EFTA00593235.pdf

MOLLC C807(2013 324 PM Fo„„ 1065 U.S. Return of Partnership Income OMB No 154.40099 COporlment al the Tree:try Irterrol Revenue Santa Fo calenclai year 2012, 0 lax yea( Weenie; . ending ti Information about Form 1065 and Its separate instructions Is at ynneirs.goWlionn1065. 2012 A Pit coral btrzro2.- =trete Name ce partner:hp D Employer identification number RESEARCH Print ANDROCYTE LLC 45-1804323 B Pomo,' patrol or seroco or E Dego bustross aged type. BIOMARKERS 05/01/2011 C ElusineSS code number ry a Wilt erri ZIP Code F TOUll e$691$ (We the entruCtOnig 541700 AVENTURA FL 33180 $ 50,843 G Check applicable boxes: (1) Initial return (2) 0 Final return (3) 0 Name change (4) D Address change (5) 9 Amended return (6) Technical termination • also check (1) or (2) H Check accounting method: (1) Cash (2) 9 Accrual (3) 9 Other (specify a I Number of Schedules K.I . Attach one for each person who was a partner at any time during the tax year a 5 J Check if Schedules C and M3 are attached 9 Caution. Include only trade or business income and expenses on lines to through 22 below. See the instructions for more information. is Gross receipts or sales 1a b Returns and allowances 1b c Balance. Subtract line lb from line la lc 2 Cost of goods sold (attach Form 1125-A) 2 Income 3 Gross profit. Subtract line 2 from line lc 3 4 Ordinary income doss) frcm 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, We 17 (Math Form 4797) 6 7 Other income (loss) (attach statement) 7 8 Total Income (foss). Combine lines 3 through 7 8 lir 9 Salaries and wages (other than to partrwrs) (less employment credits) 9 1 10 11 .0 12 Guaranteed payments to partners Repairs and maintenance Bad dads 10 11 12 I. 13 Rent 13 2,771 14 Taxes and loenses 14 15 Interest 15 1 16a Depreciation (i1 required. attach Form 4562) 1,888 I b Less depreciation reported on Form 1125-A and elsewhere on return I les i 16c 1,888 0 17 Depletion (Do not deduct oil and gas depletion.) 17 O 18 Retirement plans, etc. 18 t3 19 Employee benefit programs 19 See Statement 1 200,454 g 20 21 Other deductions (attach statement) Total deductions. Add the amounts shown in the far right column for lines 9 through 20 20 21 205,113 22 Ordinary business Income (loss). Subtract line 21 from line 8 22 —205,113 Under PeDebeS Cr PerIrty. I declare tel I have erainred Phi return. isCludIng ett001)(Myhe reeduleS and SlaternentS. and 03 Me bosi Or my knoWedge and WW1. Cis ins. ewer( and compote Docinnon or paperer tome, than WOW/ canner or ImtE4 hablIty company Meatier My Me IRS rISCuSS the realm Sign mragel 8 based on al reonnaton elution mower ms ary knows*, MT the MEM shown below (We Here astumnsi, QYes Ill No r sr.,. 01 04)Peral garner cc Wiled Ilablty COMperhy rrern...ef ', r..) Date PORDYPe [Mere.% name am: ret- alb R Pug Int Paid Lunen Pfeiffer, CPA 08/07/13 sottorrobyai P01201727 Preparer flays name ti WOLFE FINANCIAL GROUP Rads IN 1.1 26-0010294 Use Only rimy: an o= t, LAKE MARY, FL 32746 Phone rot For Paperwork Reduction Act Notice, see separate instructions. Form 1065 00121 EFTA00593235 ANOLLC C607(2013 124 PM Form 1065 (2012) ANDROCYTE LLC 45-1804323 Page 2 Schedule B Other Information 1 What type of entity is fikng this return? Check the applicable box: Yes No a _ Domestic general partnership b _ Domestic limited partnership c X Domestic limited liabilty company _ Domestic limited liability partnership e Foreign ownership f Other u 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 (inducing 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. It -Yes: attach Schedule 8-1. 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," attadi 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 al 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 X (1.0 Perceniage (I) Name ol CCreben 00 EmNow Icler441CMC0 0I0 00tay ol fmned in VON( Nmibef Id anti InCerperalOn Sexk 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 ovmership see instructions. If Wes,- complete (I) through (v) below 00 &MM. (vi ‘14,,,,,r( (1) Nemo el ENO Identficatim (III) Type el ON COurOy of Percermr Ownee in Number (4 arm EAR,/ OrgenZet/M kali, Lee- or Gyrs Yes No 5 Did the partnership file Form 8893, Election of Partnership Level Tax Treatment, or an election statement under section 6231(a)(1)(8)(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. e Schedules K-1 are filed with the return and furnished to the partners on or before the due date (inducing extensions) for the partnership return. d The partnership is not filing and is not required to file Schedule M-3 II '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 2012. 