Fillable Printable 2012 Form 568 - Limited Liability Company Return Of Income
Fillable Printable 2012 Form 568 - Limited Liability Company Return Of Income
2012 Form 568 - Limited Liability Company Return Of Income
Form 568 C1 2012 Side 1
For Privacy Notice, get form FTB 1131.
Limited Liability Company
Return of Income
TAXABLE YEAR
2012
For calendar year 2012 or fiscal year beginning month ________ day _______ year _______, and ending month ________ day ________ year ________ .
CALIFORNIA FORM
568
Enclose, but do not staple,
any payment.
1 Total income from Schedule IW, Limited Liability Company Income Worksheet. See instructions ...........I 1 00
2 Limited Liability Company fee. See instructions .................................................I 2 00
3 2012 annual Limited Liability Company tax. See instructions .......................................I 3 00
4 Nonconsenting nonresident members’ tax liability from Schedule T (Side 3) ...........................I 4 00
5 Total tax and fee. Add line 2, line 3, and line 4 ..................................................I 5 00
6 Amount paid with form FTB 3537 and 2012 form FTB 3522 and form FTB 3536 ........................I 6 00
7 Overpayment from prior year allowed as a credit ................................................I 7 00
8 Withholding (Form 592-B and/or 593). ........................................................I 8 00
9 Total payments. Add line 6, line 7, and line 8 ...................................................I 9 00
10 Tax and fee due. If line 5 is more than line 9, subtract line 9 from line 5 ..............................I 10 00
11 Overpayment. If line 9 is more than line 5, subtract line 5 from line 9 ................................I 11 00
12 Amount of line 11 to be credited to 2013 tax or fee ..............................................I 12 00
13 Use Tax. See instructions ..................................................................I 13 00
14 Refund. If the total of line 12 and line 13 is less than line 11; subtract the total from line 11 ....I 14
15 Penalties and interest. See instructions ........................................................I 15 00
16
Total amount due. Add line 10, line 12, line 13, and line 15, then subtract line 11 from the resul
t ...16
Single Member LLC Information and Consent — Complete only if the LLC is disregarded.
Sole Owner’s name (as shown on owner’s return)
Street Address, City, State, and ZIP Code
Member’s Consent Statement: I consent to the jurisdiction of the State of California to tax my LLC income and agree to file returns and pay tax as may be
required by the Franchise Tax Board.
Signature
Date Title
.Federal TIN/SSN
FEIN/CA Corp no./CA SOS File no.
Return filed with the FTB by the Owner
(1) Form 540 (5) Form 541
(2) Form 100 (6) Form 100S
(3) Form 565 (7) Form 568
(4) Other _________________
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Telephone
.( )
Sign
Here
Paid
Preparer’s
Use Only
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 taxpayer) is based on all information of which preparer has any knowledge.
Signature
of officer
Officer’s email address (optional)
PTIN
Firm’s name (or yours,
if self-employed)
..
and address
Paid
preparer’s
signature
Telephone
.( )
Date
Check if
self-employed
FEIN
-
Whole dollars only
.
,
,
00
.
,
,
00
May the FTB discuss this return with the preparer shown above (see instructions)?............ Yes .No
Limited liability company name (type or print) A California Secretary of State (SOS) file number
.
DBA B FEIN
Address (suite, room, PO Box, and PMB no.) C Principal business activity name (same as federal)
City State ZIP Code D Principal product or service (same as federal)
E Check accounting method
(1) Cash (2) Accrual
(3) Other (attach explanation)
F Date business
started in CA
G Enter total assets at end of
year. See instructions.
.$ ___________________
H Check the applicable box
(1) Initial return (2) FINAL RETURN
(3) Amended return
I Principal business activity code
(same as federal)
Date
Complete Schedule IW, LLC Income Worksheet (on Side 6) first to determine Line 1.
Get 568 Booklet to see the instructions for the 568 Form
Side 2 Form 568 C1 2012
J Enter the maximum number of members in the LLC at any time during the year. For multiple member LLCs, attach a
California Schedule K-1 (568) for each of these members ..............................................................I
K Is this LLC an investment partnership? See General Information O .......................................................I..Yes .No
L (1) Is this LLC apportioning income to California using Schedule R? .....................................................I. Yes No
. (2) If “No,” was this LLC registered in California without earning any income sourced in this state during the taxable year? ........... Yes No
M Was there a distribution of property or a transfer (for example, by sale or death) of an LLC interest during the taxable year? ...........I. Yes No
O (1) During this taxable year, did another person or legal entity acquire control or majority ownership (more than a 50% interest) of this LLC or
any legal entity in which the LLC holds a controlling or majority interest that owned California real property (i.e., land, buildings), leased such
property for a term of 35 years or more, or leased such property from a government agency for any term?.
.........................I. Yes No
(2) During this taxable year, did this LLC acquire control or majority ownership (more than a 50% interest) in another legal entity that
owned California real property (i.e., land, buildings), leased such property for a term of 35 years or more, or leased such property
from a government agency for any term?
.......................................................................I. Yes No
(3) During this taxable year, has more than 50% of the LLC’s ownership interests cumulatively transferred in one or more transactions
after an interest in California real property (i.e., land, buildings) was transferred to it that was excluded from property tax
reassessment under Revenue and Taxation Code Section 62(a)(2) and it was not reported on a previous year’s tax return?
........I. Yes No
(Yes requires filing of statement, penalties may apply– see instructions.)
P (1) Does the LLC have any foreign (non-U.S.) nonresident members? ....................................................I. Yes No
(2) Does the LLC have any domestic (non-foreign) nonresident members? ................................................I. Yes No
(3) Were Form 592, Form 592-A, Form 592-B , and Form 592-F filed for these members? .....................................I. Yes No
Q Are any members in this LLC also LLCs or partnerships? ...............................................................I. Yes No
R Is this LLC under audit by the IRS or has it been audited in a prior year? ...................................................I. Yes No
S Is this LLC a member or partner in another LLC or partnership? .........................................................I. Yes No
. If “Yes,” complete Schedule EO, Part I.
T Is this LLC a publicly traded partnership as defined in IRC Section 469(k)(2)? ............................................... Yes No
U (1) Is this LLC a business entity disregarded for tax purposes? .........................................................I. Yes No
. (2) If “Yes,” see instructions and complete Side 1, Side 2, Schedule B, and Side 4, if applicable. Are there credits or credit
carryovers attributable to the disregarded entity? .................................................................I. Yes No
(3) If “Yes” to U(1), does the disregarded entity have total income derived from or attributable to California that is less than
the LLC’s total income from all sources? ........................................................................ Yes No
V Has the LLC included a Reportable Transaction, or Listed Transaction within this return?
(See instructions for definitions). If “Yes,” complete and attach federal Form 8886 for each transaction. ..........................I. Yes No
W Did this LLC file the Federal Schedule M-3 (federal Form 1065)? .........................................................I. Yes No
X Is this LLC a direct owner of an entity that filed a federal Schedule M-3? ...................................................I. Yes No
Y Does the LLC have a beneficial interest in a trust or is it a grantor of a Trust? ...............................................I. Yes No
If “Yes,” attach schedule of trusts and federal identification numbers.
Z Does this LLC own an interest in a business entity disregarded for tax purposes?. ........................................... Yes No
If “Yes,” complete Schedule EO, Part II.
