EFTA00593209.pdf

2011 TAX RETURN Client Copy Client: Prepared for: Prepared by: DS12-002 ANDROCYTE LLC. AVENTURA, FL 33180 Steven M. Samuels Steven M. Samuels CPA, PA PARKLAND. FL 33067-4420 Date: August 30, 2012 Comments: Route to: FDIL2001L 05103111 EFTA00593209 prepared for: AVENTURA, FL 33180 PARKLAND, FL 33067-4420 EFTA00593210 Steven M. Samuels CPA, PA PARKLAND, FL 33067.4420 Client DS12-002 August 30, 2012 ANDROCYTE, LLC. AVENTURA, R_ " IIIIMI Form 1065 Schedule B-1 Schedule K-1 Form 7004 Form 8879-PE FEDERAL FORMS 2011 U.S. Return of Partnership Income Information on Partners Owning 50% or More Partner's Share of Income, Deductions, Credits Automatic Extension of Time to File IRS e-file Signature Authorization FEE SUMMARY Preparation Fee EFTA00593211 2011 Federal Income Tax Summary Page 1 ANDROCYTE, LLC. 45-1804323 TRADE OR BUSINESS INCOME Total income (loss) 0 TRADE OR BUSINESS DEDUCTIONS Taxes and licenses Other deductions Total deductions 173 201,296 201,469 SCHEDULE K - INCOME Ordinary business income (loss) -201,469 Interest income 47 SCHEDULE K - OTHER Nondeductible expenses Investment income 2,447 47 SCHEDULE L - BALANCE SHEET Beginning Assets 0 Beginning Liabilities and Capital 0 Ending Assets Ending Liabilities and Capital 80,002 80,002 EFTA00593212 2011 Federal Balance Sheet Summary ANDROCYTE, LLC. Page 1 45-1804323 ENDING ASSETS Cash 47,122 Intangible assets 32,660 Less accumulated amortization (0) 32,880 Total Assets 80,002 ENDING LIABILITIES & CAPITAL Loans from partners 23,871 Partners' capital accounts 56,131 Total Liabilities and Capital 80,002 EFTA00593213 2011 Florida Income Tax Summary Page 1 ANDROCYTE, LLC. 45-1804323 ADDITIONS TO FEDERAL INCOME Total additions 0 SUBTRACTIONS FROM FEDERAL INCOME Total subtractions Sub-total Partnership income adjustment 0 0 0 EFTA00593214 2011 General Information Page 1 ANDROCYTE, LLC. 45-1804323 Forms needed for this return Federal: 1065, Sch B-1, Sch K-1, 7004 Carryovers to 2012 None EFTA00593215 Form 8879-PE Department of die Treasury Internal Rerenue Service IRS e-file Signature Authorization for Form 1065 For calendar year 2011, or tax year beginning . 2011. ending II, See instructions. Do not send to the IRS. Keep for your records. CS .10 N2. 1545.2042 2011 Name of partnership ANDROCYTE, LLC. Part I 1 Gross receipts or sales less returns and allowances form 1065, line 1 e) 1 2 Gross profit form 1065, line 3). 2 3 Ordinary business income (loss) (Form 1065, line 22) 3 -201,469. 4 Net rental real estate income (loss) form 1065. Schedule K. line 2) 4 5 Other net rental income (loss) (Form 1065. Schedule K. line 3c) 5 Part II Employer identification number 45-1804323 Return Information (Whole dollars only) Declaration and Signature Authorization of General Partner or Limited Liability Company Member Manager (Be sure to get a copy of the partnership's return) Under penalties of perjury. I declare that I am a general partner or limited liability company member manager of the above partnership and that I have examined a copy of the partnership's 2011 electronic return of partnership income and accompanying schedules and statements and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts shown on the copy of the partnership's electronic return of partnership income. I consent to allow my electronic return originator (ERO), transmitter, or intermediate service provider to send the partnership's return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission and (b) the reason for any delay in processing the return. I have selected a personal identification number (PIN) as my signature for the partnership's electronic return of partnership income. General Partner or Limited Liability Company Member Manager's PIN: check one box only I authorize Steven M. Samuels CPA, PA to enter my PIN 4 9 1 2 7 as my signature on the ERO firm name partnership's 2011 electronically filed return of partnership income. do not enter all aeries As a general partner or limited liability company member manager of the partnership, I will enter my PIN as my signature on the partnership's 2011 electronically filed return of partnership income. General partner or limited liability company member manager's signature Title • Date I. Certification and Authentication ERO's EFINIPIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 602 4 3 1 2 2 2 2 2 do not enter all zeros I certify that the above numeric entry is my PIN. which is my signature on the 2011 electronically filed return of partnership income for the partnership indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub 3112. IRS e-file Application and Participation, and Pub 4163, Modernized e-File (MeF) Information for Authorized IRS e-tile Providers for Business Returns. ERO's signature • Steven M. Samuels Date ERO Must Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So BAA For Paperwork Reduction Act Notice, see instructions. Form 8879•PE (2011) PTPA0S0IL I '22:I EFTA00593216 Form 7004 (Rev November 2011) Department or tie Treasury Internal Revenue Service Application for Automatic Extension of Time To File Certain Business Income Tax, Information, and Other Returns File a separate application for each return. • See separate instructions. OMB No. ISIS MO Print or Type Norm ANDROCYTE, LLC Number. street, and room or suite number. (If P.O. box. see instructions.) klentilying nuntber 45-1804323 City. town. slate, and ZIP code (If a (we nn address. enter city. province or slate. and country (follow the country's bee for entering postal code)). AVENTURA, FL 33180 Note. File lathiest for extension by the due date of the return for which the extension is granted. see instructions before completing this Wit Part I Automatic 5-Month Extension la Enter the form code for the return that this application is for (see below) 09 Application Is For: Form Code Application Is For: Form Code Form 1065 09 Form 1041 (estate other than a bankruptcy estate) 04 Form 8804 a 31 Form 1041 (trust) 05 Part II I Automatic 6-Month Extension b Enter the form code for the return that this application is for (see below) Application Is For: Form Code Application Is For: Form Code Form 706-GS(D) 01 Form 1120•ND (section 4951 taxes) 20 Form 706.GS(T) 02 Form 1120•PC 21 Form 1041 (bankruptcy estate only) 03 Form 1120•POL 22 Form 1041•N 06 Form 1120•REIT 23 Form 1041 -OFT 07 Form 1120•RIC 24 Form 1042 08 Form 1120S 25 Form 10656 10 Form 1120.SF 26 Form 1066 11 Form 3520•A 27 Form 1120 12 Form 8612 28 Form 1120•C 34 Form 8613 29 Form 1120.F 15 Form 8725 30 Form 1120•FSC = 16 Form 8831 32 Form 1120-I-I 17 Form 8876 33 Form 1120•L 18 Form 8924 35 Form 1120.ND 19 Form 8928 36 2 If the organization is a foreign corporation that does not have an office or place of business in the United States. check here •• 3 If the organization is a corporation and is the common parent of a group that intends to file a consolidated return, check here — _ If checked, attach a schedule, listing the name, address, and Employer Identification Humber (EIN) for each member covered by this application. Part III All Filers Must Complete This Part 4 If the organization is a corporation or partnership that qualifies under Regulations section 1.6081.5, check here. 5a The application is for calendar year 20 11 , or tax year beginning b Short tax year. If this tax year is less than 12 months, check the reason: Initial return U Final return 9 Change in accounting period , 20 , and ending , 20 9 Consolidated return to be filed 6 Tentative total tax 6 0. 7 Total payments and credits (see instructions) 7 0. 