U.S. Income Tax Return for an S Corporation

Transcription

1 Form 1120S Department of the Treasury Internal Revenue Service U.S. Income Tax Return for an S Corporation OMB No G Do not file this form unless the corporation has filed or is attaching Form 2553 to elect to be an S corporation G Information about Form 1120S and its separate instructions is at For calendar year 2014 or tax year beginning, 2014, ending, A S election effective date Name D Employer identification number 06/06/94 TYPE ASHOUR BROTHER INC B Business activity code Number, street, and room or suite no. If a P.O. box, see instructions. E Date incorporated number (see instrs) OR S VALENTIA STREET 06/06/94 PRINT C Check if Schedule City or town, state or province, country, and ZIP or foreign postal code F assets (see instructions) M-3 attached DENVER CO $ 896,599. G Is the corporation electing to be an S corporation beginning with this tax year? Yes No If Yes, attach Form 2553 if not already filed H Check if: (1) Final return (2) Name change (3) Address change (4) Amended return (5) S election termination or revocation I Enter the number of shareholders who were shareholders during any part of the tax year Caution. Include only trade or business income and expenses on lines 1a through 21. See the instructions for more information. 1 a Gross receipts or sales 1 a 4,340,472. b Returns and allowances 1 b I c Balance. Subtract line 1b from line 1a 1 c N C 2 Cost of goods sold (attach Form 1125-A) 2 O M 3 Gross profit. Subtract line 2 from line 1c 3 E 4 Net gain (loss) from Form 4797, line 17 (attach Form 4797) 4 5 Other income (loss) (see instrs ' att statement) * STMT 5 6 income (loss). Add lines 3 through Compensation of officers (see instructions - attach Form 1125-E) 7 8 Salaries and wages (less employment credits) 8 D E 9 Repairs and maintenance 9 D U 10 Bad debts 10 C 11 Rents 11 T I 12 Taxes and licenses 12 O N 13 Interest 13 S 14 Depreciation not claimed on Form 1125-A or elsewhere on return (attach Form 4562) 14 S E 15 Depletion (Do not deduct oil and gas depletion.) 15 E 16 Advertising 16 I 17 Pension, profit-sharing, etc, plans 17 N S 18 Employee benefit programs 18 T R 19 Other deductions (attach statement) * STMT 19 S 20 deductions. Add lines 7 through Ordinary business income (loss). Subtract line 20 from line a Excess net passive income or LIFO recapture tax (see instructions) 22a T A b Tax from Schedule D (Form 1120S) 22b c Add lines 22a and 22b (see instructions for additional taxes) 22c A N 23a 2014 estimated tax payments and 2013 overpayment credited to a D b Tax deposited with Form b P c Credit for federal tax paid on fuels (attach Form 4136) 23c A Y d Add lines 23a through 23c 23d M E 24 Estimated tax penalty (see instructions). Check if Form 2220 is attached 24 N T 25 Amount owed. If line 23d is smaller than the total of lines 22c and 24, enter amount owed 25 S 26 Overpayment. If line 23d is larger than the total of lines 22c and 24, enter amount overpaid Enter amount from line 26 Credited to 2015 estimated tax G Refunded G 27 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. Sign Here A May the IRS discuss this return with the preparer shown below (see instructions)? A President Signature of officer Date Title Yes No Print/Type preparer s name Preparer s signature Date Check if PTIN Paid Hany Abouyoussef Hany Abouyoussef self-employed P Preparer Firm s name G HANY AND ASSOCIATES Firm s EIN G Use Only Firm s address G E. Rice Place Aurora CO Phone no. BAA For Paperwork Reduction Act Notice, see separate instructions. SPSA /06/14 Form 1120S (2014) 2 4,340, ,304. 3,865, ,081. 3,907, , ,784. 1, , , , ,662. 2,274,481. 3,616, ,505.

