HE warviano PASS-THROUGH ENTITY Fort INCOME TAX RETURN 510 135100014 ORFISCAL YEAR BEGNING 2015, ENDING. Fada Enployerlannentn No dot) FER Appiaaiov Bat IDO") 105/99 62121, = One of Ogeiononorpartion IDDYY) Business Hey Ti (9) 2015 8 siento — TBE OF ENTITY = hack We apeaietox > ae [x] s coneraton EL Parnornp [1 rea inaty Company [ewsnese rast | “tet HECK HERE — hack appleae bots). | Nameoraitenstes changed [] Fitting othe onty ——[] acvoonty — [J traireum >] | ‘This ax year’s beginning and ending dates a ctferent fom ast years due to an acquisition or consolidaian, 1) Nerf members ‘8 Individual (including fduciary) residents of Maryland = © Nonresident entities» 1b Individual including fduciary) ponresicen's 4 Others » © Total 2 2 Total dstibutve or pro rata she of Income per federal return (Form 1065 or 11208) — Unisiate enites or mutate entties with no nonresident mombors also ener this amount ‘amount online 4 ALLOCATION OF INCOME {robe comet by multistate passthrough entitles with nonresident members — unitate et onresidents, goto line 3. Ner-Maryland income (or ents using saparate eecounting). Subtract this amount rom line 2 and enter the difference on ine 4 > 3a ‘3 Maryland apportionment factor from computation worksheet on Page $ (or entitles using the ‘epportionment method). Multiply line 2 by this factor and enter the result on Line 4 {iffactors zero, enter 00000) 5 > 3b “4 Distibutive or pro rata share of income allocable to Maryland 4 S531 NOTE: Complete ‘nonresident entity mombers.(Invastment parinershins aee Specific Instructions) 15. Percentage of ownership by individual nonesient members shown online 1b (or profiles percentage. f applicable), I 100%, leave Blank and enter the amount from ine 4 online & ee ene {6 Distnbutve or pro rata share of income for nonresident individual membore(Mulily ine 4 bythe Deroentage anne 6.) 6 Nonresident individual tax (Mutply line 8 by 6.75%) - - A 8 Special nonresident tax (Mutipy tine 6 by 1.25%) 8 9 Toal Maryland tax on individual members (Add lines 7 and 8.) a 10 Parcantage of ownership by nonresident anise shown online te (or profiloes percentage, if applicable) I 100%, leave blank and enter the amount from line 4 on ine 11. «= > 10 41 Distibutive or pro rata share of income for nonresident ently members (Mutply ine by percentage on tne 10.) eee oh 12 Nonresident entity tax (Multiply line 14 by 8.25%) eeene ry = wooaott2 1112515, 2 ‘CODE NUMBERS (3 digts per Ire) 5 through 18 only if there is an entry online 1h or ine to, Taxis calculated only for nonresident individual orme Sees” IMINO NIM 2 FORM INCOME TAX RETURN page 2 510 955100114 15 I cx OU 79 Total nonresident tax (Add lines 8 and 12) ee goes 8 14 Distibutabe cash flow limitation from worksheet. See instructions. if workshoot used chockhowe > [ | > 14 15_Nonesdent tax due (Enter the losser of ine 19 or ine 44 z A 16 "16a Estimated pass-through entity nonresident tex paid with Form $100 and MWWSDENRS ........ > 16a ‘6b Pass-through entty nonresident tx paid with an extonsion roquost (Form 510E) > 48> 16 Cred for nonresident tax paid on behalf ofthe passthrough ently by another pass-through entity (tach Manjand Schedule Kt (510) «=. + = 160 ‘6c Toll paynonts and reds (a es oa tcugh Wc) = > > Sa teeeaodl 17 Balanoe of tax duo Ife 15 exceeds ine 164, enter he dflerence,) var 418 Interest andlor penalty from Form 500UP or late payment interest TOTAL.. > 48 19. Toial balance due (Add ines 17 and 10.) Pay infil with this return 9 NOTE: The total tax pald from lings 16d and 17 isto be reported ether on the composite return or on the returns ofthe nonresident members. Nonresident ontty and fduclary members cannot flea composite return nor be included in the composite return fled by nonresident individual members. (See