AA Is any member of the LLC related (as defined in IRC Section 267(c)(4)) to any other member of the LLC? .........................I. Yes No
BB
Is any member of the LLC a trust for the benefit of any person related (as defined in IRC Section 267(c)(4)) to any other member? .....I. Yes No
CC
(1) Is the LLC deferring any income from the disposition of assets? (see instructions) .......................................I Yes No
(2) If “Yes,” enter the year of asset disposition ......................................................................I _____________
DD Is the LLC reporting previously deferred Income from:
(see instructions) ..........................................I..Installment Sale I..IRC §1031 I .IRC §1033 I.. Other
EE
(1) Did this LLC generate a New Jobs Credit? .......................................................................I. Yes No
(2) If “Yes,” enter the generated amount ...........................................................................I .00
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Form 568 C1 2012 Side 3
Schedule A Cost of Goods Sold
1
Inventory at beginning of year .......................................................................... 1 00
2
Purchases less cost of items withdrawn for personal use ..................................................... 2 00
3
Cost of labor ........................................................................................ 3 00
4 Additional IRC Section 263A costs. Attach schedule ......................................................... 4 00
5
Other costs. Attach schedule ........................................................................... 5 00
6
Total. Add line 1 through line 5 ......................................................................... 6 00
7
Inventory at end of year ............................................................................... 7 00
8
Cost of goods sold. Subtract line 7 from line 6. Enter here and on Schedule B, line 2 ................................ 8 00
9
a Check all methods used for valuing closing inventory:
(1) .Cost (2) .Lower of cost or market as described in Treas. Reg. Section 1.471-4 (3) .Write down of “subnormal” goods as
described in Treas. Reg. Section 1.471-2(c) (4) .Other. Specify method used and attach explanation ___________________________
b Check this box if the LIFO inventory method was adopted this taxable year for any goods. If checked, attach federal Form 970 ........ .
c Do the rules of IRC Section 263A (with respect to property produced or acquired for resale) apply to the LLC? .......................Yes .No
d Was there any change (other than for IRC Section 263A purposes) in determining quantities, cost, or valuations between opening
and closing inventory? If “Yes,” attach explanation
................................................................... .Yes .No
Schedule B Income and Deductions
Caution: Include only trade or business income and expenses on line 1a through line 22 below. See the instructions for more information.
IncomeDeductions
Total the amount of tax due. Enter the total here and on Side 1, line 4. If less than zero enter -0- ....................................________________
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1 a Gross receipts or sales $ ____________ b Less returns and allowances $ ____________ .....c Balance I 1c 00
2 Cost of goods sold (Schedule A, line 8)......................................................... 2 00
3 GROSS PROFIT. Subtract line 2 from line 1c................................................... I 3 00
4 Total ordinary income from other LLCs, partnerships, and fiduciaries. Attach schedule .................. I 4 00
5 Total ordinary loss from other LLCs, partnerships, and fiduciaries. Attach schedule..................... I 5 00
6 Total farm profit. Attach federal Schedule F (Form 1040) ......................................... I 6 00
7 Total farm loss. Attach federal Schedule F (Form 1040) .......................................... I 7 00
8 Total gains included on Schedule D-1, Part II, line 17 (gain only)................................... I 8 00
9 Total losses included on Schedule D-1, Part II, line 17 (loss only) .................................. I 9 00
10 Other income. Attach schedule ............................................................. I 10 00
11 Other loss. Attach schedule................................................................ I 11 00
12 Total income (loss). Combine line 3 through line 11 ............................................ I 12 00
13 Salaries and wages (other than to members) .................................................... 13 00
14 Guaranteed payments to members ............................................................ 14 00
15 Bad debts ............................................................................. I 15 00
16 Deductible interest expense not claimed elsewhere on return ........................................ 16 00
17 a Depreciation and amortization. Attach form FTB 3885L $ _________________
b Less depreciation reported on Schedule A and elsewhere on return $ _________________ .... c Balance I 17c 00
18 Depletion. Do not deduct oil and gas depletion ................................................... 18 00
19 Retirement plans, etc. ...................................................................... 19 00
20 Employee benefit programs.................................................................. 20 00
21 Other deductions. Attach schedule .......................................................... I 21 00
22 Total deductions. Add line 13 through line 21.................................................. I 22 00
23 Ordinary income (loss) from trade or business activities. Subtract line 22 from line 12 .................. I 23 00
Schedule T Nonconsenting Nonresident Members’ Tax Liability. Attach additional sheets if necessary.
