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sd to be reported separately to partners . .. . .. . . 19 19 /dean/ y. Yee D No Yes No E: Date 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.
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
ral itemized deductions (add Imes 26a through 260 28 New York adjustments to tax preference dens Partner's other information 29a Partners share of Now York source gross income 2% MCTD atlocatron percentage (see inStructrons) Partner's credit information Part 1 - Flow-through credit bases and factors
-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
III I III II III 288602 11,19-'2 CONFIDENTIAL SDNY_GM_00033086 EFTA_(() 143699 EFTA01280226 11-204-IP (2012) Pago 3 of 4 Partner's share of Now York modifications (continued) 22 New York State subtractions Number A - Total amount 22a ES- 21 110. 22b ES- 22c ES- 22d ES- 22e ES- 22f ES- - New
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
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