2 Form 1120S (2014) ASHOUR BROTHER INC Page 2 Schedule B Other Information (see instructions) Yes No 1 Check accounting method: a Cash b Accrual c Other (specify)g 2 See the instructions and enter the: a Business activity SERVICE b Product or service SERVICE 3 At any time during the tax year, was any shareholder of the corporation a disregarded entity, a trust, an estate, or a nominee or similar person? If "Yes," attach Schedule B-1, Information on Certain Shareholders of an S Corporation 4 At the end of the tax year, did the corporation: a Own directly 20% or more, or own, directly or indirectly, 50% or more of the total stock issued and outstanding of any foreign or domestic corporation? For rules of constructive ownership, see instructions. If Yes, complete (i) through (v) below (i) Name of Corporation (ii) Employer (iii) Country of (iv) Percentage (v) If Percentage in (iv) Identification Incorporation of Stock Owned is 100%, Enter the Number (if any) Date (if any) a Qualified Subchapter S Subsidiary Election Was Made b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in the profit, loss, or capital in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a trust? For rules of constructive ownership, see instructions. If Yes, complete (i) through (v) below (i) Name of Entity (ii) Employer (iii) Type (iv) Country of (v) Maximum % Identification of Entity Organization Owned in Profit, Number (if any) Loss, or Capital 5a At the end of the tax year, did the corporation have any outstanding shares of restricted stock? If Yes, complete lines (i) and (ii) below. (i) shares of restricted stock (ii) shares of non-restricted stock b At the end of the tax year, did the corporation have any outstanding stock options, warrants, or similar instruments? If Yes, complete lines (i) and (ii) below. (i) shares of stock outstanding at the end of the tax year G (ii) shares of stock outstanding if all instruments were executed G 6 Has this corporation filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide information on any reportable transaction? 7 Check this box if the corporation issued publicly offered debt instruments with original issue discount If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments. 8 If the corporation: (a) was a C corporation before it elected to be an S corporation or the corporation acquired an asset with a basis determined by reference to the basis of the asset (or the basis of any other property) in the hands of a C corporation and (b) has net unrealized built-in gain in excess of the net recognized built-in gain from prior years, enter the net unrealized built-in gain reduced by net recognized built-in gain from prior years (see instructions) $ 9 Enter the accumulated earnings and profits of the corporation at the end of the tax year $ 10 Does the corporation satisfy both of the following conditions? a The corporation s total receipts (see instructions) for the tax year were less than $250,000 b The corporation s total assets at the end of the tax year were less than $250,000 If Yes, the corporation is not required to complete Schedules L and M During the tax year, did the corporation have any non-shareholder debt that was canceled, was forgiven, or had the terms modified so as to reduce the principal amount of the debt? If Yes, enter the amount of principal reduction $ 12 During the tax year, was a qualified subchapter S subsidiary election terminated or revoked? If Yes, see instructions 13 a Did the corporation make any payments in 2014 that would require it to file Form(s) 1099? b If Yes, did the corporation file or will it file required Forms 1099? G G Form 1120S (2014) SPSA /23/14

3 Form 1120S (2014) ASHOUR BROTHER INC Page 3 Schedule K Shareholders Pro Rata Share Items amount Income 1 Ordinary business income (loss) (page 1, line 21) 1 290,505. (Loss) 2 Net rental real estate income (loss) (attach Form 8825) 2 3 a Other gross rental income (loss) 3 a b Expenses from other rental activities (attach statement) c Other net rental income (loss). Subtract line 3b from line 3a 4 Interest income 4 5 Dividends: aordinary dividends 5 a bqualified dividends 6 Royalties 6 7 Net short-term capital gain (loss) (attach Schedule D (Form 1120S)) 7 8 a Net long-term capital gain (loss) (attach Schedule D (Form 1120S)) 8 a b Collectibles (28%) gain (loss) c Unrecaptured section 1250 gain (attach statement) 9 Net section 1231 gain (loss) (attach Form 4797) 9 10 Other income (loss) (see instructions) TypeG 10 Deduc- 11 Section 179 deduction (attach Form 4562) 11 tions 12a Charitable contributions ADMINISTRATIVE EPENSES:Contributions 12a b Investment interest expense c Section 59(e)(2) expenditures (1) Type G (2) Amount G 12c (2) d Other deductions (see instructions) Type G 12d Credits 13 a Low-income housing credit (section 42(j)(5)) 13 a Foreign Transactions Alternative Minimum Tax (AMT) Items b Low-income housing credit (other) c Qualified rehabilitation expenditures (rental real estate) (attach Form 3468, if applicable) d Other rental real estate credits (see instrs) e Other rental credits (see instrs) Type G f Biofuel producer credit (attach Form 6478) g Other credits (see instructions) 14a Name of country or U.S. possession b Gross income from all sources c Gross income sourced at shareholder level TypeG G Foreign gross income sourced at corporate level d Passive category e General category f Other (attach statement) Type G Deductions allocated and apportioned at shareholder level g Interest expense h Other Deductions allocated and apportioned at corporate level to foreign source income i Passive category j General category k Other (attach statement) Other information l foreign taxes (check one): G Paid Accrued m Reduction in taxes available for credit (attach statement) n Other foreign tax information (attach statement) 15a Post-1986 depreciation adjustment b Adjusted gain or loss c Depletion (other than oil and gas) d Oil, gas, and geothermal properties ' gross income e Oil, gas, and geothermal properties ' deductions f Other AMT items (attach statement) Items 16a Tax-exempt interest income Affecting b Other tax-exempt income Share- c Nondeductible expenses holder Basis d Distributions (attach stmt if required) (see instrs) e Repayment of loans from shareholders BAA SPSA /06/14 3 b 5 b 8 b 8 c 3 c 12b 13b 13c 13d 13e 13f 13g 14b 14c 14d 14e 14f 14g 14h 14i 14j 14k 14l 14m 15a 15b 15c 15d 15e 15f 16a 16b 16c 16d 16e 23,750. 4,998. 2, ,325. Form 1120S (2014)