(a)
Member’s name
(b)
SSN, ITIN,
or FEIN
(c)
Distributive
share of income
(d)
Tax
rate
(e)
Member’s
total tax due
(see instructions)
(f)
Amount withheld by this
LLC on this member –
reported on Form 592-B
(g)
Member’s
net tax due
Side 4 Form 568 C1 2012
Schedule K Members’ Shares of Income, Deductions, Credits, etc.
(a) (b) (c) (d)
Distributive share items Amounts from California Total amounts using
federal K (1065) adjustments California law
1 Ordinary income (loss) from trade or business activities .................. 1 I
2 Net income (loss) from rental real estate activities. Attach federal Form 8825..... 2
3 a Gross income (loss) from other rental activities.................... 3a
b Less expenses. Attach schedule................................ 3b
c
Net income (loss) from other rental activities. Subtract line 3b
from line 3a
............................................... 3c I
4 Guaranteed payments to members ................................ 4 I
5 Interest income ............................................... 5 I
6 Dividends.................................................... 6 I
7 Royalties .................................................... 7 I
8 Net short-term capital gain (loss). Attach Schedule D (568) ............. 8 I
9 Net long-term capital gain (loss). Attach Schedule D (568).............. 9 I
10 a Total Gain under IRC Section 1231 (other than due to casualty or theft)... 10a I
b Total Loss under IRC Section 1231 (other than due to casualty or theft)... 10b I
11 a Other portfolio income (loss). Attach schedule. ................... 11a
b Total other income. Attach schedule............................. 11b
c Total other loss. Attach schedule ............................... 11c
. b Analysis (a) (b) Individual (c) (d) (e) (f)
of members: Corporate i. Active ii. Passive Partnership Exempt Organization Nominee/Other LLC
Members
Income (Loss)DeductionsCredits
Alternative Minimum
Tax (AMT) Items
Other Information
Analysis
12 Expense deduction for recovery property (IRC Section 179 and R&TC
Sections 17267.2, 17267.6, and 17268). Attach schedule
............. 12
13 a Charitable contributions. See instructions. Attach schedule........... 13a
b Investment interest expense ...................................... 13b I
c 1 Total expenditures to which IRC Section 59(e) election may apply. ...... 13c1
2 Type of expenditures _________________________________________ 13c2
d Deductions related to portfolio income .............................. 13d
e Other deductions. Attach schedule ................................. 13e
15 a Withholding on LLC allocated to all members ........................ 15a
b Low-income housing credit ...................................... 15b
c Credits other than the credit shown on line 15b related to rental real
estate activities. Attach schedule .................................. 15c
d Credits related to other rental activities. Attach schedule ................ 15d
e Nonconsenting nonresident members’ tax paid by LLC ................. 15e
f Other credits. Attach schedule .................................... 15f I
g New Jobs Credit ............................................... 15g
17 a Depreciation adjustment on property placed in service after 1986 . . . . . . . . . 17a
b Adjusted gain or loss ........................................... 17b
c Depletion (other than oil and gas).................................. 17c
d Gross income from oil, gas, and geothermal properties ................. 17d
e Deductions allocable to oil, gas, and geothermal properties.............. 17e
f Other alternative minimum tax items. Attach schedule .................. 17f
18 a Tax-exempt interest income ...................................... 18a
b Other tax-exempt income ........................................ 18b I
c Nondeductible expenses ......................................... 18c
19 a Distributions of money (cash and marketable securities) ................ 19a
b Distribution of property other than money ........................... 19b
20 a Investment income ............................................. 20a
b Investment expenses ........................................... 20b
c Other information. See instructions ................................ 20c
21 a Total distributive income/payment items. Combine lines 1, 2, and 3c through 11c.
