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ate Amount N Date Amount Partner's share of Now York modifications (see Instructions) 20 New York Stale additiors Number A - Total amount B- New York State allocated amount 20e EA- 16 133. 133. 209 EA- 20c EA- 20d EA- 20. EA- 20/ EA- 21 Total ackttion modflcations Cotaf of column A Lees 20e through 2
ses * Information About the Partner Net Inag-term carkl gain (lose) E Partners kis number F Parteer's name. address. city. state. and ZIP code BLUE CHIP CAPITAL LLC 2. 3 290. O General partner or I.LC member-manager 20 Other Information Limited partner or other Lig mentor °mastic partner El Foreign part
CONFIDENTIAL SDNY_GM_00033017 EFTA_00143630 EFTA01280186 IT-204-IP 12012) Page 3 of 4 Partner's share of New York modificationsicentinuech 22 New York State subtractions Number A - Total amount 22a ES- 226 ES- 22c ES- 22d ES- 22e ES- 221 ES- B - New York State allocated amount 23 Total subtraction mod
-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
ded above that are required to be reported separatelytopartners 19 19 !dents*: Partner's share of New York modifications (see Instructions) 20 New York State additions Number A - Total amount 20e EA- 20b EA- 20c FA- 20d EA- 20e EA- 201 EA- B - New York State allocated amount 21 Total adcttion modificat
meMs“mdCmdfts North Carolina Department of Revenue For calendar year or fleCal year beginning Partners I Partner's Warne, Address, and ZIP Code BLUE CHIP CAPITAL LLC 27 HIGH TECH BLVD THOMASVILLE NC 27360 THERE 11 13 12 and ending 12 31 12 Federal r Partnerehip's Name, Address. and ZIP Code MIDWAY CADENC
kid above that are required to be reported separately to Pannors 19 19 Identify Partner's share of New York modifications (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 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
CONFIDENTIAL SDNY_GM_00033024 EFTA_00143637 EFTA01280193 IT-2044P (2012) Page 3 of 4 Partner's share of New York modifications (continued) 22 New York State subtractions Number A - Total amount 22a ES- 22b ES- 22c ES- 22d ES- 22e ES- 221 ES- - New York State allocated amount 23 Total subtraction mocif
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
above that are required to be reported separately to partners identify: 19 19 Partner's share of New York modifications (see instructions) 20 New York State addilixis Number A - Total amount B - New York State allocated amount 20a EA- 16 425. 425. 20b EA- 20c EA- 20d EA- 20e EA- 20f EA- 21 Total P
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
NFIDENTIAL SDNY_GM_00033306 EFTA_001439 I 9 EFTA01280345 17-204-IP (2012) Page 3 of 4 Partner's share of New York modifications (continued) 22 New York State subtractions Numbs* A-701.1 amount 22a 22b 22c 22d 22e 221 ES ES- ES ES- - ES - ES - B — Naw York Stars a [located amount 23 otal subt
's LrJoitc.:y truirc, palnerstip (P- P• ik—Abornesktma E Partners inernfylna number 20-3161309 F Penners num address. city. Matt and 2IP code BLUE CHIP CAPITAL LLC 27 HIGH TECH BLVD. THOMASVILLE, NC 27380 O n General oarlfief r lC E Limited partneror otter LLC tnertbrr-rnanast neater H RI Domed: Penny
Entities connected to both New York State and BLUE CHIP CAPITAL LLC

New York City
LOCATION
Ghislaine Maxwell
PERSON
George W. Bush
PERSONMaria Farmer
PERSON
William Barr
PERSONYonkers
LOCATION
India
LOCATION
North Carolina
LOCATION
South Florida
LOCATIONEZ community development
ORGANIZATION
Internal Revenue Service
ORGANIZATION
Joi Ito
PERSONNew York Partner
LOCATIONC IRS Center
ORGANIZATIONYork State
LOCATION
Al Gore
PERSON
Xi Jinping
PERSON
Cincinnati
LOCATIONC - New York State
ORGANIZATIONExcelsior Investment
ORGANIZATION