foreign corporations and certain FSCs
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70
7
Dividends from 20%-or-more-owned foreign corporations and certain FSCs
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80
8
Dividends from wholly owned foreign subsidiaries
100
9
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Total. Add lines 1 through 8. See instructions for limitation
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10
Dividends from domestic corporations received by a small business investment
company operating under the Small Business Investment Act of 1958 . . . . .
100
11
Dividends from affiliated group members .
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100
12
Dividends from certain FSCs
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100
13
Dividends from foreign corporations not included on lines 3, 6, 7, 8, 11, or 12
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14
Income from controlled foreign corporations under subpart F (attach Form(s) 5471)
15
Foreign dividend gross-up
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16
IC-DISC and former DISC dividends not included on lines 1, 2, or 3
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17
Other dividends
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18
Deduction for dividends paid on certain preferred stock of public utilities
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19
Total dividends. Add lines 1 through 17. Enter here and on page 1, line 4 .
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20
Total special deductions. Add lines 9, 10, 11, 12, and 18. Enter here and on page 1, line 29b .
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(c) Special deductions
(a) × (b)
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a
Form 1120 (2012)
Page 3
Form 1120 (2012)
Schedule J
Tax Computation and Payment (see instructions)
Part I–Tax Computation
a
1
2
3
Check if the corporation is a member of a controlled group (attach Schedule O (Form 1120)) .
Income tax. Check if a qualified personal service corporation (see instructions) . . . . .
Alternative minimum tax (attach Form 4626) . . . . . . . . . . . . . . .
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2
3
4
5a
b
Add lines 2 and 3 . . . . . . . . . .
Foreign tax credit (attach Form 1118) . . . .
Credit from Form 8834, line 30 (attach Form 8834)
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4
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6
7
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9a
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8
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General business credit (attach Form 3800) . . .
Credit for prior year minimum tax (attach Form 8827)
Bond credits from Form 8912 . . . . . . .
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6
7
Total credits. Add lines 5a through 5e
Subtract line 6 from line 4 . . . .
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8
9a
Personal holding company tax (attach Schedule PH (Form 1120)) .
Recapture of investment credit (attach Form 4255) . . . . .
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b
Recapture of low-income housing credit (attach Form 8611)
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c
Interest due under the look-back method—completed long-term contracts (attach
Form 8697) . . . . . . . . . . . . . . . . . . . . . .
9c
d
Interest due under the look-back method—income forecast method
8866) . . . . . . . . . . . . . . . . . . .
Alternative tax on qualifying shipping activities (attach Form 8902)
.
Other (see instructions—attach statement)
. . . . . . . .
9d
9e
9f
c
d
e
e
f
10
11
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Total. Add lines 9a through 9f . . . . . . . . . . . .
Total tax. Add lines 7, 8, and 10. Enter here and on page 1, line 31 .
(attach
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5a
5b
a
5c
5d
5e
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9b
Form
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10
11
Part II–Payments and Refundable Credits
12
13
2011 overpayment credited to 2012
2012 estimated tax payments . .
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12
13
14
15
16
2012 refund applied for on Form 4466 .
Combine lines 12, 13, and 14 . . .
Tax deposited with Form 7004 . . .
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14 (
15
16
17
18
Withholding (see instructions) . . . .
Total payments. Add lines 15, 16, and 17 .
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17
18
Refundable credits from:
Form 2439 . . . . .
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20
Form 4136 . . . . . . . . . .
Form 8827, line 8c
. . . . . . .
Other (attach statement—see instructions).
Total credits. Add lines 19a through 19d .
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19a
19b
19c
19d
. . .
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20
21
Total payments and credits. Add lines 18 and 20. Enter here and on page 1, line 32 .
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21
19
a
b
c
d
Schedule K
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.
)
Other Information (see instructions)
1
Check accounting method: a
2
a
b
See the instructions and enter the:
Business activity code no. a
Business activity a
c
Product or service a
Cash
b
Accrual
c
Other (specify) a
3
Is the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group?
If “Yes,” enter name and EIN of the parent corporation a
4
At the end of the tax year:
Yes
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.
.
No
.
a
Did any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, or tax-exempt
organization own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of the
corporation’s stock entitled to vote? If "Yes," complete Part I of Schedule G (Form 1120) (attach Schedule G) . . . . . .
b
Did any individual or estate own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all
classes of the corporation’s stock entitled to vote? If "Yes," complete Part II of Schedule G (Form 1120) (attach Schedule G) .