8 Balance due. Subtract line 7 from line 6 (see instructions) 8 0. For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Fo m 7004 (Rev 11.2011) CPC20701L C0))0'11 EFTA00593217 For. 1065 Department or tie Treasury Internal Revenue Service U.S. Return of Partnership Income For calendar year 2011, or tax year beginning , 2011, ending , 20 • See se ate Instructions. OAS No. 1545.0099 2011 A Principal business actmly RESEARCH B Principal product or service BIOMARKERS C Business code nuttier 541700 G Check applicable boxes: (1) X Initial return (2) El Final return (3) Dame change (4) Address change (6) Technical termination — also check (1) or (2) H Check accounting method: (1) X Cash (2) Accrual (3) Daher (specify)," I Number of Schedules K-1. Attach one or each person who was a partner at any time during the tax year J Check if Schedules C and M-3 are attached Print or type. ANDROCYTE LLC. D Employer identification number 45-1804323 E Date business started 5/01/2011 F Total assets (see in 80,002. (5) K Amended return 2 at a ova vary crame ta auataaaa tiara ea atm emir rasa tar rostra ra u's r a mow. aura co a saw s...unto muraratwoo. 1 N C 0 M E I a Merchant card and third-party payments (including amounts reported on Form(s) 1099-K). For 2011, enter -0- 1 a O. b Gross receipts or sales not reported on line la (see instructions) 1 b e Total Add lines la and lb 1 c d Returns and allowances plus any other adjustments to line la (see inst) 1 d e Subtract line Id from line lc le 2 Cost of goods sold (attach Form 1125-A) 2 3 Gross profit. Subtract line 2 from line le 4 Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) 5 Net farm profit (loss) (attach Schedule F (Form 1040)) 6 Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) 7 Other income (loss) (attach statement) 8 Total Income (loss). Combine lines 3 through 7 3 4 5 6 7 8 s E E I D N s E D y R U s C F T O I R N i L S m A T T o s 9 Salaries and wages (other than to partners) (less employment credits) 10 Guaranteed payments to partners 11 Repairs and maintenance 12 Bad debts 13 Rent 14 Taxes and licenses 15 Interest 16a Depreciation (if required, attach Form 4562) 16al 9 10 11 12 13 14 173. 15 16c b Less depreciation reported on Form 1125•A and elsewhere on return 16b 17 Depletion (Do not deduct oil and gas depletion.) 18 Retirement plans, etc 19 Employee benefit programs 20 Other deductions (attach statement) See_Statement.1 21 Total deductions. Add the amounts shown in the far ri ht column for lines 9 throw h 20 17 18 19 20 201,296. 21 201, 469. 22 Ordinary business Income (loss). Subtract line 21 from line 8 22 -201, 469. Under penalties of pethay. I declare Dal I have examined this return. including accompanying !theories and statements. and to the est of nay knowledge and heber. it b true. correct. and complete. Declaration of preparer (other than gereral partner or breedliability company member manager) is based on all information of which preparer has any ImovAedge. Sign Here lil. III' May the RS discuss this relish, with the preparer shown below (see instrs) Signature of general partner or lotted liability company member manager Date N Yes FIN. Paid Print/Type preparers ninth Steven M. Samuels Preparers signature Steven M. Samuels Date Check 12 CJ if selfierrployed KIN P00091086 Preparer nreSMarrle P. Steven M. Samuels CPA, PA FimesEIN • 65-1060270 Use Only Forf,,1=,-,..- PARKLAND, FL 33067-4420 Phone no. BAA For Paperwork Reduction Act Notice, see separate instructions. PTPAOIDSL 1D27/1I Form 1065 (2011) EFTA00593218 Form 1065 11 ANDROCYTE, LLC . 45-1804323 Other Information 1 a c e 2 At treated similar 3 At a organization, the b partnership? 4 At a to through What — X Did Owning Did Owning Own type of entity is filing this return? Check Domestic general partnership b Domestic limited liability company d Foreign partnership f any time during the tax year, was any partner as a partnership), a trust, an S corporation, person'? the end of the tax year: any foreign or domestic corporation, partnership or any foreign government own, partnership? For rules of -constructive ownership, 50% or More of the Partnership any individual or estate own, directly or indirectly, For rules of constructive ownership, 50% or More of the Partnership the end of the tax year, did the partnership: directly 20% or more, or own, directly or indirectbc, vote of any foreign or domestic corporation? (iv) below the — — directly For applicable box: Domestic limited partnership Domestic limited liability partnership Other ei.. 'n the partnership a disregarded entity, a partnership (including an an estate (other than an estate of a deceased partner), or a nominee (including any entity treated as a partnership), trust, or tax•exempt or indirectly, an interest of 50% or more in the profit, loss, or see instructions. If 'Yes,' attach Schedule B.1, Information on an interest of 50% or more in the profit, loss, or capital of the see instructions. If 'Yes,' attach Schedule B.1, Information on Partners 50% or more. of the total voting power of all classes of stock rules of constructive ownership, see instructions. If 'Yes,. complete entity or capital of Partners entitled (i) Yes X X No X MI X (i) Name of Corporation (10 Employer Identification Number (if any) (110 Country of Incorporation (Iv) Percentage Owned in Voting Stock b Own directly an interest of 20% or more, or own, directly or ind'rectly, an interest of 50% or more in the in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial rules of constructive ownership, see instructions. If 'Yes, complete (i) through (v) below profit, loss or capital interest of a trust? For ■ X (I) Name of Entity 00 Employer Identification Number (if any) (II) Type of Entity (v) Country of Organization (v) Maximum Percentage Owned in Profit, Loss, or Capital Page 2 P7PAD112L 1D727/II Form 1065 (2011) EFTA00593219 ANDROCYTE LLC. 45-1804323 Page 3 Form 1065 (2011) 5 Did the partnership file Form 8893, Election of Partnership Level Tax Treatment, or an election statement under section 6231(a)(1)(B)00 for partnership-level tax treatment, that is in effect for this tax year? See Form 8893 for more details Ii i3 No X 6 Does this partnership satisfy all four of the following conditions? a The partnerships 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 I of Form 1065; or Item L on Schedule K-1. X 7 Is this partnership a publicly traded partnership as defined in section 469(k)(2)' X 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' X 9 Has this partnership filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide information on any reportable transaction' X 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 ID F 90.22.1, Report of Foreign Bank and Financial Accounts. If 'Yes,' enter the name of the foreign country... X 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 X 12a Is the partnership making, or had it previously made (and not revoked), a section 754 election? See instructions for details regarding section 754 election. b Did the partnership make for this tax year an optional basis adjustment under section 743(3) 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 73403) 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 X X ■ 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 contributed such property to another entity (other than disregarded entities wholly-owned by the K partnership throughout the tax year) 14 At At any time during the tax year, did the partnership distribute to any partner a tenancy-in-common or other undivided interest in a partnership property' X 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 ii- 16 Does the partnership have any foreign partners? If 'Yes,' enter the number of Forms 8805, Foreign Partners Information Statement of Section 1446 Withholding Tax, filed for this partnership. „. X 17 Enter the number of Forms 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships, attached to this return . —.I 18a 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? X X 19 Enter the number of Form(s) 5471, Information Return of U.S. Persons With Respect To Certain Foreign Corporations, attached to this return IS. Designation of Tax Matters Partner (see the instructions) Enter below the general partner designated as the tax matters partner (TMP) for the tax year of this return: Name of designated IMP if the TI/P is an entity. name of 17.1P representative Address of designated TMP ANDROCYTE MANAGEMENT, LLC JAMES CLEMENT AVENTURA, FL 33180 Identifying number of TIIP Phone number of TMP 45-2038037 Form 1065 (2011) PTPADII2L 1D/27f11 EFTA00593220 Form 1065 (2O11) ANDROCYTE, LLC. 45-1804323 Page 4 Schedule K Partners' Distributive Share Items Total amount Income (Loss) 1 Ordinary business income (loss) (page 1, line 22) 2 Net rental real estate income (loss) (attach Form 8825) 3a Other gross rental income (loss) b Expenses from other rental activities (attach stint) e Other net rental income (loss). Subtract line 3b from line 3a 4 Guaranteed payments 5 Interest income 6 Dividends: a Ordinary dividends b Qualified dividends 7 Royalties 8 Net short-term capital gain (loss) (attach Schedule D (Form 1O65)) 9a Net long-term capital gain (loss) (attach Schedule D (Form 1O65)) b Collectibles (28%) gain (loss) e Unrecaptured section 1250 gain (attach statement) 10 Net section 1231 gain (loss) (attach Form 4797) 11 Other income (loss) (see instructions) Type l• 3a 1 -201,469. 2 3c 3bl I 6b I 4 5 47. 6a ii 7 8 9a 10 I Sc I 11 Dedue- tions 12 Section 179 deduction (attach Form 4562) 13a Contributions b Investment interest expense. e Section 59(eX2) expenditures: (1) Type 1.- (4 Amount 1" d Other deductions (see instructions) Type I. 12 13a 13b 13e (2) 13d Self- EmPlot ment 14a Net earnings (loss) from self-employment b Gross farming or fishing income e Gross nonfarm income 14a 14b 14e Credits 15a Low-income housing credit (section 42()(5)) b Low-income housing credit (other) e Qualified rehabilitation expenditures (rental real estate) (attach Form 3468) d Other rental real estate credits (see instructions) Type • 15a 15b 15e 15d e Other rental credits (see instructions) Type • 15e f Other credits (see instructions) Type • 15f Foreign Trans- actions 16a Name of country or U.S. possession.. b• b Gross income from all sources e Gross income sourced at partner level Foreign gross income sourced at partnership level d Passive category • e General category • f Other - - Deductions allocated and apportioned at partner level g Interest expense .. h Other Deductions allocated and apportioned at partnership level to foreign source income I Passive category • j General category 8. _ _ _ _ _ _ kOther I Total foreign taxes (check one): IN- Paid K Accrued Er mReduction in taxes available for credit (attach statement) n Other foreign tax information (attach statement) . 0' 0' 0' r 16b 16e 16f a 16h M 16k 161 16m AM IME Alternative Minimum Tax ( RAC) ems 17a Post-1986 depreciation adjustment b Adjusted gain or loss e Depletion (other than oil and gas) d Oil, gas, and geothermal properties — gross income e Oil, gas, and geothermal properties — deductions f Other AIAT items (attach stmt) 17a 17b 17e 17d 17e 17f Other Infor- matron 18a Tax-exempt interest income b Other tax-exempt income e Nondeductible expenses 19a Distributions of cash and marketable securities b Distributions of other property 2Oa Investment income b Investment expenses e Other items and amounts (attach stmt) 18a 18b 18e 2,447. 19a 19b 2Oa 47. 2Ob BAA Form 1065 (2011) PTPA01341 OST/6/11 EFTA00593221 Form 1065 (2011) ANDROCYTE, LLC . 45-1804323 Page 5 Analysis of Net Income Loss 1 Net income (loss). Combine Schedule K, lines 1 through II. From the resu t, subtract the sum of Schedule K, lines 12 through 13d, and 161 1 -201,422. 2 Analysis by partner type (0 Corporate (II) Individual (active) 010 Individual (passive) (Iv) Partnership (v) Exempt organization (vi) Nominee/Other a General pariners... . b ltrntle,,d,. path . . —201,422. Schedule L Balance Sheets per Books Beginning of tax year End of ax year Assets 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 stmt) 7a Loans to partners (or persons related to partner* b Mortgage and real estate loans 8 Other investments (attach stmt) 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 stmt) 14 Total assets Liabilities and Capital 15 Accounts payable 16 Mortgages, notes, bonds payable in less than I year... 17 Other current liabilities (attach stmt) 18 All nonrecourse loans 19a Loans from partners (or persons related to partners) b Mortgages, notes, bonds payable in I year or more 20 Other liabilities (attach stmt) 21 Partners' capital accounts 22 Total liabilities and capital (a) (b) (e) (d) 47,122. 32,880. 32,880. llf IP 80,002. 23,871. 56,131. 80,002. Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return be required instead of Schedule M-1 (see instructions). Note. Schedule M-3 may 1 Net income (loss) per books 2 Income included on Schedule K, lines 1, 2, 3c, 5, 6a, 7, 8, 9a, ICI, and 11, not -203,869. 6 Income recorded on books this year not included on Schedule K, lines 1 through 11 (iitemize): recorded on books this year (itemize): a Tax-exempt interest . . $ 7 Deductions included on Schedule K, lines 1 through 3 Guaranteed pmts (other than health insurance) 4 Expenses recorded on books this_year not included 13d, and 161, not charged against book income this year (itemize): on Schedule K, lines I throu0 lad and 161 (itemize): a Depreciation b Travel and entertainment 2 447. a Depreciation 8 Add lines 6 and 7 2,447. 9 Income (loss) (Analysis of Net Income (Loss), line 1). 5 Add lines 1 through 4 -201,422. Subtract line 8 from line 5. -201,422. Schedule M-2 Analysis of Partners' Capital Accounts 1 Balance at beginning of year 0. 6 Distributions: a Cash 2 Capital contributed: a Cash b Property 260,000. b Property 7 Other decreases (itemize): 3 Net income (loss) per books -203,869. 4 Other increases (itemize): 8 Add lines 6 and 7 5 Add lines 1 through 4 56,131. 9 Balance at end of year. Subtract line 8 from line 5.... 56,131. PTPA01341 OWD5tIl Form 1065 (2011) EFTA00593222 SCHEDULE B-1 (Form 1065) (December 2011) Department of the Treasury Internal Revenue Service Information on Partners Owning 50% or More of the Partnership • Attach to Form 1065. See Instructions. O/43 No. 15454099 Weriedpwlmr00 ANDROCYTE, LLC. 45-1804323 Employer identification number (EIN) Part I Entities Owning 50% or More of the Partnership (Form 1065, Schedule B, Question 3a) Complete columns () 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). 0 Name d Edify w.ma,2.acm. Of any) Cu.) Type M Entity Country of‘anizabon Percentage (v) Maximum th thobt.Wmor cams ANDROCYTE MANAGEMENT, LLC 45-2038037 Partnership U.S. 84.310 ANDROCYTE MANAGEMENT, LLC 45-2038037 Ptrship. U.S. 84.310 ZASIS, LLC 20-4637772 Ptrship. U.S. 100.000 Pan 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 partnership (see instructions). 0)NameoumWWwfl.Milak Wele04004.mber ( ranY) 600mstryolOtizmA04ftinstwdion0 thgfitiOmwn Percentage tinned in Profit. Loss. or Cool& BAA For Paperwork Reduction Act Notice. see the instructions fo Form 1065. Schedule B•1 (Form 1065) (12.2011) FMAUML 0627/11 EFTA00593223 Final K-I Amended K-I 651111 OMB No. ISIS 0099 Schedule K-1 (Form 1065) For calendar 0eparknent of the Treaswy year begrining Internal Revenue Service ending Partner's Share of Income, Deductions, Credits, etc. • See LU I I year 2011. cc Lax .2011 Year Income, and Other Items Part III Partner's Share of Current Deductions Credits 1 Ordinary business income (loss) 15 Credits separate instructions. 2 Net rental real estate income (loss) 3 Other net rental income (loss) 16 Foreign transactions Partnership Part I Information About the 4 Guaranteed payments A Partnership's employer identification number 45-1804323 5 Interest income 40. B Partnership's name, address, city, state, and ZIP code ANDR0CYTE LLC. 6a Ordinary dividends 6b Qualified dividends C IRS Center where partnership filed return e-f ile 7 Royalties Check if this is a publicly traded partnership (PTP) 8 Net shod-term capital gain (loss) Partner 9a Net long-term capital gain (loss) 17 Alternative minimum tax (AMT) items Part II Information About the E Partner's identifying number 45-2038037 9b Collectibles (28%) gain (loss) F Partners name, address, city, state, and ZIP code ANDR0CYTE MANAGEMENT LLC , 9e Unrecaptured section 1250 gain 10 Net section 1231 gain (loss) 18 C Tax-exempt income and nondeductible expenses 2,063. 11 Other income (loss) G H I J X General partner or LLC Limited partner or other member-manager LLC member Domestic partner ❑Foreign partner type of entity is this partner? Partnership X What Partner's Profit 19 Distributions share of profit, loss, and capital Beginning % (see instructions): Ending 84 .31 % 12 Section 179 deduction 13 Other deductions 20 A Other information 40. Loss % % Capital 84.31 % K Partner's share of liabilities at year end: Nonrecourse Qualified nonrecourse financing Recourse $ $ 14 Self-employment earnings (loss) $ L M Partner's Beginning Capital Current Withdrawals Ending capital account analysis: capital account contributed during the year year increase (decrease) and distributions capital account Tax basis K GAAP Other (explain) the partner contribute property with $ 0 • *See attached statement for additional information. $ o R R S u s E o N L Y $ -2,023. $ $ -2,023. Section 704(b) book a built-in gain or loss? X Did Yes X No If 'Yes'. attach statement (see instructions) BAA For Papenvork Reduction Act Notice, see Instructions for For, 11065. Partner 1 Schedule K•1 (Form 1065) 2011 PIPA0312L 02118111 EFTA00593224 Schedule K-1 (Form 1065) 2011 ANDROCYTE, LLC. 45-1804323 Page 2 This list identifies the codes used on Schedule K-I for allpartners and provides summarized reporting information for partners who file Form IOW. For detailed reporting and filing information, see the separate Partner's Instructions for Schedule K-I and the instructions for your income tax return. Code Report on J Work opportunity credit K Disabled access credit L Empowerment tee and renewal community employment credit See the Partners M Credit for increasing research activities N Credit for employer social security and Medicare taxes O Backup withholdng Form 1040. line 62 P Other credits See the Partner's Instructions Foreign transactions A Name of canny or U.S. possession B Cross income from as sources Form 1116. Peet I C Cross income wined al partner level Foreign gross income sourced at partnership level D Passive category E General category Form 1116. Part I F other Deductions allocated and apportioned at partner level G Interest expense Form 1116. Part I H Other Form 1116. Part I Deductions allocated and apportioned at partnership level to foreign source income I Passive category J General category Form 1116. Part I K other Other information L Total foreign taxes paid F rte 1116. Part II M Total foreign taxes accrued Form 1116. Part II N Reduction in taxes avertible for credit Form 1116. line 12 O Foreign trading gross receipts F rm 8873 P Extraterritorial Moyne exclusion F rm 8873 Q Other foreign transactions See the Partner's Instructions Alternative minimum tax (AMC Items A Post.1986 depreciation adjuStrnent B Adjusted gain or loss C Depletion (other than en & gm) D Oil. gas. & geothermal — gross income E Oil. gm. & geothermal — deductions F Other MIT items Tax-exempt income and nondeductible expenses A Tax exerrpt interest name Form 1040. line 8b B Other tax exempt income See the Partner's Instructions C Nondeductible expenses See the Partner's Instructions Distributions A Cash and marketable securities B Destribution sudect to seders 737 C Other property Other information A Investment incense Form 4952. line 4a B Investment expenses Form 4952. line 5 C Fuel tax credit nformatim Form 4136 D Qualified rehabildatien expenditures (other than rental real estate) See the Partners Instructions E Basis of energy property See the Partner's Instructions F Recapture of lurginceene housing credit (section 420(5)) Form 8611. line 8 G Recapture of lurginceene housing credit (other) Form 8611. line 8 H Recapture of investment credit Form 4255 1 Recapture of other credits See the Partners Instructions j Lookteck interest — completed longterm contracts See Form 8697 K LOOkibaCk interest — income forecast method See Form 8866 L Depositions of properly with seeker 179 de bom M Recapture of section 179 deduction N Interest expense for corporate partners O Section 453(0(3) information P Section 653A(c) information Q Sadism 1260(b) information R Interest allocable to production expenditures S CCF nongualified withdrawals T Depletion ritionviatiCel oil and gas U Amortization of reforestation costs  Unrelated business taxable income W Precontribution gain (loss) X Section 108(0 nformatien Y Other information 45-2038037 PTPA03121. 08/18/11 1 Ordinary business income (loss). Determine whether the income (loss) is passive or nonpassrve and enter as your return as knows. Report on Passive loss See the Partner's Instructions Passive income Schedule E. line 28. column (g) Nonpassive loss Schedule E. line 28. column (h) Nonpassive income Schedule E. line 28. column (0 2 Net rental real estate income (loss) See the Partner's Instructions 3 Other net rental income (loss) Net income Schedule E. line 28. column (g) Nel loss See the Partner's Instructions 16 4 Guaranteed payments Schedule E. line 28. column () 5 Interest income Form 1040. the 8a 6a Ordinary dividends Form 1040. the 9a 6 b Qualified dividends Form 1040. the 9b 7 Royalties Schedule E. lire 3b 8 Net 'hareem capital gain (loss) Schedule D. line 5 9a Net longterm capital gain (loss) Schedule D. line 12 9 b Collectibles (28%) gain (loss) 28% Rate Gain Worksheet. line 4 (Schedule D It-Much:nu) 9C Unrecaptured section 1250 gain See the Partnor's Instructions 10 Net section 1231 gain (loss) See the Parther's Instructions 11 Other income(oss) Code A Other portfolio income (loss) See the Partners Instructions B Invokritary conversions See the Partners Instructions C Section 136 contracts and straddles Form 6781. Ire 1 D Miring expeoratien costs recapture See Pit 535 E Cancellation of debt Fern 1040, die 21 or Form 982 F Other ncome (loss) See the Partner's Instructions 12 Section 179 deduction See the Partner's Instructions 13 Other deductions A Cush contributions (50%) B Cash contributions (30%) 17 C Noncash Cana/MSS (50%) — See the Partners D Noncash contributions (30%) Instructions E Capital gain property to a 50% organization (30%) F Capital gain property (20%) G Centrioutices (100%) H Investment Merest expense Form 4952. the 1 18 I Deductions — regally insane Schedule E. lire 19 J Section 59(e)(2) expenditures See the Partner's Instructions K Deductions — pert: to (2% floor) Schedule A. lire 23 L Deductions — pert: to (other) Schedule A. lire 28 19 M Amounts paid for medical Schedule A. lire 1 or ingrance Form 1040. the 29 N Educations assistance benefits See the Partner's Instructions 0 Dependent care benefits Form 2441. the 12 20 P Preproducbve period expenses See the Partner's Instructions Q Cr:article, revitalization deduction from rental real estate activities See Form 8582 Instructions R Pensions and RAs See the Partner's Instructions S Reliant/then expense deduction See the Partner's Instructions T Domestic pro-Sieben activities information See Form 8903 Instructions LI Gnashed production activities income Form 8903. site 7b V Employers Form *2 wages Form 8903. the 17 W Other deductions See the Partner's Instructions 14 Sell-employment earnings (loss) Note. If yen haven section )79 deduction or any partnerless, *duelist's. see Ole Partner Y Inseuetions before comp'efing &heals% SE. A Net earnings Noss) from selberrployment Schedule SE. Section A or B B Gres farming or fishing income See the Partner's Instructions C Gross nonfarm income See the Partner's Instructions 15 Credits A Lowenccene housing credit (section 420(5)) freer, pre.2008 buildings B Lorin:cos housing credit (other) from pre.2008 buildings C Lorin:cos housing credit (section 420)(5)) from posb2007 buildings See the Partners D Lowenceme housing credit (other) from posb2007 thildings _ Instructions E Quashed rehabilitation expenditures (rental real estate) F Other rental real estate credits G Other rental credits H Undiseleuted capital gains credit Form 10$0. Ire 71: check box a I Attend and cellulosic berfuel fuels credit See the Partner's Instructions lnsbuctions 1 See the Partner's Instructor:gm and the Instructions for Form 6251 } See the Partners Instructions See the Partners Instructions Partner 1: ANDROCYTE MANAGEMENT, LLC Schedule K1 (Form 1065) 2011 EFTA00593225 Final K-I Amended K-I 651111 OMB No. ISIS 0099 Schedule K-1 (Form 1065) For calendar Oeparknent of the Treaswy year begrining Internal Revenue Service ending Partner's Share of Income, Deductions, Credits, etc. • See LU I I year 2011. cc Lax .2011 Year Income, and Other Items Part III Partner's Share of Current Deductions Credits 1 Ordinary business income (loss) —201,469. 15 Credits separate instructions. 2 Net rental real estate income (loss) 3 Other net rental income 0055) 16 Foreign transactions Partnership Part I Information About the 4 Guaranteed payments A Partnership's employer identification number 45-1804323 5 Interest income 7. B Partnership's name, address, city, state, and ZIP code ANDR0CYTE LLC. 6a Ordinary dividends 6b Qualified dividends C IRS Center where partnership filed return e-file 7 Royalties D Check if this is a publicly traded partnership (PTP) 8 Net shod-term capital gain (loss) Partner 9a Net long-term capital gain (loss) 17 Alternative minimum tax (AMT) items Part II Information About the E Partner's identifying number 20-4637772 9b Collectibles (28%) gain (loss) F Partners name, address, city, state, and ZIP code ZASIS LLC " 1111/1/11 9e Unrecaptured section 1250 gain 10 Net section 1231 gain (loss) 18 C Tax-exempt income and nondeductible expenses 384. 11 Other income (loss) G H I J General partner or LLC X Limited partner or other LLC member partner member-manager Domestic partner ❑Foreign type of entity is this partner? Partnership X What Partners Profit 19 Distributions share of profit, loss, and capital Beginning % (see instructions): Ending 15.69 % 12 Section 179 deduction 13 Other deductions 20 A Other information 7. Loss % 100 % Capital 15.69 % K Partners share of liabilities at year end: Nonrecourse Qualified nonrecourse financing Recourse $ $ 14 Self-employment earnings (loss) $ L M Partners Beginning Capital Current Withdrawals Ending capital account analysis: capital account contributed during the year year increase (decrease) and distributions capital account Tax basis K GAAP Other (explain) the partner contribute property with $ O. *See attached statement for additional information. $ 260,000. F o R R S u s E o N L Y $ -201,846. $ $ 58,154. Section 704(b) book a built-in gain or loss? X Did Yes X No If 'Yes'. attach statement (see instructions) BAA For Paperwork Reduction Act Notice, see Instructions for Fon 11065. Partner 2 Schedule K•1 (Form 1065) 2011 PIPA0312L 02118111 EFTA00593226 Schedule K-1 (Form 1065) 2011 ANDROCYTE, LLC. 45-1804323 Page 2 This list identifies the codes used on Schedule K-I for allpartners and provides summarized reporting information for partners who file Form IOW. For detailed reporting and filing information, see the separate Partner's Instructions for Schedule K-I and the instructions for your income tax return. Code Report on J Work opportunity credit K Disabled access credit L Etrpcnverment Stele and renewal community employment credit See the Penn.'s M Credit for increasing research activities N Credit Ice employer social security and Medicare taxes O Backup withheldeg Form 1040. line 62 P Other credits Foreign transactions A Name of country or U.S. possession B Cross income from all sources F Form 1116, Peet I C Cross income seemed al partner level Foreign gross income sourced at partnership level D Passive category E Genital artery Fern 1116. Part I F other Deductions allocated and apportioned at partner level G Interest expense Form 1116. Part I H Other Form 1116. Part I Deductions allocated and apportioned at partnership level to foreign source income 1 Passive category J General category Fern 1116. Part I K Other Other information L Total foreign taxes paid M Total foreign taxes accrued N Reduction in faxes avertible for credit O Foreign trading gross receipts P Extraterritorial interne exclusion Q Ober Foreign transactions Alternative minimum tax (ANT) Nom A Posto1986 depreciation adjustment B Adjusted gain or loss C Depletion (other than en & gm) D Oil. gas. & geothermal — gross income E Oil. gm. & geothermal — deduction F Other MIT items Tax-exempt income and nondeductible expenses A Taxoexerrpt interest name Form 1040. line 8b B Other tax exempt income See the Partner's Instructions C Nondeductible expenses See the Partner's Instructions Distributions A Cash and marketable securities B Daibution suSect to section 737 C Other property Other information A Investment income B Investment expenses C Fuel tax credit eformatice Form 4136 D Qualified rehabilitation expenditures (other than rental real estate) See the Partners Instructions E Basis of energy property See the Partner's Instructions F Recapture of leonine:me housing credit (section 42 (5S Form 8611. line 8 G Recapture of Insincere* housing credit (other) H Recapture of immanent credit 1 Recapture of other credits j Li:ekes& interest — completed longterm contracts K LOOktaCk interest — income forecast method L Depositions of property with section 179 de bom M Recapture of section 179 deduction N Interest expense for corporate partners O Section 453(0(3) information P Section 4534(c) information Q Section 1260(b) information R Interest allocable to production expenditures S OCF nongualiked withdrawals T Depletion eformatice — oil and gas U Amortization of reforestation costs  Unrelated business taxable income W Precontribution gain (oss) X Section 1013() seemlier, Y Other information FTPA03121. 08/18/11 Schedule K•1 (Form 1065) 2011 1 Ordinary business income (loss). Determine whether the income (loss) is passive or nonpassrve and enter cis your return as blows. Report on Passive loss See the Partner's Instructions Passive income Schedule E. line 28. column (g) Nonpassive loss Schedule E. line 28. column (h) Nonpassive income Schedule E. line 28. column (0 2 Net rental real estate income (loss) See the Partner's Instructions 3 Other net rental income (loss) Nel income Schedule E. line 28. column (g) Nel loss See the Partner's Instructions 16 4 Guaranteed payments Schedule E. line 28. column () 5 Interest income Form 1040. N.e 8a 6a Ordinary dividends Form 1040. N.e 9a 6 b Qualified dividends Form 1040. N.e 9b 7 Royalties Schedule E. line 3b 8 Net short term capital gain (loss) Schedule D. line 5 9a Net longoterm capital gain (loss) Schedule D. line 12 9 b Collectibles (28%) gain (loss) 28% Rate Gain Worksheet. line 4 (Schedule D Iretructrens) 9C Unrecaptured section 1250 gain See the Partner's Iretructicm 10 Net section 1231 gain (loss) See the Parther's Iretructions 11 Other income(oss) Code A Other portfolio income (loss) See the Partner's Instructions B Invokritary conversions See the Partners Instructions C Section 136 contracts and straddles Form 6781. lee 1 D thineg en/Malice costs recapture See Pit 535 E Cancellation of debt From 1040, re 21 or Form 982 F Other ecome (loss) See the Partner's Instructions 12 Section 179 deduction See the Partner's Instructions 13 other deductions A Cash contributions (50%) B Cash contributions (30%) 17 C NeneaSh eentriatilietIS (50%) — See the Partners D Noncash entributices (30%) Instructions E Capital gain property to a 50% organization (30%) F Capital gain property (20%) G Cantina's (100%) H Investment tutored expense Form 4952. N.e 1 18 I Deductions regally income Schedule E. line 19 J Section 59(e)(2) expenditures See the Partner's Instructions K Deductions pollee° (2% floor) Schedule A. line 23 L Deductions pollee° (other) Schedule A. line 28 19 M Amounts paid for medical Schedule A. line I or instance Form 1040. N.e 29 N Educational assistance benefits See the Partner's Instructions O Dependent care benefits Form 2441. N.e 12 20 P Preproductve period expenses See the Partner's Instructions Q Commercial revitalization deduction from rental real este* activities See Form 8582 Instructiom R Pensions and Ms See the Partner's Instructions S Reforestation experde deduction See the Partner's Instructions T Domestic production activities informalice See Form 8903 Instructions LI Quashed production activities income Form 8903. site 7b V Employers Fenn *2 wages Form 8903. N.e 17 W Other deductions See the Partner's Instructions 14 Sellemployment earnings (loss) Note. Sinn haven section )79 deduction or any partnerless, deductions. see 8,e Partner Y Inseuetions before comp'efing &heals% SE. A Net earnings Noss) from selfoorployment Schedule SE. Section A or B B Comes farming or fishing income See the Partner's Instructions C Gross nen.farm income See the Parther's Instructions 15 Credits A Lapin:one housing credit (section 42g)(5)) from preo2008 buildings B Lewin:erne housing credit (other) frem pre 2008 buildings C Lowoincerne housing credit (section 42g)(5)) hem posto2007 buildings See the Partners D Low income housing credit (other) from posto2007 thildings _ Instructions E Quashed rehabilitation expenditures (rents real estate) F Other rents real estate credita G Other rental credits H Undistrented capital gains credit Form 10$0. Ire 71: check box a I Mond and cellulosic knifuel fuels credit See the Partner's Instructions Partner 2: ZASIS, LLC 20-4637772 —fret:entices See the Partner's Instructions F rte 1116. Part II Form 1116. Part II Form 1116. line 12 F rm 8873 F rm 8873 See the Partner's Instructions 1 See the Partner's Instructions and the Instructions for Form 6251 1 —See the Partners Instructions Form 4952. line 4a Form 4952. line 5 Form 8611. line 8 Form 4255 See the Partners Instructions See Form 8697 See Form 8866 See the Partners [fel/Wheels EFTA00593227 2011 Federal Statements ANDROCYTE, LLC. Page 1 45-1804323 Statement 1 Form 1065, Line 20 Other Deductions Bank Charges $ 180. Conferences and Meetings 1,155. Legal and Professional 5,110. Management Fees 110,000. Meals and Entertainment 2,447. Miscellaneous 66. Postage 314. Research and Development 20,422. Supplies 7,514. Telephone 3,604. Travel 50,484. Total $ 201,296. EFTA00593228 ANDROCYTE, LLC. AVENTURA, FL 33180 August 30, 2012 ANDROCYTE MANAGEMENT, LLC AVENTURA, FL 33180 RE: ANDROCYTE, LLC. 45-1804323 Schedule K-1 from Partnership's 2011 Return of Income Dear ANDROCYTE MANAGEMENT, LLC: Enclosed is your 2011 Schedule K-1 (Form 1065) Partner's Share of Income, Deductions, Credits, Etc. from ANDROCYTE, LLC.. This information reflects the amounts you need to complete your income tax return. The amounts shown are your distributive share of partnership tax items to be reported on your tax return, and may not correspond to actual distributions you have received during the year. This information is included in the Partnership's 2011 Federal Return of Partnership Income that was filed with the Internal Revenue Service. If you have any questions concerning this information, please contact us immediately. Sincerely, ANDROCYTE, LLC. Enclosure(s) EFTA00593229 Final K-I Amended K-I 651111 OMB No. ISIS 0099 Schedule K-1 (Form 1065) For calendar 0eparknent of the Treaswy year begrining Internal Revenue Service ending Partner's Share of Income, Deductions, Credits, etc. • See LU I I year 2011. cc Lax .2011 Year Income, and Other Items Part III Partner's Share of Current Deductions Credits 1 Ordinary business income (loss) 15 Credits separate instructions. 2 Net rental real estate income (loss) 3 Other net rental income (loss) 16 Foreign transactions Partnership Part I Information About the 4 Guaranteed payments A Partnership's employer identification number 45-1804323 5 Interest income 40. B Partnership's name, address, city, state, and ZIP code ANDR0CYTE LLC. 6a Ordinary dividends 6b Qualified dividends C IRS Center where partnership filed return e-f ile 7 Royalties Check if this is a publicly traded partnership (PTP) 8 Net shod-term capital gain (loss) Partner 9a Net long-term capital gain (loss) 17 Alternative minimum tax (AMT) items Part II Information About the E Partner's identifying number 45-2038037 9b Collectibles (28%) gain (loss) F Partners name, address, city, state, and ZIP code ANDR0CYTE MANAGEMENT LLC , 9e Unrecaptured section 1250 gain 10 Net section 1231 gain (loss) 18 C Tax-exempt income and nondeductible expenses 2,063. 11 Other income (loss) G H I J X General partner or LLC Limited partner or other member-manager LLC member Domestic partner ❑Foreign partner type of entity is this partner? Partnership X What Partner's Profit 19 Distributions share of profit, loss, and capital Beginning % (see instructions): Ending 84 .31 % 12 Section 179 deduction 13 Other deductions 20 A Other information 40. Loss % % Capital 84.31 % K Partner's share of liabilities at year end: Nonrecourse Qualified nonrecourse financing Recourse $ $ 14 Self-employment earnings (loss) $ L M Partner's Beginning Capital Current Withdrawals Ending capital account analysis: capital account contributed during the year year increase (decrease) and distributions capital account Tax basis K GAAP Other (explain) the partner contribute property with $ 0 • *See attached statement for additional information. $ o R R S u s E o N L Y $ -2,023. $ $ -2,023. Section 704(b) book a built-in gain or loss? X Did Yes X No If 'Yes'. attach statement (see instructions) BAA For Papenvork Reduction Act Notice, see Instructions for For, 11065. Partner 1 Schedule K•1 (Form 1065) 2011 PIPA0312L 02118111 EFTA00593230 Schedule K-1 (Form 1065) 2011 ANDROCYTE, LLC. 45-1804323 Page 2 This list identifies the codes used on Schedule K-I for allpartners and provides summarized reporting information for partners who file Form IOW. For detailed reporting and filing information, see the separate Partner's Instructions for Schedule K-I and the instructions for your income tax return. Code Report on J Work opportunity credit K Disabled access credit L Empowerment tee and renewal community employment credit See the Partners M Credit for increasing research activities N Credit for employer social security and Medicare taxes O Backup withholdng Form 1040. line 62 P Other credits See the Partner's Instructions Foreign transactions A Name of canny or U.S. possession B Cross income from as sources Form 1116. Peet I C Cross income wined al partner level Foreign gross income sourced at partnership level D Passive category E General category Form 1116. Part I F other Deductions allocated and apportioned at partner level G Interest expense Form 1116. Part I H Other Form 1116. Part I Deductions allocated and apportioned at partnership level to foreign source income I Passive category J General category Form 1116. Part I K other Other information L Total foreign taxes paid F rte 1116. Part II M Total foreign taxes accrued Form 1116. Part II N Reduction in taxes avertible for credit Form 1116. line 12 O Foreign trading gross receipts F rm 8873 P Extraterritorial Moyne exclusion F rm 8873 Q Other foreign transactions See the Partner's Instructions Alternative minimum tax (AMC Items A Post.1986 depreciation adjuStrnent B Adjusted gain or loss C Depletion (other than en & gm) D Oil. gas. & geothermal — gross income E Oil. gm. & geothermal — deductions F Other MIT items Tax-exempt income and nondeductible expenses A Tax exerrpt interest name Form 1040. line 8b B Other tax exempt income See the Partner's Instructions C Nondeductible expenses See the Partner's Instructions Distributions A Cash and marketable securities B Destribution sudect to seders 737 C Other property Other information A Investment incense Form 4952. line 4a B Investment expenses Form 4952. line 5 C Fuel tax credit nformatim Form 4136 D Qualified rehabildatien expenditures (other than rental real estate) See the Partners Instructions E Basis of energy property See the Partner's Instructions F Recapture of lurginceene housing credit (section 420(5)) Form 8611. line 8 G Recapture of lurginceene housing credit (other) Form 8611. line 8 H Recapture of investment credit Form 4255 1 Recapture of other credits See the Partners Instructions j Lookteck interest — completed longterm contracts See Form 8697 K LOOkibaCk interest — income forecast method See Form 8866 L Depositions of properly with seeker 179 de bom M Recapture of section 179 deduction N Interest expense for corporate partners O Section 453(0(3) information P Section 653A(c) information Q Sadism 1260(b) information R Interest allocable to production expenditures S CCF nongualified withdrawals T Depletion ritionviatiCel oil and gas U Amortization of reforestation costs  Unrelated business taxable income W Precontribution gain (loss) X Section 108(0 nformatien Y Other information 45-2038037 PTPA03121. 08/18/11 1 Ordinary business income (loss). Determine whether the income (loss) is passive or nonpassrve and enter as your return as knows. Report on Passive loss See the Partner's Instructions Passive income Schedule E. line 28. column (g) Nonpassive loss Schedule E. line 28. column (h) Nonpassive income Schedule E. line 28. column (0 2 Net rental real estate income (loss) See the Partner's Instructions 3 Other net rental income (loss) Net income Schedule E. line 28. column (g) Nel loss See the Partner's Instructions 16 4 Guaranteed payments Schedule E. line 28. column () 5 Interest income Form 1040. the 8a 6a Ordinary dividends Form 1040. the 9a 6 b Qualified dividends Form 1040. the 9b 7 Royalties Schedule E. lire 3b 8 Net 'hareem capital gain (loss) Schedule D. line 5 9a Net longterm capital gain (loss) Schedule D. line 12 9 b Collectibles (28%) gain (loss) 28% Rate Gain Worksheet. line 4 (Schedule D It-Much:nu) 9C Unrecaptured section 1250 gain See the Partnor's Instructions 10 Net section 1231 gain (loss) See the Parther's Instructions 11 Other income(oss) Code A Other portfolio income (loss) See the Partners Instructions B Invokritary conversions See the Partners Instructions C Section 136 contracts and straddles Form 6781. Ire 1 D Miring expeoratien costs recapture See Pit 535 E Cancellation of debt Fern 1040, die 21 or Form 982 F Other ncome (loss) See the Partner's Instructions 12 Section 179 deduction See the Partner's Instructions 13 Other deductions A Cush contributions (50%) B Cash contributions (30%) 17 C Noncash Cana/MSS (50%) — See the Partners D Noncash contributions (30%) Instructions E Capital gain property to a 50% organization (30%) F Capital gain property (20%) G Centrioutices (100%) H Investment Merest expense Form 4952. the 1 18 I Deductions — regally insane Schedule E. lire 19 J Section 59(e)(2) expenditures See the Partner's Instructions K Deductions — pert: to (2% floor) Schedule A. lire 23 L Deductions — pert: to (other) Schedule A. lire 28 19 M Amounts paid for medical Schedule A. lire 1 or ingrance Form 1040. the 29 N Educations assistance benefits See the Partner's Instructions 0 Dependent care benefits Form 2441. the 12 20 P Preproducbve period expenses See the Partner's Instructions Q Cr:article, revitalization deduction from rental real estate activities See Form 8582 Instructions R Pensions and RAs See the Partner's Instructions S Reliant/then expense deduction See the Partner's Instructions T Domestic pro-Sieben activities information See Form 8903 Instructions LI Gnashed production activities income Form 8903. site 7b V Employers Form *2 wages Form 8903. the 17 W Other deductions See the Partner's Instructions 14 Sell-employment earnings (loss) Note. If yen haven section )79 deduction or any partnerless, *duelist's. see Ole Partner Y Inseuetions before comp'efing &heals% SE. A Net earnings Noss) from selberrployment Schedule SE. Section A or B B Gres farming or fishing income See the Partner's Instructions C Gross nonfarm income See the Partner's Instructions 15 Credits A Lowenccene housing credit (section 420(5)) freer, pre.2008 buildings B Lorin:cos housing credit (other) from pre.2008 buildings C Lorin:cos housing credit (section 420)(5)) from posb2007 buildings See the Partners D Lowenceme housing credit (other) from posb2007 thildings _ Instructions E Quashed rehabilitation expenditures (rental real estate) F Other rental real estate credits G Other rental credits H Undiseleuted capital gains credit Form 10$0. Ire 71: check box a I Attend and cellulosic berfuel fuels credit See the Partner's Instructions lnsbuctions 1 See the Partner's Instructor:gm and the Instructions for Form 6251 } See the Partners Instructions See the Partners Instructions Partner 1: ANDROCYTE MANAGEMENT, LLC Schedule K1 (Form 1065) 2011 EFTA00593231 ANDROCYTE, LLC. AVENTURA, FL 33180 August 30, 2012 ZASIS, LLC CARSON CITY, NV 89706 RE: ANDROCYTE, LLC. 45-1804323 Schedule K-1 from Partnership's 2011 Return of Income Dear ZASIS, LLC: Enclosed is your 2011 Schedule K-1 (Form 1065) Partner's Share of Income, Deductions, Credits, Etc. from ANDROCYTE, LLC.. This information reflects the amounts you need to complete your income tax return. The amounts shown are your distributive share of partnership tax items to be reported on your tax return, and may not correspond to actual distributions you have received during the year. This information is included in the Partnership's 2011 Federal Return of Partnership Income that was filed with the Internal Revenue Service. If you have any questions concerning this information, please contact us immediately. Sincerely, ANDROCYTE, LLC. Enclosure(s) EFTA00593232 Final K-I Amended K-I 651111 OMB No. ISIS 0099 Schedule K-1 (Form 1065) For calendar Oeparknent of the Treaswy year begrining Internal Revenue Service ending Partner's Share of Income, Deductions, Credits, etc. • See LU I I year 2011. cc Lax .2011 Year Income, and Other Items Part III Partner's Share of Current Deductions Credits 1 Ordinary business income (loss) —201,469. 15 Credits separate instructions. 2 Net rental real estate income (loss) 3 Other net rental income 0055) 16 Foreign transactions Partnership Part I Information About the 4 Guaranteed payments A Partnership's employer identification number 45-1804323 5 Interest income 7. B Partnership's name, address, city, state, and ZIP code ANDR0CYTE LLC. 6a Ordinary dividends 6b Qualified dividends C IRS Center where partnership filed return e-file 7 Royalties D Check if this is a publicly traded partnership (PTP) 8 Net shod-term capital gain (loss) Partner 9a Net long-term capital gain (loss) 17 Alternative minimum tax (AMT) items Part II Information About the E Partner's identifying number 20-4637772 9b Collectibles (28%) gain (loss) F Partners name, address, city, state, and ZIP code ZASIS LLC " 1111/1/11 9e Unrecaptured section 1250 gain 10 Net section 1231 gain (loss) 18 C Tax-exempt income and nondeductible expenses 384. 