Form 1065
Department of the Treasury
Internal Revenue Service
U.S. Return of Partnership Income
For calendar year 2011, or tax year beginning , 2011, ending , 20 .
? See separate instructions.
OMB No. 1545-0099
2011
Print
or
type.
Name of partnership
Number, street, and room or suite no. If a P.O. box, see the instructions.
City or town, state, and ZIP code
A Principal business activity
B Principal product or service
C Business code number
D Employer identification number
E Date business started
F Total assets (see the
instructions)
$
G Check applicable boxes: (1) Initial return (2) Final return (3) Name change (4) Address change (5) Amended return
(6) Technical termination – also check (1) or (2)
H Check accounting method: (1) Cash (2) Accrual (3) Other (specify) ?
I Number of Schedules K-1. Attach one for each person who was a partner at any time during the tax year ?
J Check if Schedules C and M-3 are attached . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Caution. Include only trade or business income and expenses on lines 1a through 22 below. See the instructions for more information.
Income
1a Merchant card and third-party payments (including amounts
reported on Form(s) 1099-K). For 2011, enter -0- . . . . 1a
b Gross receipts or sales not reported on line 1a (see instructions) 1b
c Total. Add lines 1a and 1b . . . . . . . . . . . 1c
d Returns and allowances plus any other adjustments to line 1a
(see instructions) . . . . . . . . . . . . . . 1d
e Subtract line 1d from line 1c . . . . . . . . . . . 1e
2 Cost of goods sold (attach Form 1125-A) . . . . . . 2
3 Gross profit. Subtract line 2 from line 1e . . . . . . . . . . . . . . . . . 3
4 Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) . . 4
5 Net farm profit (loss) (attach Schedule F (Form 1040)) . . . . . . . . . . . . 5
6 Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) . . . . . . . . 6
7 Other income (loss) (attach statement) . . . . . . . . . . . . . . . . . 7
8 Total income (loss). Combine lines 3 through 7 . . . . . . . . . . . . . . 8
Deductions (see the instructions for limitations)
9 Salaries and wages (other than to partners) (less employment credits) . . . . . . . 9
10 Guaranteed payments to partners . . . . . . . . . . . . . . . . . . . 10
11 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . 11
12 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Rent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16a Depreciation (if required, attach Form 4562) . . . . . . 16a
b Less depreciation reported on Form 1125-A and elsewhere on return 16b 16c
17 Depletion (Do not deduct oil and gas depletion.) . . . . . . . . . . . . . 17
18 Retirement plans, etc. . . . . . . . . . . . . . . . . . . . . . . . 18
19 Employee benefit programs . . . . . . . . . . . . . . . . . . . . . 19
20 Other deductions (attach statement) . . . . . . . . . . . . . . . . . . 20
21 Total deductions. Add the amounts shown in the far right column for lines 9 through 20 . 21
22 Ordinary business income (loss). Subtract line 21 from line 8 . . . . . . . . . 22
Sign
Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my
knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than general partner or limited liability company member manager)
is based on all information of which preparer has any knowledge.
May the IRS discuss this return with the
preparer shown below (see
instructions)? Yes No
?
Signature of general partner or limited liability company member manager
?
Date
Paid
Preparer
Use Only
Print/Type preparer’s name Preparer’s signature Date
Check if
self- employed
PTIN
Firm’s name ?
Firm’s address ?
Firm’s EIN ?
Phone no.
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11390Z Form 1065 (2011)
Form 1065 (2011) Page 2
Schedule B Other Information
1 What type of entity is filing this return? Check the applicable box: Yes No
a Domestic general partnership b Domestic limited partnership
c Domestic limited liability company d Domestic limited liability partnership
e Foreign partnership f Other ?
2 At any time during the tax year, was any partner in the partnership a disregarded entity, a partnership (including
an entity treated as a partnership), a trust, an S corporation, an estate (other than an estate of a deceased partner),
or a nominee or similar person? . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 At the end of the tax year:
a Did any foreign or domestic corporation, partnership (including any entity treated as a partnership), trust, or
tax-exempt organization, or any foreign government own, directly or indirectly, an interest of 50% or more in the
profit, loss, or capital of the partnership? For rules of constructive ownership, see instructions. If “Yes,” attach
Schedule B-1, Information on Partners Owning 50% or More of the Partnership . . . . . . . . . . .
b Did any individual or estate own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital of
the partnership? For rules of constructive ownership, see instructions. If “Yes,” attach Schedule B-1, Information
on Partners Owning 50% or More of the Partnership . . . . . . . . . . . . . . . . . . . .