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 Bath and Financial A000unts. If "Yes: enter the name of the foreign country. u X 1065 EFTA00593236 MOLLC C607(2013 124 PM Form 1065 (2012) ANDROCYTE LLC 45-1804323 Page 3 Schedule B Other Information (continued Yes No 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? II 'Yes." the partnership may have to Ne Form 3520. Annual Return To Report Transactions With Foreign mists and Receipt of Certain Foreign Gifts. See instructions X 12a Is the partnership making, or had it previously made (and not revoked). a section 754 election? . X 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(3)? II 'Yes," attach a statement showing the computation and allocation of the basis adjustment. See Instructions X c Is the partitership required to adust the basis of partnership assets under sec ion 743(b) or 734(b) because of a substantial bilt.in loss (as defined under sedan 743(d)) or substantial basis reduction (as defined under section 734(d))? If 'Yes.' attach a statement showing the ccanutatisn and atocalisn of the basis adjustment. See instructions. X 13 Check this box if. during the current or prior tax year. the partnership distributed any property received in a like.kind exchange or contrbuted such property to another entity (other than disregarded entities whoily.owned by the partnership throughout the tax year) P. ❑ 14 At ally time during the tax year. did the partnership (attribute to any partner a tenancy•Incommon or other undivided interest in partnership property? X 15 If the partnershb 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 u 16 Does the partnership have any foreign partners? II 'Yes.' enter the number of Forms 8805. Foreign Partners Information Statement of Section 1446 Withholding Tax. Ned for this partnershb. u X 17 Enter the number of Forms 8865. Return of U.S. Persons With Respect to Certain Foreign Partnerships. attached to this return u 18a Did you make any payments in 2012 that would require you to fie Form(s) 1099? See instructions X b If "Yes' did you or will you file required FOIRUS 1099? 19 Enter the number of Form(s) 5471, Information Return of U.S. Persons With Respect To Certain Foreign Co adorn. attached to the return u 0 20 Enter the number of partners that are foreign garemments under section 892. is 0 Designation of Tax Matters Partner (see instructions) Enter below the general partner or member-manager designated as the tax matters partner (TMP) for the tax year of this return: Name Of designaled 100611)400 TMP ANDROCYTE MANAGEMENT LLC ouster of ThIP 45-2038037 II me IMP pa an entsty. name MY* nuMW of TLIP rooto:onlatfro JAMES CLEMEN of IMP AOctOSS decignaled TMP FOrn 1065!20.21 EFTA00593237  AtIDLLC 06072013 324 PM Form 1065 (2012) ANDROCYTE LLC 45-1804323 Page 4 Schedule K Partners' Distributive Share Items Total amount 1 Ordinary business income (loss) (page 1. line 22) 1 —205,113 2 Net rental real estate income (loss) (attach Form 8825) 2 3a Other gross rental income (loss) b Expenses from other rental aconites (attach statement) 3b c Other net rental income (loss). Subtract line 3b from line 3a 3c Income (Loss) 4 Guaranteed payments 4 5 Interest Income 5 6 Dividends: a Ordinary dividends 6a b Qualified dividends 1 6b I 7 Royalties 7 8 Net short-term capital gain (loss) (attach Schedule D (Form 1065)) 8 9a Net long-term capital gain (loss) (attach Schedule D (Form 1065)) 9a b Collectibles (28%) gain (loss) 9b C Urrecaphired section 1250 gain (roach maximeno 9c 10 Net section 1231 gain (loss) (attach Form 4797) 10 11 Other income (loss) (see instructions) Type u 11 12 Section 179 deduction (attach Form 4562) 12 0 m c 13a Contributions 13a o Investment interest expense 13b o vi 9 c Section 59(e)(2) expenditures: (1) Type u (2) Amount u 'um OS d Other deductions (see instructions) Type u 13d 14a Net earnings (loss) from self-employment 14a o Lug .C. 1 b Gross farming or fishing income c Gross nonfarm income 14b 14c 15a Low-income housing credit (section 42Q)(5)) 15a b Low-income housing credit (other) 15b Credits c Cualified