From the result, subtract the sum of lines 12 through 13e. ................. 21a I
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Form 568 C1 2012 Side 5
Schedule L Balance Sheets. See the instructions for Schedule L, before completing
Schedules L, M-1, and M-2.
Beginning of taxable year End of taxable year
Assets (a) (b) (c) (d)
1 Cash......................................
2 a Trade notes and accounts receivable ..........
b Less allowance for bad debts ................
3 Inventories................................. I
4 U.S. government obligations ...................
5 Tax-exempt securities ........................
6 Other current assets. Attach schedule . . . . . . . . . . . . I
7 Mortgage and real estate loans .................
8 Other investments. Attach schedule.............. I
9 a Buildings and other depreciable assets ........
b Less accumulated depreciation .............. I
10 a Depletable assets .........................
b Less accumulated depletion .................
11 Land (net of any amortization).................. I
12 a Intangible assets (amortizable only)...........
b Less accumulated amortization ..............
13 Other assets. Attach schedule .................. I
14 Total assets ................................
Liabilities and Capital
15 Accounts payable............................ I
16 Mortgages, notes, bonds payable in less than 1 year I
17 Other current liabilities. Attach schedule ..........
18 All nonrecourse loans ........................ I
19 Mortgages, notes, bonds payable in 1 year or more . I
20 Other liabilities. Attach schedule ................ I
21 Members’ capital accounts .................... I
22 Total liabilities and capital .....................
Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return. Use total amount under California law. See instructions.
( ) ( )
( ) ( )
( ) ( )
( ) ( )
1 Net income (loss) per books .......................
2 Income included on Schedule K, line 1 through
line 11c, not recorded on books this year. Itemize
...I
3 Guaranteed payments (other than health insurance)....
4 Expenses recorded on books this year not included
on Schedule K, line 1 through line 13e. Itemize:
a Depreciation ..............$ ______________
b Travel and entertainment ....$ ______________
c Annual LLC tax ............$ ______________
d Other....................$ ______________
e Total. Add line 4a through 4d .................I
5 Total of line 1 through line 4e .....................
6 Income recorded on books this year not included
on Schedule K, line 1 through line 11c. Itemize:
a Tax-exempt interest ........$ ______________
b Other ...................$ ______________
c Total. Add line 6a and line 6b ................ I
7 Deductions included on Schedule K, line 1 through
line 13e, not charged against book income this year.
Itemize:
a Depreciation ..............$ ______________
b Other ...................$ ______________
c Total. Add line 7a and line 7b ................ I
8 Total. Add line 6c and line 7c. ....................
9 Income (loss) (Schedule K, line 21a). Subtract
line 8 from line 5
..............................
1 Balance at beginning of year .....................
2 Capital contributed during year
a Cash ................................... I
. b Property ................................ I
3 Net income (loss) per books .....................
4 Other increases. Itemize ......................I
5 Total of line 1 through line 4 .....................
6 Distributions: a Cash........................I
b Property.....................I
7 Other decreases. Itemize ...................... I
8 Total of line 6 and line 7 ........................
9 Balance at end of year. Subtract line 8 from line 5.....
Schedule M-2 Analysis of Members’ Capital Accounts. Use California amounts.
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Schedule O Amounts from Liquidation used to Capitalize a Limited Liability Company. (Complete only if initial return box is checked on Side 1, Question H).
Name of entity liquidated (if more than one, attach a schedule) _____________________________________________________________________________
Type of entity: (1) C Corporation (2) S Corporation (3) Partnership (4) Limited Partnership (5) Sole Proprietor (6) Farmer
Entity identification number(s) FEIN __________________ SSN or ITIN __________________ Corporation _________________ CA SOS_______________
Amount of liquidation gains recognized to capitalize the LLC .......................................................... ___________________
Side 6 Form 568 C1 2012
Schedule IW Limited Liability Company (LLC) Income Worksheet
Enter your California income amounts on the worksheet. All amounts entered must be assigned for California law differences. Use only amounts that are from
sources derived from or attributable to California when completing lines 1-17 of this worksheet. If your business is both within and outside of California, see
Schedule IW instructions to assign the correct amounts to California. If the LLC is wholly within California, the total income amount is assigned to California and
is entered beginning with line 1a. If the single member LLC (SMLLC) does not meet the 3 million criteria for filing Schedule B (568) and Schedule K (568), the
SMLLC is still required to complete Schedule IW. Disregarded entities that do not meet the filing requirements to complete Schedule B or Schedule K should prepare
Schedule IW by entering the California amounts attributable to the disregarded entity from the member’s federal Schedule B, C, E, F (Form 1040), or additional
schedules associated with other activities. Do not enter amounts on this worksheet that have already been reported by another LLC to determine its fee.
See instructions on page 13 of the Form 568 Booklet for more information on how to complete Schedule IW.
1 a Total California income from Form 568, Schedule B, line 3. See instructions ..................... 1a
b Enter the California cost of goods sold from Form 568, Schedule B, line 2 and from federal
Schedule F (Form 1040) (plus California adjustments) associated with the receipts assigned to
California on line 1a
................................................................. 1b
2 a Gross California income of disregarded entities not included in lines 1 and 8 through 16 ........... 2a
b Enter the cost of goods sold of disregarded entities associated with the receipts assigned to
California on line 2a
................................................................. 2b
3 a LLC’s distributive share of ordinary income from pass-through entities ......................... 3a
b Enter the LLC’s distributive share of cost of goods sold from other pass-through entities
associated with the receipt assigned to California on line 3a (see Schedule K-1s (565),
Table 3, line 1a)
.................................................................... 3b
c Enter the LLC’s distributive share of deductions from other pass-through entities associated with
the receipt assigned to California on line 3a (see Schedule K-1s (565), Table 3, line 1b)
............. 3c
4 Add gross farm income from federal Schedule F (Form 1040). Use California amounts ............... 4
5 Enter the total of other income (not loss) from Form 568, Schedule B, line 10 ...................... 5
6 Enter the ordinary gains (not losses) and the recapture income from California Schedule D-1,
Part II, line 17
........................................................................ 6
7 Add line 1a through line 6.................................................................................. 7
8 California rental real estate
a Enter the total gross rents from federal Form 8825, line 18a ................................. 8a
b Enter the total gross rents from all Schedule K-1s (565), Table 3, line 2 ......................... 8b
c Add line 8a and line 8b................................................................................... 8c
9 Other California rentals.
a Enter the amount from Schedule K (568), line 3a........................................... 9a
b Enter the amount from all Schedule K-1s (565), Table 3, line 3. ............................... 9b
c Add lines 9a and 9b ..................................................................................... 9c
10 California interest. Enter the amount from Form 568, Schedule K, line 5 .............................................. 10
11 California dividends. Enter the amount from Form 568, Schedule K, line 6 ............................................ 11
12 California royalties. Enter the amount from Form 568, Schedule K, line 7 ............................................. 12
13 California capital gains. Enter the capital gains (not losses) included in Schedule D (568). ............................... 13
14 California 1231 gains. Enter the amount of total gains (not losses) from Form 568, Schedule K, line 10a .................... 14
15 Other California portfolio income (not loss). Enter the amount from Form 568 Schedule K, line 11a ........................ 15
16 Other California income (not loss) not included in line 5. Enter the amount from Form 568, Schedule K, line 11b ............. 16
17 Total California income. Add lines 7, 8c, 9c, 10, 11, 12, 13, 14, 15, and 16. Line 17 may not be a negative number.
Enter here and on Form 568, Side 1, Line 1. If less than zero enter -0-
................................................ 17
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