4 Form 1120S (2014) ASHOUR BROTHER INC Page 4 Schedule K Shareholders Pro Rata Share Items (continued) amount Other 17a Investment income 17a Infor- b Investment expenses 17 b mation c Dividend distributions paid from accumulated earnings and profits 17c 0. d Other items and amounts (attach statement) Recon- 18 Income/loss reconciliation. Combine the amounts on lines 1 through 10 in the far right column. ciliation From the result, subtract the sum of the amounts on lines 11 through 12d and 14l ,755. Schedule L Balance Sheets per Books Beginning of tax year End of tax year Assets (a) (b) (c) (d) 1 Cash 645, , a Trade notes and accounts receivable 647, ,109. b Less allowance for bad debts 647, , Inventories 4 U.S. government obligations 5 Tax-exempt securities (see instructions) 6 Other current assets (attach stmt) Ln 6 St 11, , Loans to shareholders 8 Mortgage and real estate loans 9 Other investments (attach statement) 10a Buildings and other depreciable assets b Less accumulated depreciation 11 a Depletable assets b Less accumulated depletion 12 Land (net of any amortization) 13a Intangible assets (amortizable only) b Less accumulated amortization 14 Other assets (attach stmt) Ln 14 St 4,200. 4, assets 1,487, ,599. Liabilities and Shareholders Equity 16 Accounts payable 38, , Mortgages, notes, bonds payable in less than 1 year 18 Other current liabilities (attach stmt) Ln 18 St 155, , Loans from shareholders 20 Mortgages, notes, bonds payable in 1 year or more 28, , Other liabilities (attach statement) Ln 21 St 259, Capital stock 29, , Additional paid-in capital 24 Retained earnings 975, , Adjustments to shareholders equity (att stmt) 26 Less cost of treasury stock 27 liabilities and shareholders equity 705, , , , , ,488. 1,487, ,599. SPSA /23/14 Form 1120S (2014)

5 Form 1120S (2014) ASHOUR BROTHER INC Page 5 Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return Note. The corporation may be required to file Schedule M-3 (see instructions) 1 Net income (loss) per books 261, Income recorded on books this year not included 2 Income included on Schedule K, lines 1, 2, 3c, 4, 5a, 6, 7, on Schedule K, lines 1 through 10 (itemize): 8a, 9, and 10, not recorded on books this year (itemize): a Tax-exempt interest $ 3 Expenses recorded on books this year not 6 Deductions included on Schedule K, lines 1 through included on Schedule K, lines 1 through 12, 12 and 14l, not charged against book income this and 14l (itemize): year (itemize): a Depreciation $ 3,105. a Depreciation $ b Travel and entertainment. $ 2,105. 5, Add lines 5 and 6 4 Add lines 1 through 3 266, Income (loss) (Schedule K, ln 18). Ln 4 less ln 7 266,755. Schedule M-2 Analysis of Accumulated Adjustments Account, Other Adjustments Account, and Shareholders Undistributed Taxable Income Previously Taxed (see instructions) (a) Accumulated (b) Other (c) Shareholders undisadjustments account adjustments account tributed taxable income previously taxed 1 Balance at beginning of tax year 968, Ordinary income from page 1, line , Other additions 4 Loss from page 1, line 21 5 Other reductions 6 Combine lines 1 through 5 * STMT 7 Distributions other than dividend distributions 8 Balance at end of tax year. Subtract line 7 from line 6 25,855. 1,233, , , SPSA /23/14 Form 1120S (2014)