rehabilitation expenditures (rental real estate) (attach Form 3468) 15c d Other rental real estate credits (see instructions) Type u 15d e Other rental credits (see instructions) Type u 15e I Other credits (see instructions) Type a 151 16a Name of country or U.S. possession a b Gross income from all sources 16b Foreign Transactions c Gross income sourced at partner level 16c Foreign gross income sourced at partnership level d Passke category u e General category u 1 Other a 16f Deductions allocated and apportioned at partner level g Interest expense a h Other a 16h Deduction allocated and apportioned at partnership level to foreign scam income I Passive category u I General category u k Other a 16k I Total foreign taxes (check one): a Paid p Accrued 0 161 m Reduction in taxes available for credit (attach statement) 16m n Other foreign tax information (attach statement) 17a Post-1986 depreciation adjustment 17a 124 Other Information Minimum Tax (AMT) Items b Adjusted gain or loss 17b Alternative 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 1 Other AMT items (attach statement) 17f 18a Tax-exempt interest income 18a b Other tax-exempt Income 18b C Nondeductible expenses See Statement 2 18c 128 19a Distributions of cash and marketable securities 19a 35,800 b Distributions of other property 19b 20a Investment income 20a b Investment expenses 20b c Other Items and amounts (attach statement) ram 1065 oir. EFTA00593238 MELLO C8072013 324 PM Form 1065 (2012) ANDROCYTE LLC 45-1804323 Page 5 Analysis of Net Income (Loss) 1 Not income (loss). C 1 —205,113 2 Anatysis by (II) Individual (III) Individual (v) Exempt (99 (I) Corporate (Iv) Partnership partner type: (active) (passive) organization NominesOther a General partners b Limited partners —15,001 —118,211 —71,901 Schedule L Balance Sheets per Books Beginning of tax year End of tax year Assets (a) b) (c) (d) 1 Cash 47,122 9,631 2a Trade notes and armints receivable b Less allowance for bad debts 3 Inventories 4 U.S. government obligations 5 Tax-exempt securities 6 Other CtiffOrt assets warn statement) 7a Loans to partners (or persons related to partners) b Mortgage and real estate loans 8 over rnewneas warn statement) 9a Buildings and other depreciable assets 12,412 b Less accumulated depreciation 1.888 10,524 10a Deptetable assets b Less accumulated depletion 11 Land (net of any amortization) 12a Intangible assets (amortizable only) 32,880 32,880 b Less accumulated amortization 32,880 2,192 30,688 13 Omar assets PCACA alatemerv3 14 Total assets 80,002 50,843 Liabilities and Capital 15 Accounts payable 16 Mortgages. notes. bonds payable in less than 1 year 17 Omer current labiate team statement) 18 AI mama:curse loans 19a Loans from partners (or persons related to partners) 23,871 b //alpaca. roles. bards payable in I yea or more 20 Caw Itablees See Stmt 3 35,911 iscach statement) 21 Paints' caps accounts 56,131 14,932 22 Total frablities and capital 80,002 50,843 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 -205,241 6 Income recorded on books this year not included 2 Income included on Schedule K. finest. Z on Schedule K, lines 1 through 11 (itemize): 5. 6a. 7. 8. 9a. 10, and 11. not recorded on a Tax-exempt interest $ books this year (rtem9e): 3 Guaranted parent Other ten heath raurwce) 7 Deduction included on Schethe K Ines I hough 130. 4 recorded on backs this year not and 161. rat charged event hook income tie yaw tioritey Fncil sdeson Schedule K. Ines 1 through 13d. and 161 (dente): a Depredation $ a CCINOCCOCI1 b Travel and 128 eotertenreeni $ 8 Add lines 6 and 7 128 9 Income (loss) (Analysis of Net Income 5 Add Ines 1 through 4 —205,113 (Loss). line 1). Subtract mite 8 from Ina 5 -205,113 Schedule M-2 Analysis of Partners' Capital Accounts 1 Balance at beginning of year 56,131 6 Distributions a Cash 35,800 2 Capital contributed: a Cash 199,842 b Property b Property 3 Net income (loss) per books —205,241 7 Other decreases 4 oOKr Irceasee (itemize): Monte 8 Add lines 6 and 7 35,800 5 Add Ines I through 4 50,732 9 Balance at end of year. Subtract line 8 from Ilne 5 14,932 can ron, 1065 2012, EFTA00593239 ANOLLC 06072013 324 PM SCHEDULE B-1 (Form 1065) Information on Partners Owning 50% or (Rev. December 2011) More of the Partnership 0/A0 N,. 