Epstein Secrets

ifications (see instructions) 20 New York State adcktona Number A Total amount 20a EA- 16 484. 20b EA- 20c EA- 20d EA- 20s EA- 201 EA- B - Now York State allocated amount 21 Total add)licn modtiet Ions flow of cobmn A. tines 2Ce through 200 118002121019 21 484. 2Sties2 11-is-t2 CONFIDENTIAL SDN

AL SDNY_GM_00032430 EFTA_00143043 EFTA01280139 IT-204•IP C2012) • Pegs 3 of 4 Partner's share of New York modifications lac -,,ec) 22 !..:aw York State subtractions Number A • Total amount 22o ES - 22b ES- 22c ES- 22d ES- 22o ES- 221 ES- B - New York State allocated amount 23 Total subtraction m

rs Identifying number 20-3161309 09 Colectibkm 428%) pin (loss) VP Distributions , 9,392. F Partner's name. address, city, stile, and ZIP code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 k Unrecaptured sec 1250 pain I 20 Other Information 10 Net section 1231 gain (loss) -54. it I:ent

ner (add tines 01 through CA) 0 Partner's share of income, deductions, etc. A - Partners clistnbutive share items B - Federal K-1 amount C - Now York State amount 1 Ordinary business income (loss) 1 - 100,000. 1 - 100,000. 2 Net rental real estate income (loss) 2 2 3 Other net rental income flos

-term capital gain (loss) I 90 Collectibles (28%) gain (loss) I 19 Distributions number F Partners I Lim e. address. city. state, and ZIP code BLUE CHIP CAPITAL LLC 329 SEABREEZE AVENUE PALM BEACH, FL 33480 9e Unrecaplured sec 1250 gain [ 20 Other information 10 Net section 1231 gain (lesS) 11 Other income

at ors required to be reported separately to partners laterally: 19 19 Partner's share of New York modifications (saeinstructions) 20 716‘..,, York State additions Number A - Total amount 20a EA- 20b EA- 20c EA- 20d EA- 20e EA- 201 EA- El - New York State allocated amount 21 Total addition modifica

g 11 13 12 amending 12 31 12 Partnersidenti In Number Federal Partner's Name, Address, and ZIP Code Partnership's Name, Address, and ZIP Code BLUE CHIP CAPITAL LLC MIDWAY CADENCE LLC THERE ARE NO ADJUSTMENTS OR CREDITS FOR THIS PARTNER Partnership's Pro Rata Share Items All Partners 1. Share of partnerahlp

artner (add Ones 01 through 04) 0 Partner's share of Income, deductions, etc. A - Partnels distnbctive share items B • Federal MI amount C - Now York State amount 1 Ordinary business Income (loss) 1 2 Net rental real estate Income (lose) 2 -14,807. 2 3 Other net rental income (loss) 3 3 4 Gu

ubbly traded prthershIP (PIP) ISIff Information About the Partner E Partners laentrylnp number F Partners name. address. cly, stab, and ZIP code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 13 lip Omenl partner of LLC member-manager H Domestic partner C Foreign partner T1 What 1700 cf