Form 1120 (2012)
Page 4
Form 1120 (2012)
Schedule K
Other Information continued (see instructions)
Yes
5
No
At the end of the tax year, did the corporation:
a
Own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of stock entitled to vote of
any foreign or domestic corporation not included on Form 851, Affiliations Schedule? For rules of constructive ownership, see instructions.
If “Yes,” complete (i) through (iv) below.
(i) Name of Corporation
(ii) Employer
Identification Number
(if any)
(iv) Percentage
Owned in Voting
Stock
(iii) Country of
Incorporation
b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in any foreign or domestic partnership
(including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions.
If “Yes,” complete (i) through (iv) below.
(i) Name of Entity
6
(ii) Employer
Identification Number
(if any)
(iv) Maximum
Percentage Owned in
Profit, Loss, or Capital
(iii) Country of
Organization
During this tax year, did the corporation pay dividends (other than stock dividends and distributions in exchange for stock) in
excess of the corporation’s current and accumulated earnings and profits? (See sections 301 and 316.) . . . . . . .
If "Yes," file Form 5452, Corporate Report of Nondividend Distributions.
If this is a consolidated return, answer here for the parent corporation and on Form 851 for each subsidiary.
7
At any time during the tax year, did one foreign person own, directly or indirectly, at least 25% of (a) the total voting power of all
classes of the corporation’s stock entitled to vote or (b) the total value of all classes of the corporation’s stock?
. . . .
For rules of attribution, see section 318. If “Yes,” enter:
(i) Percentage owned a
and (ii) Owner’s country a
8
(c) The corporation may have to file Form 5472, Information Return of a 25% Foreign-Owned U.S. Corporation or a Foreign
Corporation Engaged in a U.S. Trade or Business. Enter the number of Forms 5472 attached a
Check this box if the corporation issued publicly offered debt instruments with original issue discount . . . . . . a
9
10
If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments.
Enter the amount of tax-exempt interest received or accrued during the tax year a $
Enter the number of shareholders at the end of the tax year (if 100 or fewer) a
11
If the corporation has an NOL for the tax year and is electing to forego the carryback period, check here
12
If the corporation is filing a consolidated return, the statement required by Regulations section 1.1502-21(b)(3) must be attached
or the election will not be valid.
Enter the available NOL carryover from prior tax years (do not reduce it by any deduction on line 29a.) a $
13
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.
.
a
Are the corporation’s total receipts (line 1c plus lines 4 through 10 on page 1) for the tax year and its total assets at the end of
the tax year less than $250,000? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If “Yes,” the corporation is not required to complete Schedules L, M-1, and M-2 on page 5. Instead, enter the total amount of cash
distributions and the book value of property distributions (other than cash) made during the tax year a $
14
15a
b
Is the corporation required to file Schedule UTP (Form 1120), Uncertain Tax Position Statement (see instructions)?
If “Yes,” complete and attach Schedule UTP.
Did the corporation make any payments in 2012 that would require it to file Form(s) 1099? . . . . . . .
If “Yes,” did or will the corporation file required Forms 1099? . . . . . . . . . . . . . . . .
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16
During this tax year, did the corporation have an 80% or more change in ownership, including a change due to redemption of its
own stock?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
During or subsequent to this tax year, but before the filing of this return, did the corporation dispose of more than 65% (by value)
of its assets in a taxable, non-taxable, or tax deferred transaction? . . . . . . . . . . . . . . . . . .
18
Did the corporation receive assets in a section 351 transfer in which any of the transferred assets had a fair market basis or fair
market value of more than $1 million? . . . . . . . . . . . . . . . . . . . . . . . . . . .
Form
1120 (2012)
Page 5
Form 1120 (2012)
Schedule L
Beginning of tax year
Balance Sheets per Books
(a)
Assets
1
.
.
.
2a
b
3
4
5
6
7
8
9
10a
b
11a
b
12
13a
b
14
15
Cash
Trade notes and accounts receivable .
Less allowance for bad debts . . .
Inventories . . . . . . . . .
U.S. government obligations
. . .
Tax-exempt securities (see instructions)
Other current assets (attach statement)
Loans to shareholders . . . . .
Mortgage and real estate loans . . .
Other investments (attach statement) .
Buildings and other depreciable assets
Less accumulated depreciation . . .
Depletable assets . . . . . . .
Less accumulated depletion . . . .
Land (net of any amortization) . . .
Intangible assets (amortizable only)
.
Less accumulated amortization . . .
Other assets (attach statement) . . .
Total assets
. . . . . . . .
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16
17
18
19
20
21
22
Accounts payable . . . . . . . . .
Mortgages, notes, bonds payable in less than 1 year
Other current liabilities (attach statement) . .
Loans from shareholders . . . . . . .
