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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
actor . 37 38 OEZE benefit pencd lector 30 Excelsior jobs program tax credit Fonn IT-607) 39 Excelsior loos tax credit component 31 40 Excelsior Investment tax credit component 40 41 Excelsior research and development tax credit component 41 42 Excelsior real properly tax credit component 42
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
ion factor 37 38 QEZE benefit period factor 36 Excelsior jobs program tax credit (Form IT-607) 39 Excelsior Jobe tax credit componect 30 40 Excelsior Investment taxcredit component 40 41 Excelsior research and development tax credit component 41 42 Excelsior real property tax credit component 42 Farm
'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
ation factor 37 38 QEZE benefit period factor 38 Excelsior jobs program tax credit (Form IT-807) 39 Excelsior ;olds tax credit component 39 40 Excelsior Investment tax credit component 40 41 Excelsior research and development tax credit component 41 42 Excelsior real property tax credit component 42 Farmer
7 Check If this is a publicly traded partnership (PIP) NW Information About the Partner Liter F Partners name, address, city, state, and ZIP code BLUE CHIP CAPITAL LLC 27 HIGH TECH BOULEVARD THOMASVILLE, NC 27360 G t_J General partner or LLC IL limited partner or other LLC member-manager member N 0onestic pa
ion factor 37 38 QEZE benefit period factor 36 Excelsior fobs program tax credit !Form 17-607) 39 Excelsior jobs tax credit component 30 40 Excelsior Investment tax credit component 40 41 Excelsior research and development tax credit component 41 42 Excelsior real property tax credit component 42 Fan
Entities connected to both BLUE CHIP CAPITAL LLC and Excelsior Investment
Yonkers
LOCATIONMaria Farmer
PERSONEZ community development
ORGANIZATIONNew York Partner
LOCATION
New York State
LOCATIONC IRS Center
ORGANIZATION
George W. Bush
PERSONFourth Installment
ORGANIZATIONC - New York State
ORGANIZATION
Xi Jinping
PERSONPartner's Information
ORGANIZATION
Joi Ito
PERSONB - Federal K-1
ORGANIZATIONK Partners
ORGANIZATIONLAFAYETTE STREET SUITE
ORGANIZATION
Otter
PERSON
Forte
PERSONN NYS
ORGANIZATIONB Partnership's
ORGANIZATIONI. Nonresident Partner's Share of NJ
ORGANIZATION