1545 0739 Drearier% 01 Ole Treasury u Attach to Form 1065. See instructions on back. Internal Revert* Service Name d canner-hp Employer identification number (EIN) ANDROCYTE LLC 45-1804323 Part I Entities Owning 50% or More of the Partnership (Form 1065, Schedule B, Question 3a) Complete columns (0 through (v) below for any foreign or domestic corporation. partnership (including any entity treated as a partnership). trust, tax•exempt organization. or any foreign government that owns. directly or indirectly. an interest of 50% or more in the profit. loss. or capital of the partnership (see instructions). (vl Maxon= 11) &Oyer Pe Porterage exiled III Name Or Elea kgralcaare Weber (10 NY? 01 Entry Gouty of Omani:men En ProfI. LOss. d any) or Capeal ANDROCYTE MANAGEMENT LLC 45-2038037 Partnership United States 82.610000 ZASIS, LLC 20-4637772 Partnership United States 53.549000 Part II Individuals or Estates Owning 50% or More of the Partnership (Form 1065. Schedule B. Question 3b) Complete columns (I) through (iv) below for any individual or estate that owns. directly or indirectly. an interest of 50% or more in the profit, loss. or capital of the pannership (see instructions). liv) tleamum Porcertage Owned m MNamedWvIclualcrEVW lilt 10,ntrog Ym-09, OI Country 01 Mao*le lee. inshvonah Prolt. LOBS. Rap a Calilel For Paperwork Reduction Act Notice. see the Instructions for Form 1065. Schedule B. (Fern 10135) (Rev. 122011) EFTA00593240 MOLLC 0107(2013 324 PM D Fnal K.1 ❑ Arnero.:1x.i OW la)1 5.0)99 Schedule K-1 2012 I Part IIII Partners Share of Current Year Income, (Form 1065) Deductions, Credits, and Other Items Department S the Treasury For calendar year 2012. or tax 1 Ordinary business income (oss) 15 Creche Internal Revenue Sever) year IX/MN ending 2 Net rental real WOG r1CCene NMI Partner's Share of Income, Deductions, Credits, etc. ki See back of form and separate instructions. 3 Other net metal Income (loss) IS Fortin barbaclons I Part I I Information About the Partnership 4 Guaranteed payments A Pannersties *mob'', derirlearan rumba 45 - 1804323 s Wawa 'erne B Pannershp's name. address. Cty. KM. and DP code ANDROCYTE LLC 6a Ordnary dullards 66 OnHad dvidends C IRS Center whom partnership Red retro 7 Royabes Ogden, UT I) EI Check itels IS a pubic& eaaecl PantSit IPTP) 0 Nel 8bOrtbarrn MCP pan OW 'Alert HI Information About the Partner 9a Net loneterm capital gain go :l 17 Mambo m nrtum tax 'NATI earns E Partners pen-Myna ma'am A 103 45 - 2038037 96 Colrabbbs '28%) pan (loss) F Pannera 'wile. b:Uress. eky. state. and ZIP rode 9c Unrocapturod section 1250 gain ANDROCYTE MANAGEMENT LLC to Net section 1231 gain 110551 us Tax.exanal income and nradroxtise overate 0 11 Other WOMB 00381 C * 107 G X Cenral partner or LLC United partner or other LLC ❑ meaborManeiper member H ID Omuta partrrta ❑ Poiegn partner H Wel bee 01 trot' IS This woe.? Partnership 19 Drsinct.ten: 12 II Ins wince Is a reuernerrt plan (11i/bSEPK0091191C). CI100 Wee MOO Insrtuct1cns) u 12 Semen 179 doslimen A 35,800 J Partrees share of profit lora. and apial (sea insIncbans): 13 031st daductbns B09inrWKI Ending 84.310000 x 82.610000 - 20 Other MI ban Profit Loss 0.000000 t 0.000000 .,. Y * STMT CaeLl 84.310000 ., 82.610000 - K Penner% snare 01 MEOWS al year end Ibenreceurse S 14 501-ernethYrnerb earnrIP tkes` Dubbed nonrecourse Summing S WOMB 5 L Partners rand aseeunl analysis: 'See attached statement for additional information. Elcumno Capital =Cure 5 - 2,023 Cattedl COMIOuleft donne the year 5 IN Onent year increase (decree* 5 - 107 ,. ; ' 1.1 3.0 a Withdrawals & didtbubans $ ( 35,800, '. nitro capital accourrt $ - 37,930 8 e . 03 I 1 #.5 ,1 h i i 7 X Tat 09/103 ❑ OAAP 0 SOCItY1 704(b) book 0 CC Other texplara a il. M Od on Darner CCIWOUN MINA, wen a bUlbM Skin 0f CM? 0 Yes X No II 'Yes. attach statement (see insbudions) For Paperwork Reduction MI Notice. see Instructions for Form 1055. IRS.9003rM1065 saws K-1 (Form 1065) 2012 DM EFTA00593241 ANOLLC 06072013 224 PM ❑ era K • 0 anordai a• T OMB to 15450399 Schedule K-1 2012 Part III Partner's Share of Current Year Income, (Form 1065) Deductions, Credits, and Other Items Department oe the Treasury For calendar year 2012. or tax 1 Ordinary busnms 'recce its) IS Geed,: Internal Revenue Sen•Ce year 11090n0:1 -118,211 06(5100 2 Net rental real rotate (COMO (IOSSI Partner's Share of Income, Deductions, Credits, etc. LI see back of form and separate instructions.