Mortgages, notes, bonds payable in 1 year or more
Other liabilities (attach statement) . . . .
Capital stock: a Preferred stock . . . .
b Common stock . . . .
Additional paid-in capital . . . . . . .
Retained earnings—Appropriated (attach statement)
Retained earnings—Unappropriated . . .
Adjustments to shareholders’ equity (attach statement)
Less cost of treasury stock . . . . . .
Total liabilities and shareholders’ equity . .
End of tax year
(b)
(c)
(d)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
Liabilities and Shareholders’ Equity
23
24
25
26
27
28
Schedule M-1
(
)
(
)
Reconciliation of Income (Loss) per Books With Income per Return
Note: Schedule M-3 required instead of Schedule M-1 if total assets are $10 million or more—see instructions
1
Net income (loss) per books .
.
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.
2
Federal income tax per books
.
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.
3
Excess of capital losses over capital gains
4
Income subject to tax not recorded on books
this year (itemize):
5
Expenses recorded on books this year not
deducted on this return (itemize):
a
b
c
6
4
Income recorded on books this year
not included on this return (itemize):
Tax-exempt interest $
8
Deductions on this return not charged
against book income this year (itemize):
a Depreciation . . $
b Charitable contributions $
9
10
Add lines 7 and 8 . . . . . .
Income (page 1, line 28)—line 6 less line 9
.
Depreciation . . . . $
Charitable contributions . $
Travel and entertainment . $
Add lines 1 through 5 .
Schedule M-2
1
2
3
7
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.
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.
.
.
.
Analysis of Unappropriated Retained Earnings per Books (Line 25, Schedule L)
Balance at beginning of year
Net income (loss) per books .
Other increases (itemize):
Add lines 1, 2, and 3 .
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5
6
7
8
Distributions: a Cash
.
b Stock .
c Property
Other decreases (itemize):
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.
Add lines 5 and 6 . . . . . .
Balance at end of year (line 4 less line 7)
Form 1120 (2012)
Form
1120S
Department of the Treasury
Internal Revenue Service
U.S. Income Tax Return for an S Corporation
OMB No. 1545-0130
2012
a
Do not file this form unless the corporation has filed or is
attaching Form 2553 to elect to be an S corporation.
a Information about Form 1120S and its separate instructions is at www.irs.gov/form1120s.
For calendar year 2012 or tax year beginning
A S election effective date
, 2012, ending
, 20
Name
D Employer identification number
Number, street, and room or suite no. If a P.O. box, see instructions.
E Date incorporated
City or town, state, and ZIP code
F Total assets (see instructions)
TYPE
B Business activity code
number (see instructions)
OR
PRINT
C Check if Sch. M-3 attached
$
Yes
No
If “Yes,” attach Form 2553 if not already filed
G Is the corporation electing to be an S corporation beginning with this tax year?
(4)
(3)
(5)
Name change
Address change
S election termination or revocation
Final return (2)
Amended return
H Check if: (1)
a
I Enter the number of shareholders who were shareholders during any part of the tax year . . . . . . . . .
Caution. Include only trade or business income and expenses on lines 1a through 21. See the instructions for more information.
1a
Gross receipts or sales .
. . . . . . . . . . . . . .
1a
. . . . . . . . . . . . . .
1b
Balance. Subtract line 1b from line 1a . . . . . . . . . . . . . . . . . . .
Cost of goods sold (attach Form 1125-A) . . . . . . . . . . . . . . . . . .
Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . .
Net gain (loss) from Form 4797, line 17 (attach Form 4797) . . . . . . . . . . . .
Other income (loss) (see instructions—attach statement) . . . . . . . . . . . . .
Total income (loss). Add lines 3 through 5 . . . . . . . . . . . . . . . . a
Compensation of officers . . . . . . . . . . . . . . . . . . . . . . .
Salaries and wages (less employment credits) . . . . . . . . . . . . . . . .
Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . .
Bad debts
. . . . . . . . . . . . . . . . . . . . . . . . . . .
Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . .
Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation not claimed on Form 1125-A or elsewhere on return (attach Form 4562) . . . .
Depletion (Do not deduct oil and gas depletion.) . . . . . . . . . . . . . . .
Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pension, profit-sharing, etc., plans . . . . . . . . . . . . . . . . . . . .
Employee benefit programs . . . . . . . . . . . . . . . . . . . . . .
Other deductions (attach statement) . . . . . . . . . . . . . . . . . . .
Total deductions. Add lines 7 through 19
. . . . . . . . . . . . . . . . a
Ordinary business income (loss). Subtract line 20 from line 6 . . . . . . . . . . .