11 Other income (loss) G H I J General partner or LLC X Limited partner or other LLC member partner member-manager Domestic partner ❑Foreign type of entity is this partner? Partnership X What Partners Profit 19 Distributions share of profit, loss, and capital Beginning % (see instructions): Ending 15.69 % 12 Section 179 deduction 13 Other deductions 20 A Other information 7. Loss % 100 % Capital 15.69 % K Partners share of liabilities at year end: Nonrecourse Qualified nonrecourse financing Recourse $ $ 14 Self-employment earnings (loss) $ L M Partners Beginning Capital Current Withdrawals Ending capital account analysis: capital account contributed during the year year increase (decrease) and distributions capital account Tax basis K GAAP Other (explain) the partner contribute property with $ O. *See attached statement for additional information. $ 260,000. F o R R S u s E o N L Y $ -201,846. $ $ 58,154. Section 704(b) book a built-in gain or loss? X Did Yes X No If 'Yes'. attach statement (see instructions) BAA For Paperwork Reduction Act Notice, see Instructions for Fon 11065. Partner 2 Schedule K•1 (Form 1065) 2011 PIPA0312L 02118111 EFTA00593233 Schedule K-1 (Form 1065) 2011 ANDROCYTE, LLC. 45-1804323 Page 2 This list identifies the codes used on Schedule K-I for allpartners and provides summarized reporting information for partners who file Form IOW. For detailed reporting and filing information, see the separate Partner's Instructions for Schedule K-I and the instructions for your income tax return. Code Report on J Work opportunity credit K Disabled access credit L Etrpcnverment Stele and renewal community employment credit See the Penn.'s M Credit for increasing research activities N Credit Ice employer social security and Medicare taxes O Backup withheldeg Form 1040. line 62 P Other credits Foreign transactions A Name of country or U.S. possession B Cross income from all sources F Form 1116, Peet I C Cross income seemed al partner level Foreign gross income sourced at partnership level D Passive category E Genital artery Fern 1116. Part I F other Deductions allocated and apportioned at partner level G Interest expense Form 1116. Part I H Other Form 1116. Part I Deductions allocated and apportioned at partnership level to foreign source income 1 Passive category J General category Fern 1116. Part I K Other Other information L Total foreign taxes paid M Total foreign taxes accrued N Reduction in faxes avertible for credit O Foreign trading gross receipts P Extraterritorial interne exclusion Q Ober Foreign transactions Alternative minimum tax (ANT) Nom A Posto1986 depreciation adjustment B Adjusted gain or loss C Depletion (other than en & gm) D Oil. gas. & geothermal — gross income E Oil. gm. & geothermal — deduction F Other MIT items Tax-exempt income and nondeductible expenses A Taxoexerrpt interest name Form 1040. line 8b B Other tax exempt income See the Partner's Instructions C Nondeductible expenses See the Partner's Instructions Distributions A Cash and marketable securities B Daibution suSect to section 737 C Other property Other information A Investment income B Investment expenses C Fuel tax credit eformatice Form 4136 D Qualified rehabilitation expenditures (other than rental real estate) See the Partners Instructions E Basis of energy property See the Partner's Instructions F Recapture of leonine:me housing credit (section 42 (5S Form 8611. line 8 G Recapture of Insincere* housing credit (other) H Recapture of immanent credit 1 Recapture of other credits j Li:ekes& interest — completed longterm contracts K LOOktaCk interest — income forecast method L Depositions of property with section 179 de bom M Recapture of section 179 deduction N Interest expense for corporate partners O Section 453(0(3) information P Section 4534(c) information Q Section 1260(b) information R Interest allocable to production expenditures S OCF nongualiked withdrawals T Depletion eformatice — oil and gas U Amortization of reforestation costs  Unrelated business taxable income W Precontribution gain (oss) X Section 1013() seemlier, Y Other information FTPA03121. 08/18/11 Schedule K•1 (Form 1065) 2011 1 Ordinary business income (loss). Determine whether the income (loss) is passive or nonpassrve and enter cis your return as blows. Report on Passive loss See the Partner's Instructions Passive income Schedule E. line 28. column (g) Nonpassive loss Schedule E. line 28. column (h) Nonpassive income Schedule E. line 28. column (0 2 Net rental real estate income (loss) See the Partner's Instructions 3 Other net rental income (loss) Nel income Schedule E. line 28. column (g) Nel loss See the Partner's Instructions 16 4 Guaranteed payments Schedule E. line 28. column () 5 Interest income Form 1040. N.e 8a 6a Ordinary dividends Form 1040. N.e 9a 6 b Qualified dividends Form 1040. N.e 9b 7 Royalties Schedule E. line 3b 8 Net short term capital gain (loss) Schedule D. line 5 9a Net longoterm capital gain (loss) Schedule D. line 12 9 b Collectibles (28%) gain (loss) 28% Rate Gain Worksheet. line 4 (Schedule D Iretructrens) 9C Unrecaptured section 1250 gain See the Partner's Iretructicm 10 Net section 1231 gain (loss) See the Parther's Iretructions 11 Other income(oss) Code A Other portfolio income (loss) See the Partner's Instructions B Invokritary conversions See the Partners Instructions C Section 136 contracts and straddles Form 6781. lee 1 D thineg en/Malice costs recapture See Pit 535 E Cancellation of debt From 1040, re 21 or Form 982 F Other ecome (loss) See the Partner's Instructions 12 Section 179 deduction See the Partner's Instructions 13 other deductions A Cash contributions (50%) B Cash contributions (30%) 17 C NeneaSh eentriatilietIS (50%) — See the Partners D Noncash entributices (30%) Instructions E Capital gain property to a 50% organization (30%) F Capital gain property (20%) G Cantina's (100%) H Investment tutored expense Form 4952. N.e 1 18 I Deductions regally income Schedule E. line 19 J Section 59(e)(2) expenditures See the Partner's Instructions K Deductions pollee° (2% floor) Schedule A. line 23 L Deductions pollee° (other) Schedule A. line 28 19 M Amounts paid for medical Schedule A. line I or instance Form 1040. N.e 29 N Educational assistance benefits See the Partner's Instructions O Dependent care benefits Form 2441. N.e 12 20 P Preproductve period expenses See the Partner's Instructions Q Commercial revitalization deduction from rental real este* activities See Form 8582 Instructiom R Pensions and Ms See the Partner's Instructions S Reforestation experde deduction See the Partner's Instructions T Domestic production activities informalice See Form 8903 Instructions LI Quashed production activities income Form 8903. site 7b V Employers Fenn *2 wages Form 8903. N.e 17 W Other deductions See the Partner's Instructions 14 Sellemployment earnings (loss) Note. Sinn haven section )79 deduction or any partnerless, deductions. see 8,e Partner Y Inseuetions before comp'efing &heals% SE. A Net earnings Noss) from selfoorployment Schedule SE. Section A or B B Comes farming or fishing income See the Partner's Instructions C Gross nen.farm income See the Parther's Instructions 15 Credits A Lapin:one housing credit (section 42g)(5)) from preo2008 buildings B Lewin:erne housing credit (other) frem pre 2008 buildings C Lowoincerne housing credit (section 42g)(5)) hem posto2007 buildings See the Partners D Low income housing credit (other) from posto2007 thildings _ Instructions E Quashed rehabilitation expenditures (rents real estate) F Other rents real estate credita G Other rental credits H Undistrented capital gains credit Form 10$0. Ire 71: check box a I Mond and cellulosic knifuel fuels credit See the Partner's Instructions Partner 2: ZASIS, LLC 20-4637772 —fret:entices See the Partner's Instructions F rte 1116. Part II Form 1116. Part II Form 1116. line 12 F rm 8873 F rm 8873 See the Partner's Instructions 1 See the Partner's Instructions and the Instructions for Form 6251 1 —See the Partners Instructions Form 4952. line 4a Form 4952. line 5 Form 8611. line 8 Form 4255 See the Partners Instructions See Form 8697 See Form 8866 See the Partners [fel/Wheels EFTA00593234