L SDNY_GM_00033027 EFTA_00 I43640 EFTA01280196 NC 1(L1 (39) (D-403) 10-11.12 2012 Partner's Share of N.C. Income, Adjustments, and Credits Noith Carolina Department of Revenue For calendar year or fiscal year beginning 11 13 12 amending 12 31 12 Partnersidenti In Number Federal Partner's Name, Address, and ZIP Code