Excess net passive income or LIFO recapture tax (see instructions) . . 22a
Tax from Schedule D (Form 1120S) . . . . . . . . . . . 22b
Add lines 22a and 22b (see instructions for additional taxes) . . . . . . . . . . . .
2012 estimated tax payments and 2011 overpayment credited to 2012 23a
Tax deposited with Form 7004 . . . . . . . . . . . . 23b
Credit for federal tax paid on fuels (attach Form 4136) . . . . . 23c
Add lines 23a through 23c
. . . . . . . . . . . . . . . . . . . . . .
Estimated tax penalty (see instructions). Check if Form 2220 is attached . . . . . . a
Amount owed. If line 23d is smaller than the total of lines 22c and 24, enter amount owed . .
Overpayment. If line 23d is larger than the total of lines 22c and 24, enter amount overpaid . .
Enter amount from line 26 Credited to 2013 estimated tax a
Refunded a
Tax and Payments
Deductions (see instructions for limitations)
Income
b Returns and allowances
c
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22 a
b
c
23 a
b
c
d
24
25
26
27
22c
23d
24
25
26
27
Paid
Preparer
Use Only
Date
Signature of officer
Print/Type preparer’s name
Preparer's signature
F
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,
correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instructions)?
F
Sign
Here
1c
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Yes
Title
Date
No
PTIN
Check
if
self-employed
Firm’s name
a
Firm's EIN
Firm's address
a
Phone no.
For Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 11510H
a
Form 1120S (2012)
Form 1120S (2012)
Schedule B
1
2
3
4
Page
2
Other Information (see instructions)
Check accounting method:
a
c
See the instructions and enter the:
a Business activity a
Yes No
Cash
b
Accrual
Other (specify) a
b Product or service a
At any time during the tax year, was any shareholder of the corporation a disregarded entity, a trust, an estate, or a
nominee or similar person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
At the end of the tax year, did the corporation:
a Own directly 20% or more, or own, directly or indirectly, 50% or more of the total stock issued and outstanding of any
foreign or domestic corporation? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v)
below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Name of Corporation
(ii) Employer Identification Number
(if any)
(iii) Country of
Incorporation
(iv) Percentage of Stock
Owned
(v) If Percentage in (iv) is 100%, Enter the
Date (if any) a Qualified Subchapter S
Subsidiary Election Was Made
b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in the profit, loss, or
capital in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a
trust? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v) below . . . . . . .
(i) Name of Entity
(ii) Employer Identification Number
(if any)
(iv) Country of
Organization
(iii) Type of Entity
(v) Maximum Percentage Owned in Profit,
Loss, or Capital
5 a At the end of the tax year, did the corporation have any outstanding shares of restricted stock? . . . . . . .
If “Yes,” complete lines (i) and (ii) below.
(i)
Total shares of restricted stock . . . . . . . . . a
(ii) Total shares of non-restricted stock . . . . . . . . a
b At the end of the tax year, did the corporation have any outstanding stock options, warrants, or similar instruments?
If “Yes,” complete lines (i) and (ii) below.
(i)
a
Total shares of stock outstanding at the end of the tax year
(ii) Total shares of stock outstanding if all instruments were executed
6
7
.
.
a
Has this corporation filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide
information on any reportable transaction?
. . . . . . . . . . . . . . . . . . . . . . . .
Check this box if the corporation issued publicly offered debt instruments with original issue discount . . . . a
If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount
Instruments.
If the corporation: (a) was a C corporation before it elected to be an S corporation or the corporation acquired an
asset with a basis determined by reference to the basis of the asset (or the basis of any other property) in
the hands of a C corporation and (b) has net unrealized built-in gain in excess of the net recognized built-in gain
from prior years, enter the net unrealized built-in gain reduced by net recognized built-in gain from prior years (see
instructions) . . . . . . . . . . . . . . . a $
$
9
Enter the accumulated earnings and profits of the corporation at the end of the tax year.
10
Does the corporation satisfy both of the following conditions?
a The corporation’s total receipts (see instructions) for the tax year were less than $250,000 . . . . . . . . . .
b The corporation’s total assets at the end of the tax year were less than $250,000
. . . . . . . . . . . .
If “Yes,” the corporation is not required to complete Schedules L and M-1.
8
11
During the tax year, did the corporation have any non-shareholder debt that was canceled, was forgiven, or had
terms modified so as to reduce the principal amount of the debt? . . . . . . . . . . . . . . . .
If “Yes,” enter the amount of principal reduction $
12
During the tax year, was a qualified subchapter S subsidiary election terminated or revoked? If “Yes,” see instructions
13 a Did the corporation make any payments in 2012 that would require it to file Form(s) 1099? . . . . . . . . .
b If “Yes,” did the corporation file or will it file required Forms 1099? . . . . . . . . . . . . . . . .
the
.
.
.
.
Form 1120S (2012)
Form 1120S (2012)
Credits
Deductions
Income (Loss)
Schedule K
Ordinary business income (loss) (page 1, line 21) . . . . . . . .
Net rental real estate income (loss) (attach Form 8825) . . . . . .
Other gross rental income (loss) . . . . . . . . . .
3a
Expenses from other rental activities (attach statement)
. .
3b
Other net rental income (loss). Subtract line 3b from line 3a . . . .
Interest income . . . . . . . . . . . . . . . . . .
Dividends: a Ordinary dividends . . . . . . . . . . . . .
b Qualified dividends . . . . . . . . . .
5b
6
Royalties . . . . . . . . . . . . . . . . . . . .
7
Net short-term capital gain (loss) (attach Schedule D (Form 1120S)) . .
8 a Net long-term capital gain (loss) (attach Schedule D (Form 1120S)) . .
b Collectibles (28%) gain (loss) . . . . . . . . . . .
8b
c Unrecaptured section 1250 gain (attach statement) . . . .
8c
9
Net section 1231 gain (loss) (attach Form 4797) . . . . . . . .
10
Other income (loss) (see instructions) . . Type a
11
Section 179 deduction (attach Form 4562) . . . . . . . . . .
12a Charitable contributions . . . . . . . . . . . . . . .
b Investment interest expense . . . . . . . . . . . . . .
c Section 59(e)(2) expenditures (1) Type a
d Other deductions (see instructions) . . .
Type a
13a Low-income housing credit (section 42(j)(5)) . . . . . . . . .
b Low-income housing credit (other) . . . . . . . . . . . .
c Qualified rehabilitation expenditures (rental real estate) (attach Form 3468)
d Other rental real estate credits (see instructions) Type a
e Other rental credits (see instructions) . . . Type a
Foreign Transactions
Alternative
Minimum Tax
(AMT) Items
.
.
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1
2
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3c
4
5a
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6
7
8a
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.
9
10
11
12a
12b
.
.
.
. . . . .
. . . . .
. . . . .
(2) Amount a
12c(2)
12d
13a
13b
13c
13d
13e
13f
13g
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.
Gross income from all sources . . . . . . . . . . . . . . . .
Gross income sourced at shareholder level . . . . . . . . . . . .
Foreign gross income sourced at corporate level
d Passive category
. . . . . . . . . . . . . . . . . . . .
e General category
. . . . . . . . . . . . . . . . . . . .
f Other (attach statement) . . . . . . . . . . . . . . . . . .
Deductions allocated and apportioned at shareholder level
g Interest expense . . . . . . . . . . . . . . . . . . . . .
h Other . . . . . . . . . . . . . . . . . . . . . . . .
Deductions allocated and apportioned at corporate level to foreign source income
i Passive category
. . . . . . . . . . . . . . . . . . . .
j General category
. . . . . . . . . . . . . . . . . . . .
k Other (attach statement) . . . . . . . . . . . . . . . . . .
Other information
l Total foreign taxes (check one): a
Paid
Accrued . . . . . . .
m Reduction in taxes available for credit (attach statement) . . . . . . . .
n Other foreign tax information (attach statement)
15a Post-1986 depreciation adjustment . . . . . . . . . . . . . . .
b Adjusted gain or loss . . . . . . . . . . . . . . . . . . .
c Depletion (other than oil and gas)
. . . . . . . . . . . . . . .
d Oil, gas, and geothermal properties—gross income . . . . . . . . . .
e Oil, gas, and geothermal properties—deductions . . . . . . . . . . .
f Other AMT items (attach statement) . . . . . . . . . . . . . . .
16a Tax-exempt interest income . . . . . . . . . . . . . . . . .
b Other tax-exempt income . . . . . . . . . . . . . . . . . .
c Nondeductible expenses . . . . . . . . . . . . . . . . . .
d Distributions (attach statement if required) (see instructions) . . . . . . .
e Repayment of loans from shareholders . . . . . . . . . . . . . .
.
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14b
14c
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14d
14e
14f
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14g
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14i
14j
14k
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14l
14m
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15a
15b
15c
15d
15e
15f
16a
16b
16c
16d
16e
Alcohol and cellulosic biofuel fuels credit (attach Form 6478) .
Other credits (see instructions) . . . . . Type a
Name of country or U.S. possession a
3
Total amount
1
2
3a
b
c
4
5
f
g
14a
b
c
Items Affecting
Shareholder
Basis
Page
Shareholders’ Pro Rata Share Items
.
.
.
14h
Form 1120S (2012)
Form 1120S (2012)
ReconOther
ciliation Information
Schedule K
Page
17a
b
c
d
Investment income . . . . . . . . . . . . . . .
Investment expenses . . . . . . . . . . . . . .
Dividend distributions paid from accumulated earnings and profits
Other items and amounts (attach statement)
18
Income/loss reconciliation. Combine the amounts on lines 1 through 10 in the far right
column. From the result, subtract the sum of the amounts on lines 11 through 12d and 14l
Schedule L
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17a
17b
17c
Beginning of tax year
Balance Sheets per Books
Assets
(a)
1
2a
b
3
4
5
6
7
8
9
10a
b
11a
b
12
13a
b
14
15
Cash . . . . . . . . . . . .
Trade notes and accounts receivable . .
Less allowance for bad debts . . . . .
Inventories
. . . . . . . . . .
U.S. government obligations . . . . .
Tax-exempt securities (see instructions) .
Other current assets (attach statement) . .
Loans to shareholders . . . . . . .
Mortgage and real estate loans . . . .
Other investments (attach statement) . .
Buildings and other depreciable assets . .
Less accumulated depreciation . . . .
Depletable assets . . . . . . . .
Less accumulated depletion . . . . .
Land (net of any amortization) . . . . .
Intangible assets (amortizable only) . . .
Less accumulated amortization . . . .
Other assets (attach statement) . . . .
Total assets . . . . . . . . . .
Liabilities and Shareholders’ Equity
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16
17
18
19
20
21
22
23
24
25
26
27
Accounts payable . . . . . . . . .
Mortgages, notes, bonds payable in less than 1 year
Other current liabilities (attach statement) . .
Loans from shareholders . . . . . . .
Mortgages, notes, bonds payable in 1 year or more
Other liabilities (attach statement) . . . .
Capital stock . . . . . . . . . . .
Additional paid-in capital . . . . . . .
Retained earnings . . . . . . . . .
Adjustments to shareholders’ equity (attach statement)
Less cost of treasury stock . . . . . .
Total liabilities and shareholders’ equity
. .
4
Total amount
Shareholders’ Pro Rata Share Items (continued)
18
End of tax year
(b)
(c)
(d)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
(
)
Form 1120S (2012)
Form 1120S (2012)
Schedule M-1
Page
5
Reconciliation of Income (Loss) per Books With Income (Loss) per Return
Note. Schedule M-3 required instead of Schedule M-1 if total assets are $10 million or more—see instructions
1
Net income (loss) per books
2
Income included on Schedule K, lines 1, 2, 3c, 4,
5a, 6, 7, 8a, 9, and 10, not recorded on books this
year (itemize)
3
Expenses recorded on books this year not
included on Schedule K, lines 1 through 12 and
14l (itemize):
Depreciation $
Travel and entertainment $
a
b
4
Add lines 1 through 3
Schedule M-2
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.
5 Income recorded on books this year not included
on Schedule K, lines 1 through 10 (itemize):
a Tax-exempt interest $
6 Deductions included on Schedule K,
lines 1 through 12 and 14l, not charged
against book income this year (itemize):
a Depreciation $
7 Add lines 5 and 6
. . . . .
8 Income (loss) (Schedule K, line 18). Line 4 less line 7
Analysis of Accumulated Adjustments Account, Other Adjustments Account, and Shareholders’
Undistributed Taxable Income Previously Taxed (see instructions)
(a) Accumulated
adjustments account
1
2
3
4
5
6
7
8
Balance at beginning of tax year . . . . .
Ordinary income from page 1, line 21 . . .
Other additions . . . . . . . . . .
(
Loss from page 1, line 21 . . . . . . .
(
Other reductions . . . . . . . . . .
Combine lines 1 through 5 . . . . . . .
Distributions other than dividend distributions
Balance at end of tax year. Subtract line 7 from line 6
(b) Other adjustments
account
)
)(
(c) Shareholders’ undistributed
taxable income previously taxed
)
Form 1120S (2012)
651112
Final K-1
2012
Schedule K-1
(Form 1065)
Department of the Treasury
Internal Revenue Service
Part III Partner’s Share of Current Year Income,
Deductions, Credits, and Other Items
For calendar year 2012, or tax
year beginning
ending
B
C
D
F
Information About the Partnership
IRS Center where partnership filed return
Check if this is a publicly traded partnership (PTP)
Information About the Partner
H
Domestic partner
Foreign partner
I1
What type of entity is this partner? (see instructions)
I2
If this partner is a retirement plan (IRA/SEP/Keogh/etc.), check here
(see instructions) . . . . . . . . . . . . .
