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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
AL SDNY_GM_00031927 EFTA_00 I 42540 EFTA01280107 NC k- (39). (D-403) :0.11.12 2012 Partner's Share of N.C. Income, Adjustments, and Credits North Carolina Department of WON!, For ca anger year or fiscal year beginnng Pannert bienel.aaa Partners Name. Address. and ZIP Coda BLUE CHIP CAPITAL LLC 01 01 12 and
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
UMBER 1 CONFIDENTIAL SDNY_GM_00032035 EFTA 00142648 EFTA01280128 NO (D-403) R:4 I3D) 10-1142 2012PartwesShamof WC.Income,AdJuMmeMs“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
partment of Revenue For calendar yea 2012 or fiscal year beginning Partner's Identifying Number 203161309 Partner's Name, Address, and ZIp Code BLUE CHIP CAPITAL LLC 27 HIGH TECH BLVD. THOMASVILLE NC 27360 Partnership's Pro Rata Share Items All Partners 1 Share of oadrership income (loss) 2 Additions to inco
L SONY_Gfut 00032833 EFTA_00 I43446 EFTA01280151 NC K-1 (50) (D-403) 10.11.12 2012 Partner's Share of N.C. Income, Adjustments, and Credits North Carolina Department of Revenue For calendar yea 2012 or fiscal year beginning Partner's Identifying Number 203161309 Partner's Name, Address, and ZIp Code BLUE CHI
rni capial gain (loos} her 9b Collectibles (28%) galn (loss) I 19 Distributions A 3,660. F Partner's name, address, City, slate, and 2IP code BLUE CHIP CAPITAL LLC 329 SEABREEZE AVENUE PALM BEACH, FL 33480 9c Unrecaptured sec 1250 gain I 20 Other A information 16. 10 Net section 1231 gain (loss) B 18.
AL SDNY_GM_00033031 EFTA_0011 43644 EFTA01280200 NC K-1 (39) (D-403) 10-23-13 2013 Partner's Share of N.C. Income, Adjustments, and Credits North Carolina Department of Revenue For cilendar year or Meta/year beginriy Pa rifler's Iris mind, a Nombre Partner's Name, Address, and ZIP Code BLUE CHIP CAPITAL LLC
curity Nanber: Last Name: Fket Name: al a2 a3 (o) If Partner Is an Ober Entity (abase orbit clearly) Federal Identification Number, Name: 51 BLUE CHIP CAPITAL LLC b2 (c) Partner's Stale of P.asIdenoe or Commercial Do,Meie cl FL (d) Ind9na lax WIthhed for Nonresident Partner (on WH-I8). _ d .00 (e
FIRMATION ATTACHED 20020, V.MM CONFIDENTIAL SDNY_GM_OOO32883 EFTA_00 I 43496 EFTA01280159 NC-NPA (39) D-403 Nonresident Partner Affirmation North Carolina Department of Revenue 8.35 3 r Identifying Number Nonresident Partners Name, Address, and ZIP Code (BLUE CHIP CAPITAL LLC 329 SEABREEZE AVENUE PALM BEACH
and Credits North Carolina Department of Revenue For calendar ',ear or fiscal year beginning Partners " Partner's Name, Address, and ZIP Code BLUE CHIP CAPITAL LLC 329 SEABREEZE AVENUE PALM BEACH FL 33480 01 01 13 Wending 12 31 13 Federal Partnership's Name, Address, and ZIP Code MIDWAY VISTA PARK LLC 2
AL SDNY_GM_00033197 EFTA_00 I 43810 EFTA01280328 NC K-1 (39) (O-403) 10-23-13 2013 Partner's Share of N.C. Income, Adjustments, and Credits North Carolina Department of Revenue For calendar ',ear or fiscal year beginning Partners " Partner's Name, Address, and ZIP Code BLUE CHIP CAPITAL LLC 329 SEABREEZE AV
Entities connected to both BLUE CHIP CAPITAL LLC and North Carolina Department
C IRS Center
ORGANIZATIONYonkers
LOCATIONEZ community development
ORGANIZATIONMaria Farmer
PERSONNew York Partner
LOCATION
New York State
LOCATION
George W. Bush
PERSONLAFAYETTE STREET SUITE
ORGANIZATION
Joi Ito
PERSONF Partner's
ORGANIZATION2013 Partner's Share
ORGANIZATIONK Partners
ORGANIZATIONK Partner's
ORGANIZATIONB Partnership's
ORGANIZATION