4 At the end of the tax year, did the partnership:
a Own directly 20% or more, or own, directly or indirectly, 50% or more of the total voting power of all classes of
stock entitled to vote of any foreign or domestic corporation? For rules of constructive ownership, see
instructions. If “Yes,” complete (i) through (iv) below . . . . . . . . . . . . . . . . . . . . .
(i) Name of Corporation (ii) Employer Identification
Number (if any)
(iii) Country of
Incorporation
(iv) Percentage
Owned in Voting Stock
b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in the profit, loss,
or capital in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial
interest of a trust? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v) below . .
(i) Name of Entity
(ii) Employer
Identification
Number (if any)
(iii) Type of
Entity
(iv) Country of
Organization
(v) Maximum
Percentage Owned in
Profit, Loss, or Capital
Form 1065 (2011)
Form 1065 (2011) Page 3
Yes No
5 Did the partnership file Form 8893, Election of Partnership Level Tax Treatment, or an election statement under
section 6231(a)(1)(B)(ii) for partnership-level tax treatment, that is in effect for this tax year? See Form 8893 for
more details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Does the partnership satisfy all four of the following conditions?
a The partnership’s total receipts for the tax year were less than $250,000.
b The partnership’s total assets at the end of the tax year were less than $1 million.
c Schedules K-1 are filed with the return and furnished to the partners on or before the due date (including
extensions) for the partnership return.
d The partnership is not filing and is not required to file Schedule M-3 . . . . . . . . . . . . . . .
If “Yes,” the partnership is not required to complete Schedules L, M-1, and M-2; Item F on page 1 of Form 1065;
or Item L on Schedule K-1.
7 Is this partnership a publicly traded partnership as defined in section 469(k)(2)? . . . . . . . . . . . .
8 During the tax year, did the partnership have any debt that was cancelled, was forgiven, or had the terms
modified so as to reduce the principal amount of the debt? . . . . . . . . . . . . . . . . . .
9 Has this partnership filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide
information on any reportable transaction? . . . . . . . . . . . . . . . . . . . . . . . .
10 At any time during calendar year 2011, did the partnership have an interest in or a signature or other authority over
a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and
Financial Accounts. If “Yes,” enter the name of the foreign country. ?
11 At any time during the tax year, did the partnership receive a distribution from, or was it the grantor of, or
transferor to, a foreign trust? If “Yes,” the partnership may have to file Form 3520, Annual Return To Report
Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts. See instructions . . . . . . . . .
12a Is the partnership making, or had it previously made (and not revoked), a section 754 election? . . . . . .
See instructions for details regarding a section 754 election.
b Did the partnership make for this tax year an optional basis adjustment under section 743(b) or 734(b)? If “Yes,”
attach a statement showing the computation and allocation of the basis adjustment. See instructions . . . .
c Is the partnership required to adjust the basis of partnership assets under section 743(b) or 734(b) because of a
substantial built-in loss (as defined under section 743(d)) or substantial basis reduction (as defined under section
734(d))? If “Yes,” attach a statement showing the computation and allocation of the basis adjustment. See instructions.
13 Check this box if, during the current or prior tax year, the partnership distributed any property received in a
like-kind exchange or contributed such property to another entity (other than disregarded entities
wholly-owned by the partnership throughout the tax year) . . . . . . . . . . . . . . . . . ?
14 At any time during the tax year, did the partnership distribute to any partner a tenancy-in-common or other
undivided interest in partnership property? . . . . . . . . . . . . . . . . . . . . . . . .
15 If the partnership is required to file Form 8858, Information Return of U.S. Persons With Respect To Foreign
Disregarded Entities, enter the number of Forms 8858 attached. See instructions ?
16 Does the partnership have any foreign partners? If “Yes,” enter the number of Forms 8805, Foreign Partner’s
Information Statement of Section 1446 Withholding Tax, filed for this partnership. ?
17 Enter the number of Forms 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships, attached
to this return. ?
18 a Did you make any payments in 2011 that would require you to file Form(s) 1099? See instructions . . . . .
b If “Yes,” did you or will you file all required Form(s) 1099? . . . . . . . . . . . . . . . . . . .
19 Enter the number of Form(s) 5471, Information Return of U.S. Persons With Respect To Certain Foreign
Corporations, attached to this return. ?
Designation of Tax Matters Partner (see instructions)
Enter below the general partner designated as the tax matters partner (TMP) for the tax year of this return:
Name of
designated
TMP
?
Identifying
number of TMP
?
If the TMP is an
entity, name
of TMP representative
?Phone number
of TMP
?
Address of
designated
TMP ?
Form 1065 (2011)
Form 1065 (2011) Page 4
Schedule K Partners’ Distributive Share Items Total amount
Income (Loss)
1 Ordinary business income (loss) (page 1, line 22) . . . . . . . . . . . . . 1
2 Net rental real estate income (loss) (attach Form 8825) . . . . . . . . . . . 2
3a Other gross rental income (loss) . . . . . . . . 3a
b Expenses from other rental activities (attach statement) 3b
c Other net rental income (loss). Subtract line 3b from line 3a . . . . . . . . . 3c
4 Guaranteed payments . . . . . . . . . . . . . . . . . . . . . 4
5 Interest income . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Dividends: a Ordinary dividends . . . . . . . . . . . . . . . . . 6a
b Qualified dividends . . . . . . 6b
7 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Net short-term capital gain (loss) (attach Schedule D (Form 1065)) . . . . . . . 8
9 a Net long-term capital gain (loss) (attach Schedule D (Form 1065)) . . . . . . . 9a
b Collectibles (28%) gain (loss) . . . . . . . . . 9b
c Unrecaptured section 1250 gain (attach statement) . . 9c
10 Net section 1231 gain (loss) (attach Form 4797) . . . . . . . . . . . . . 10
11 Other income (loss) (see instructions) Type ? 11
Deductions
12 Section 179 deduction (attach Form 4562) . . . . . . . . . . . . . . . 12
13a Contributions . . . . . . . . . . . . . . . . . . . . . . . . 13a
b Investment interest expense . . . . . . . . . . . . . . . . . . . 13b
c Section 59(e)(2) expenditures: (1) Type ? (2) Amount ? 13c(2)
d Other deductions (see instructions) Type ? 13d
Self-
Employment
14a Net earnings (loss) from self-employment . . . . . . . . . . . . . . . 14a
b Gross farming or fishing income . . . . . . . . . . . . . . . . . . 14b
c Gross nonfarm income . . . . . . . . . . . . . . . . . . . . . 14c
Credits
15a Low-income housing credit (section 42(j)(5)) . . . . . . . . . . . . . . 15a
b Low-income housing credit (other) . . . . . . . . . . . . . . . . . 15b
c Qualified rehabilitation expenditures (rental real estate) (attach Form 3468) . . . . 15c
d Other rental real estate credits (see instructions) Type ? 15d
e Other rental credits (see instructions) Type ? 15e
f Other credits (see instructions) Type ? 15f
Foreign Transactions
16a Name of country or U.S. possession ?
b Gross income from all sources . . . . . . . . . . . . . . . . . . . 16b
c Gross income sourced at partner level . . . . . . . . . . . . . . . . 16c
Foreign gross income sourced at partnership level
d Passive category ? e General category ? f Other ? 16f
Deductions allocated and apportioned at partner level
g Interest expense ? h Other . . . . . . . . . . ? 16h
Deductions allocated and apportioned at partnership level to foreign source income
i Passive category ? j General category ? k Other ? 16k
l Total foreign taxes (check one): ? Paid Accrued . . . . . . . . 16l
m Reduction in taxes available for credit (attach statement) . . . . . . . . . . 16m
n Other foreign tax information (attach statement) . . . . . . . . . . . . .