.
Partner’s share of profit, loss, and capital (see instructions):
Beginning
Ending
Profit
%
%
Loss
%
%
Capital
%
%
4
Guaranteed payments
5
Interest income
6a
Ordinary dividends
6b
Qualified dividends
16
Foreign transactions
7
Royalties
8
Net short-term capital gain (loss)
9a
Net long-term capital gain (loss)
17
Alternative minimum tax (AMT) items
9b
Collectibles (28%) gain (loss)
9c
Unrecaptured section 1250 gain
10
Net section 1231 gain (loss)
18
Tax-exempt income and
nondeductible expenses
11
Other income (loss)
12
19
Distributions
Section 179 deduction
13
Other deductions
20
Other information
Partner’s share of liabilities at year end:
Nonrecourse
.
.
.
.
.
.
.
$
Recourse
.
$
.
$
.
.
.
.
.
.
14
$
Qualified nonrecourse financing
.
Capital contributed during the year
$
Current year increase (decrease)
.
$
Withdrawals & distributions
.
.
$ (
.
.
$
Ending capital account .
Tax basis
.
GAAP
Self-employment earnings (loss)
*See attached statement for additional information.
Partner’s capital account analysis:
Beginning capital account .
)
Section 704(b) book
Other (explain)
M
Other net rental income (loss)
Partner’s name, address, city, state, and ZIP code
Limited partner or other LLC
member
L
3
Partner’s identifying number
General partner or LLC
member-manager
K
Net rental real estate income (loss)
Credits
Partnership’s name, address, city, state, and ZIP code
G
J
2
15
Partnership’s employer identification number
Part II
E
Ordinary business income (loss)
For IRS Use Only
A
1
, 2012
, 20
Partner’s Share of Income, Deductions,
a See back of form and separate instructions.
Credits, etc.
Part I
OMB No. 1545-0099
Amended K-1
Did the partner contribute property with a built-in gain or loss?
Yes
No
If “Yes,” attach statement (see instructions)
For Paperwork Reduction Act Notice, see Instructions for Form 1065.
IRS.gov/form1065
Cat. No. 11394R
Schedule K-1 (Form 1065) 2012
Schedule K-1 (Form 1065) 2012
Page
This list 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 Partner’s Instructions for Schedule K-1 and the instructions for your income tax return.
1. Ordinary business income (loss). Determine whether the income (loss) is
passive or nonpassive and enter on your return as follows.
Report on
See the Partner’s Instructions
Passive loss
Passive income
Schedule E, line 28, column (g)
Nonpassive loss
Schedule E, line 28, column (h)
Nonpassive income
Schedule E, line 28, column (j)
2. Net rental real estate income (loss) See the Partner’s Instructions
3. Other net rental income (loss)
Net income
Schedule E, line 28, column (g)
Net loss
See the Partner’s Instructions
4. Guaranteed payments
Schedule E, line 28, column (j)
5. Interest income
Form 1040, line 8a
6a. Ordinary dividends
Form 1040, line 9a
6b. Qualified dividends
Form 1040, line 9b
Schedule E, line 4
7. Royalties
8. Net short-term capital gain (loss)
Schedule D, line 5
Schedule D, line 12
9a. Net long-term capital gain (loss)
9b. Collectibles (28%) gain (loss)
28% Rate Gain Worksheet, line 4
(Schedule D instructions)
9c. Unrecaptured section 1250 gain
See the Partner’s Instructions
10. Net section 1231 gain (loss)
See the Partner’s Instructions
11. Other income (loss)
Code
A Other portfolio income (loss)
See the Partner’s Instructions
B Involuntary conversions
See the Partner’s Instructions
C Sec. 1256 contracts & straddles
Form 6781, line 1
D Mining exploration costs recapture See Pub. 535
E Cancellation of debt
Form 1040, line 21 or Form 982
F Other income (loss)
See the Partner’s Instructions
12. Section 179 deduction
See the Partner’s Instructions
13. Other deductions
A Cash contributions (50%)
B Cash contributions (30%)
C Noncash contributions (50%)
D Noncash contributions (30%)
See the Partner’s
E Capital gain property to a 50%
Instructions
organization (30%)
F Capital gain property (20%)
G Contributions (100%)
H Investment interest expense
Form 4952, line 1
I Deductions—royalty income
Schedule E, line 19
J Section 59(e)(2) expenditures
See the Partner’s Instructions
K Deductions—portfolio (2% floor)
Schedule A, line 23
L Deductions—portfolio (other)
Schedule A, line 28
M Amounts paid for medical insurance Schedule A, line 1 or Form 1040, line 29
N Educational assistance benefits
See the Partner’s Instructions
O Dependent care benefits
Form 2441, line 12
P Preproductive period expenses
See the Partner’s Instructions
Q Commercial revitalization deduction See Form 8582 instructions
from rental real estate activities
R Pensions and IRAs
See the Partner’s Instructions
S Reforestation expense deduction
See the Partner’s Instructions
T Domestic production activities
See Form 8903 instructions
information
U Qualified production activities income Form 8903, line 7b
V Employer’s Form W-2 wages
Form 8903, line 17
W Other deductions
See the Partner’s Instructions
14. Self-employment earnings (loss)
Note. If you have a section 179 deduction or any partner-level deductions, see the
Partner’s Instructions before completing Schedule SE.