instructions.) ‘Complete ine 20 onl i there are no nonresident members. (Lines 1b and te are both zero.) 20 Amount TO BE REFUNDED (Enter tha amount fom ing 164i the amount online 13 is zero) » 20 "ADDITIONAL INFORMATION REQUIRED: 11 Astros of principal place of business in Maryland (i other than indicated on page 1): 2 kirees ak which tx racers are located (ctor tan indicated on page Th 3 Telephone namiber of pass-tnrough ently tax department 410) 262-5561 4 State of oxganization or incorporation: MD 5 Has the internal Revenue Service made adjustments (fora tax year in which a Maryland retum was required) that were not previously reported tothe Maryland Revenue Administration Division? sss ees ve IF yes, indicate tax years) here: ‘and eubmit an amended return(s) together with a copy ofthe IRS adjustment reports) under separate cover. [ves 6 Did the passthrough entity fle withholding tax retumaiforms with tho Maryland levenus Admintration Diision| forthe last calondar year? : ecosanade 7s this entty a mutate corporation thats a member of a unitary aroun? {8s this entty a multistate manufacturing corporation with more than 25 employocs? » Plyves fk] No ves fi] No ‘SIGNATURE AND VERIFICATION Cheek hare [x] if you authorize your preparer to ciscuss this return with us. Under penalise of perjury, I dociae tat | have examined tis return Inuding accompanying schedules and statements anc fo the best of my p krowletge and belt iis tue, correct anc complete lf prepared by a person other thon taxpayer, the declaration ‘which ihe proparer has ary knowledge. ‘aed on all formation oF PRESIDENT ne Make checks payable to and mailto: ‘ Cometroller of Marvin Peprrs PIN (euieT Ha Revenue Admirististon Dsion Ti0 Carol Steet ‘Annapals, Maryland 27611-0004 (Write Your Federal Empioyer Wentication Number On Check.) @ moonone 12515 aHE warviano PASS-THROUGH ENTITY FORM INCOME TAX RETURN 510 I 5; ee mn i) = ‘SCHEDULE A — COMPUTATION OF APPORTIONMENT FACTOR (Aoplies only fo mulistate pass-through enttes. See instructions.) NOTE: Special apportionment formulas are required for renal! leasing, vansporaton, financial instaions and ‘manufacturing companies. See instructions, Columa 4 TOTALS WITHIN MARYLAND column 2 TorALS WITHIN AND witHour MARYLAND cowmn3 DECIMAL FACTOR (Column t= Column 2 rounded to six places) 1ARecelpts @ Gross recspts or sales less returns and slowancee b Divigends « Interest 4 Gross rents © Gros royalties £ Copital gain net income 19 Otrer income (attach schedule) ty Total ecips (Add nes 16) trough 1 treo Tenday ee IA 1B Receipts Enter te same factor shown on ine 1A, Column 3. Disregara fis ne specal apportionment formula fs used 2 Property a Inventory 'b Mactinory and equipment Buildings . d Land. © Other tangible assets (autach schedule) f Rent expense capitalized (multiply by eight) 9 Taal oper (Aid ines 2 oh or Columns tan 2) 3 Payroll a Compensation of oficers » Other salaries and wages | «¢ Total payroll (Ad ines 38 and 3b, for Columns 4 and 2.) Total of factors (Add entries in Colum 3.) ‘Maryland apportionment factor Divid line 4 by four for three-factor formula, or by the number of factors sed If specal apportionment formula raquired. (i fctor is zero, enter 0000' on ire 3b, page 1) « a pose e508HM uwaryYLanp PASS-THROUGH ENTITY 2015 FORM INCOME TAX RETURN 510 MEMBERS’ INFORMATION "551080%4 scveoutes =e PART | — INDIVIDUAL MEMBERS’ INFORMATION Entor the Information in Social Security Number order. Grater | onvimmwer ] owmatnoer | Oaubaner Socil Security Number and faa AIOAGE | Sermteer Detter name of member eotitilomy | ct oateetem Ba e531 You must file Maryland Form 510 credits from Marylend Form {5000R andor Maryland Form 5028 to your members a Eee ‘SUBTOTAL from addtional Form 510 Schedule B for individual members TOTAL: