K-1

OMB No. 1545-0123

Schedule K-1 (Form 1065) 2015 Department of the Treasury Internal Revenue Service

For calendar year 2015, or tax

year beginning , 2015

ending , 20

Partner’s Share of Income, Deductions, Credits, etc. ▶ See back of form and separate instructions.

651113 Final K-1 Amended K-1

Information About the Partnership Part I A Partnership’s employer identification number

B Partnership’s name, address, city, state, and ZIP code

C IRS Center where partnership filed return

D Check if this is a publicly traded partnership (PTP)

Information About the Partner Part II E Partner’s identifying number

F Partner’s name, address, city, state, and ZIP code

G General partner or LLC member-manager

Limited partner or other LLC member

H Domestic partner Foreign partner

I1 What type of entity is this partner?

I2 If this partner is a retirement plan (IRA/SEP/Keogh/etc.), check here . . . . . . . . . . . . . . . . . . .

J Partner’s share of profit, loss, and capital (see instructions): Beginning Ending

Profit % %

Loss % %

Capital % %

K Partner’s share of liabilities at year end:

Nonrecourse . . . . . . $

Qualified nonrecourse financing . $

Recourse . . . . . . . $

L Partner’s capital account analysis:

Beginning capital account . . . $

Capital contributed during the year $

Current year increase (decrease) . $

Withdrawals & distributions . . $ ( )

Ending capital account . . . . $

Tax basis GAAP Section 704(b) book

Other (explain)

M Did the partner contribute property with a built-in gain or loss?

Yes No If “Yes,” attach statement (see instructions)

Partner’s Share of Current Year Income, Deductions, Credits, and Other Items

Part III

1 Ordinary business income (loss)

2 Net rental real estate income (loss)

3 Other net rental income (loss)

4 Guaranteed payments

5 Interest income

6a Ordinary dividends

6b Qualified dividends

7 Royalties

8 Net short-term capital gain (loss)

9a Net long-term capital gain (loss)

9b Collectibles (28%) gain (loss)

9c Unrecaptured section 1250 gain

10 Net section 1231 gain (loss)

11 Other income (loss)

12 Section 179 deduction

13 Other deductions

14 Self-employment earnings (loss)

15 Credits

16 Foreign transactions

17 Alternative minimum tax (AMT) items

18 Tax-exempt income and nondeductible expenses

19 Distributions

20 Other information

*See attached statement for additional information.

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For Paperwork Reduction Act Notice, see Instructions for Form 1065. IRS.gov/form1065 Cat. No. 11394R Schedule K-1 (Form 1065) 2015

Schedule K-1 (Form 1065) 2015 Page 2 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.

Passive loss Report on See the Partner’s Instructions

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 7. Royalties Schedule E, line 4 8. Net short-term capital gain (loss) Schedule D, line 5 9a. Net long-term capital gain (loss) Schedule D, line 12 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%) E Capital gain property to a 50%

organization (30%) F Capital gain property (20%) G Contributions (100%)

} See the Partner’s Instructions 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

from rental real estate activities See Form 8582 instructions

R Pensions and IRAs See the Partner’s Instructions S Reforestation expense deduction See the Partner’s Instructions T Domestic production activities

information See Form 8903 instructions

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 self-employment

Schedule SE, Section A or B

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 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

} See the Partner’s Instructions H Undistributed capital gains credit Form 1040, line 73; check box a I Biofuel producer credit J Work opportunity credit K Disabled access credit

See the Partner's Instructions}

Code Report on L Empowerment zone

employment credit M Credit for increasing research

activities N Credit for employer social

security and Medicare taxes O Backup withholding P Other credits

} See the Partner’s Instructions 16. Foreign transactions

A Name of country or U.S. possession

B Gross income from all sources C Gross income sourced at

partner level } Form 1116, Part I

Foreign gross income sourced at partnership level D Passive category E General category F Other } Form 1116, Part I Deductions allocated and apportioned at partner level G Interest expense Form 1116, Part I H Other Form 1116, Part I Deductions allocated and apportioned at partnership level to foreign source income I Passive category J General category K Other } Form 1116, Part I 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 O Foreign trading gross receipts Form 8873 P Extraterritorial income exclusion Form 8873 Q Other foreign transactions See the Partner’s Instructions

17. Alternative minimum tax (AMT) items A Post-1986 depreciation adjustment B Adjusted gain or loss C Depletion (other than oil & gas) D Oil, gas, & geothermal—gross income E Oil, gas, & geothermal—deductions F Other AMT items

} See the Partner’s Instructions and the Instructions for Form 6251 18. 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

19. Distributions A Cash and marketable securities B Distribution subject to section 737 C Other property

} See the Partner’s Instructions 20. Other information

A Investment income Form 4952, line 4a B Investment expenses Form 4952, line 5 C Fuel tax credit information Form 4136 D Qualified rehabilitation expenditures

(other than rental real estate) See the Partner’s Instructions

E Basis of energy property See the Partner’s Instructions F Recapture of low-income housing

credit (section 42(j)(5)) Form 8611, line 8

G Recapture of low-income housing credit (other)

Form 8611, line 8

H Recapture of investment credit See Form 4255 I Recapture of other credits See the Partner’s Instructions J Look-back interest—completed

long-term contracts See Form 8697

K Look-back interest—income forecast method

See Form 8866

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 Reserved V Unrelated business taxable income W Precontribution gain (loss) X Section 108(i) information Y Net investment income

} See the Partner’s Instructions Z Other information

Version A, Cycle 3

Fillable Fields: Font=10pt Times; Color=Black; Checkmark=Cross

INTERNAL USE ONLY

DRAFT AS OF

October 7, 2015

Version A, Cycle 3

INTERNAL USE ONLY

DRAFT AS OF

October 7, 2015

2015 Form 1065 (Schedule K-1)

SE:W:CAR:MP

Partner's Share of Income, Deductions, Credits, etc.

OMB No. 1545-0123

O M B Number 1545-0123. For Paperwork Reduction Act Notice, see Instructions for Form 1065.

Schedule K-1 (Form 1065)

2015

2015. Catalog Number 11394R.

Department of the Treasury Internal Revenue Service

For calendar year 2015, or tax

, 2015

Partner’s Share of Income, Deductions,

Credits, etc. 

▶ See back of form and separate instructions. 

651113

Information About the Partnership

Part I

A

Partnership’s employer identification number

B

Partnership’s name, address, city, state, and ZIP code

C

IRS Center where partnership filed return

D

Information About the Partner

Part II

E

Partner’s identifying number

F

Partner’s name, address, city, state, and ZIP code

G

General partner or LLC member-manager

Limited partner or other LLC member

H

I1

I2

If this partner is a retirement plan (IRA/SEP/Keogh/etc.), check here         

J

Partner’s share of profit, loss, and capital (see instructions):

 Beginning 

Ending

Profit

Loss

Capital

K

Partner’s share of liabilities at year end:

L

Partner’s capital account analysis:

Withdrawals & distributions           $

( )

M

Did the partner contribute property with a built-in gain or loss?

If “Yes,” attach statement (see instructions)

Partner’s Share of Current Year Income, Deductions, Credits, and Other Items

Part III

*See attached statement for additional information.

For IRS Use Only

For Paperwork Reduction Act Notice, see Instructions for Form 1065.

IRS.gov/form1065

Cat. No. 11394R

Schedule K-1 (Form 1065) 2015

Schedule K-1 (Form 1065) 2015

Page  2 

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. 

Passive loss

Report on

See the Partner’s Instructions

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

7.

Royalties

Schedule E, line 4

8.

Net short-term capital gain (loss)

Schedule D, line 5

9a.

Net long-term capital gain (loss)

Schedule D, line 12

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%)

E

Capital gain property to a 50%organization (30%)

F

Capital gain property (20%)

G

Contributions (100%)

}

See the Partner’s

Instructions 

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 from rental real estate activities

 

See Form 8582 instructions 

R

Pensions and IRAs

See the Partner’s Instructions

S

Reforestation expense deduction

See the Partner’s Instructions

T

Domestic production activities information

 

See Form 8903 instructions 

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

self-employment 

 

Schedule SE, Section A or B 

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 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

}

See the Partner’s Instructions

H

Undistributed capital gains credit

Form 1040, line 73; check box a

I

Biofuel producer credit

J

Work opportunity credit

K

Disabled access credit

See the Partner's Instructions

}

Code

Report on

L

Empowerment zone employment credit

M

Credit for increasing research activities

N

Credit for employer social security and Medicare taxes

O

Backup withholding

P

Other credits

}

See the Partner’s Instructions 

16.

Foreign transactions

A

Name of country or U.S. possession

B

Gross income from all sources

C

Gross income sourced at partner level

}

Form 1116, Part I

Foreign gross income sourced at partnership level

D

Passive category

E

General category

F

Other

}

Form 1116, Part I

Deductions allocated and apportioned at partner level

G

Interest expense

Form 1116, Part I

H

Other

Form 1116, Part I

Deductions allocated and apportioned at partnership level to foreign source income

I

Passive category

J

General category

K

Other

}

Form 1116, Part I

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

O

Foreign trading gross receipts

Form 8873

P

Extraterritorial income exclusion

Form 8873

Q

Other foreign transactions

See the Partner’s Instructions

17.

Alternative minimum tax (AMT) items

A

Post-1986 depreciation adjustment

B

Adjusted gain or loss

C

Depletion (other than oil & gas)

D

Oil, gas, & geothermal—gross income

E

Oil, gas, & geothermal—deductions

F

Other AMT items

}

See the Partner’s

Instructions and

the Instructions for

Form 6251 

18.

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

19.

Distributions

A

Cash and marketable securities

B

Distribution subject to section 737

C

Other property

}

See the Partner’s Instructions

20.

Other information

A

Investment income

Form 4952, line 4a

B

Investment expenses

Form 4952, line 5

C

Fuel tax credit information

Form 4136

D

Qualified rehabilitation expenditures (other than rental real estate)

 

See the Partner’s Instructions 

E

Basis of energy property

See the Partner’s Instructions

F

Recapture of low-income housing credit (section 42(j)(5))

 

Form 8611, line 8 

G

Recapture of low-income housing credit (other)

 

Form 8611, line 8 

H

Recapture of investment credit

See Form 4255

I

Recapture of other credits

See the Partner’s Instructions

J

Look-back interest—completed long-term contracts

 

See Form 8697 

K

Look-back interest—income forecast method

 

See Form 8866 

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

Reserved

V

Unrelated business taxable income

W

Precontribution gain (loss)

X

Section 108(i) information

Y

Net investment income

}

See the Partner’s

Instructions 

Z

Other information