A Net earnings (loss) from
Schedule SE, Section A or B
self-employment
B Gross farming or fishing income
See the Partner’s Instructions
C Gross non-farm income
See the Partner’s Instructions
15. Credits
A Low-income housing credit
(section 42(j)(5)) from pre-2008
buildings
B Low-income housing credit
(other) from pre-2008 buildings
C Low-income housing credit
(section 42(j)(5)) from
See the Partner’s Instructions
post-2007 buildings
D Low-income housing credit
(other) from post-2007
buildings
E Qualified rehabilitation
expenditures (rental real estate)
F Other rental real estate credits
G Other rental credits
H Undistributed capital gains credit
Form 1040, line 71; check box a
I Alcohol and cellulosic biofuel fuels See the Partner's Instructions
credit
}
}
16.
}
Report on
Code
J Work opportunity credit
K Disabled access credit
L Empowerment zone and
renewal community
employment credit
M Credit for increasing research
See the Partner’s Instructions
activities
N Credit for employer social
security and Medicare taxes
O Backup withholding
P Other credits
Foreign transactions
A Name of country or U.S.
possession
B Gross income from all sources
Form 1116, Part I
C Gross income sourced at
partner level
Foreign gross income sourced at partnership level
D Passive category
E General category
Form 1116, Part I
F Other
Deductions allocated and apportioned at partner level
Form 1116, Part I
G Interest expense
H Other
Form 1116, Part I
Deductions allocated and apportioned at partnership level to foreign source
income
I Passive category
J General category
Form 1116, Part I
K Other
Other information
L Total foreign taxes paid
Form 1116, Part II
M Total foreign taxes accrued
Form 1116, Part II
N Reduction in taxes available for credit Form 1116, line 12
Form 8873
O Foreign trading gross receipts
P Extraterritorial income exclusion
Form 8873
Q Other foreign transactions
See the Partner’s Instructions
Alternative minimum tax (AMT) items
A Post-1986 depreciation adjustment
See the Partner’s
B Adjusted gain or loss
C Depletion (other than oil & gas)
Instructions and
D Oil, gas, & geothermal—gross income
the Instructions for
E Oil, gas, & geothermal—deductions
Form 6251
F Other AMT items
Tax-exempt income and nondeductible expenses
A Tax-exempt interest income
Form 1040, line 8b
B Other tax-exempt income
See the Partner’s Instructions
C Nondeductible expenses
See the Partner’s Instructions
Distributions
A Cash and marketable securities
B Distribution subject to section 737
See the Partner’s Instructions
C Other property
Other information
A Investment income
Form 4952, line 4a
B Investment expenses
Form 4952, line 5
Form 4136
C Fuel tax credit information
D Qualified rehabilitation expenditures See the Partner’s Instructions
(other than rental real estate)
E Basis of energy property
See the Partner’s Instructions
F Recapture of low-income housing Form 8611, line 8
credit (section 42(j)(5))
G Recapture of low-income housing Form 8611, line 8
credit (other)
H Recapture of investment credit
See Form 4255
I Recapture of other credits
See the Partner’s Instructions
J Look-back interest—completed
See Form 8697
long-term contracts
K Look-back interest—income forecast See Form 8866
}
}
}
17.
18.
19.
20.
}
}
method
L
Dispositions of property with
section 179 deductions
M Recapture of section 179 deduction
N Interest expense for corporate
partners
O Section 453(l)(3) information
P Section 453A(c) information
Q Section 1260(b) information
R Interest allocable to production
expenditures
S CCF nonqualified withdrawals
T Depletion information—oil and gas
U Amortization of reforestation costs
V Unrelated business taxable income
W Precontribution gain (loss)
X Section 108(i) information
Y Other information
}
See the Partner’s
Instructions
2