Alternative
Minimum Tax
(AMT) Items
17a Post-1986 depreciation adjustment . . . . . . . . . . . . . . . . . 17a
b Adjusted gain or loss . . . . . . . . . . . . . . . . . . . . . . 17b
c Depletion (other than oil and gas) . . . . . . . . . . . . . . . . . . 17c
d Oil, gas, and geothermal properties—gross income . . . . . . . . . . . . 17d
e Oil, gas, and geothermal properties—deductions . . . . . . . . . . . . . 17e
f Other AMT items (attach statement) . . . . . . . . . . . . . . . . . 17f
Other Information
18a Tax-exempt interest income . . . . . . . . . . . . . . . . . . . . 18a
b Other tax-exempt income . . . . . . . . . . . . . . . . . . . . 18b
c Nondeductible expenses . . . . . . . . . . . . . . . . . . . . . 18c
19a Distributions of cash and marketable securities . . . . . . . . . . . . . 19a
b Distributions of other property . . . . . . . . . . . . . . . . . . . 19b
20a Investment income . . . . . . . . . . . . . . . . . . . . . . . 20a
b Investment expenses . . . . . . . . . . . . . . . . . . . . . . 20b
c Other items and amounts (attach statement) . . . . . . . . . . . . . .
Form 1065 (2011)
Form 1065 (2011) Page 5
Analysis of Net Income (Loss)
1 Net income (loss). Combine Schedule K, lines 1 through 11. From the result, subtract the sum of
Schedule K, lines 12 through 13d, and 16l . . . . . . . . . . . . . . . . . . 1
2 Analysis by
partner type:
(i) Corporate
(ii) Individual
(active)
(iii) Individual
(passive)
(iv) Partnership
(v) Exempt
organization
(vi)
Nominee/Other
a General partners
b Limited partners
Schedule L Balance Sheets per Books Beginning of tax year End of tax year
Assets (a) (b) (c) (d)
1 Cash . . . . . . . . . . . . .
2a Trade notes and accounts receivable . . .
b Less allowance for bad debts . . . . .
3 Inventories . . . . . . . . . . .
4 U.S. government obligations . . . . .
5 Tax-exempt securities . . . . . . .
6 Other current assets (attach statement) . .
7a Loans to partners (or persons related to partners)
b Mortgage and real estate loans . . . .
8 Other investments (attach statement) . . .
9a Buildings and other depreciable assets . .
b Less accumulated depreciation . . . .
10a Depletable assets . . . . . . . . .
b Less accumulated depletion . . . . .
11 Land (net of any amortization) . . . . .
12a Intangible assets (amortizable only) . . .
b Less accumulated amortization . . . .
13 Other assets (attach statement) . . . .
14 Total assets . . . . . . . . . . .
Liabilities and Capital
15 Accounts payable . . . . . . . . .
16 Mortgages, notes, bonds payable in less than 1 year
17 Other current liabilities (attach statement) .
18 All nonrecourse loans . . . . . . . .
19a Loans from partners (or persons related to partners)
b Mortgages, notes, bonds payable in 1 year or more
20 Other liabilities (attach statement) . . . .
21 Partners’ capital accounts . . . . . .
22 Total liabilities and capital . . . . . .
Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return
Note. Schedule M-3 may be required instead of Schedule M-1 (see instructions).
1 Net income (loss) per books . . . .
2
Income included on Schedule K, lines 1, 2, 3c,
5, 6a, 7, 8, 9a, 10, and 11, not recorded on
books this year (itemize):
3 Guaranteed payments (other than
health insurance) . . . . . . .
4
Expenses recorded on books this year
not included on Schedule K, lines 1
through 13d, and 16l (itemize):
a Depreciation $
b Travel and entertainment $
5 Add lines 1 through 4 . . . . . .
6
Income recorded on books this year not included
on Schedule K, lines 1 through 11 (itemize):
a Tax-exempt interest $
7
Deductions included on Schedule K, lines
1 through 13d, and 16l, not charged
against book income this year (itemize):
a Depreciation $
8 Add lines 6 and 7 . . . . . . . .
9 Income (loss) (Analysis of Net Income
(Loss), line 1). Subtract line 8 from line 5 .
Schedule M-2 Analysis of Partners’ Capital Accounts
1 Balance at beginning of year . . .
2 Capital contributed: a Cash . . .
b Property . .
3 Net income (loss) per books . . . .
4 Other increases (itemize):
5 Add lines 1 through 4 . . . . . .
6 Distributions: a Cash . . . . . .
b Property . . . . .
7 Other decreases (itemize):
8 Add lines 6 and 7 . . . . . . . .
9 Balance at end of year. Subtract line 8 from line 5
Form 1065 (2011)
Attachments:
1065.pdf