6 Form 1125-A (Rev December 2012) Department of the Treasury Internal Revenue Service Name Cost of Goods Sold G Attach to Form 1120, 1120-C, 1120-F, 1120S, 1065, or 1065-B. G Information about Form 1125-A and its instructions is at OMB No Employer identification number ASHOUR BROTHER INC Inventory at beginning of year 1 2 Purchases 2 3 Cost of labor 3 4 Additional section 263A costs (attach schedule) 4 5 Other costs (attach schedule) 5 6. Add lines 1 through Inventory at end of year 7 8 Cost of goods sold. Subtract line 7 from line 6. Enter here and on Form 1120, page 1, line 2 or the appropriate line of your tax return (see instructions) 8 9 a Check all methods used for valuing closing inventory: (i) Cost (ii) (iii) Lower of cost or market Other (Specify method used and attach explanation) b Check if there was a writedown of subnormal goods c Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970) d If the LIFO inventory method was used for this tax year, enter amount of closing inventory computed under LIFO e If property is produced or acquired for resale, do the rules of section 263A apply to the entity (see instructions)? f Was there any change in determining quantities, cost, or valuations between opening and closing inventory? If Yes, attach explanation BAA For Paperwork Reduction Act Notice, see instructions. G 9d 30, ,318. Yes Yes 475, ,304. G G No No Form 1125-A (Rev ) CPCZ /26/12

7 Final K-1 Amended K-1 OMB No Schedule K-1 (Form 1120S) 2014 Part III Shareholder s Share of Current Year Income, Department of the Treasury For calendar year 2014, or tax Deductions, Credits, and Other Items Internal Revenue Service year beginning, Ordinary business income (loss) 13 ending, 145, Net rental real estate income (loss) Shareholder s Share of Income, Deductions, G See page 2 of form and separate instructions. Credits, etc 3 Other net rental income (loss) Credits A B C D E Part I Information About the Corporation Corporation s employer identification number Corporation s name, address, city, state, and ZIP code ASHOUR BROTHER INC NUBILT, INC 2134 S VALENTIA STREET DENVER, CO IRS Center where corporation filed return Ogden, UT Part II Information About the Shareholder Shareholder s identifying number Shareholder s name, address, city, state, and ZIP code ISSA H ASHOUR E, ADRIATIC PLACE AURORA, CO Interest income 5 a Ordinary dividends 5 b Qualified dividends 14 Foreign transactions 6 Royalties 7 Net short-term capital gain (loss) 8 a Net long-term capital gain (loss) 8 b Collectibles (28%) gain (loss) 8 c Unrecaptured section 1250 gain 9 Net section 1231 gain (loss) 10 Other income (loss) 15 Alternative minimum tax (AMT) items A 2,499. F Shareholder s percentage of stock ownership for tax year % F O R I R S U S E O N L Y 11 Section 179 deduction 16 C 12 Other deductions A 11,875. D 17 Items affecting shareholder basis 1, ,633. Other information BAA For Paperwork Reduction Act Notice, see Instructions for Form 1120S. *See attached statement for additional information. Schedule K-1 (Form 1120S) 2014 SPSA /19/14

8 Schedule K-1 (Form 1120S) 2014 ASHOUR BROTHER INC Page 2 This list identifies the codes used on Schedule K-1 for all shareholders and provides summarized reporting information for shareholders who file Form For detailed reporting and filing information, see the separate Shareholder s Instructions for Schedule K-1 and the instructions for your income tax return. 1 Ordinary business income (loss). Determine whether the income (loss) is passive Code Report on or nonpassive and enter on your return as follows: N Credit for employer social security and Report on Medicare taxes See the Shareholder s Passive loss Instructions O Backup withholding Passive income Schedule E, line 28, column (g) P Other credits Nonpassive loss Schedule E, line 28, column (h) Nonpassive income Schedule E, line 28, column (j) 14 Foreign transactions 2 Net rental real estate income (loss) A Name of country or U.S. possession 3 Other net rental income (loss) B Gross income from all sources Form 1116, Part I Net income Schedule E, line 28, column (g) C Gross income sourced at Net loss shareholder level 4 Interest income Form 1040, line 8a Foreign gross income sourced at corporate level 5 a Ordinary dividends Form 1040, line 9a D Passive category E General category Form 1116, Part I 5 b Qualified dividends Form 1040, line 9b Royalties Schedule E, line 4 F Other 6 7 Net short-term capital gain (loss) Schedule D, line 5 Deductions allocated and apportioned at shareholder level Net long-term capital gain (loss) Schedule D, line 12 G Interest expense Form 1116, Part I 8 a 28% Rate Gain Worksheet, line 4 H Other Form 1116, Part I 8 b Collectibles (28%) gain (loss) (Schedule D instructions) Deductions allocated and apportioned at corporate level 8 c Unrecaptured section 1250 gain to foreign source income 9 Net section 1231 gain (loss) I Passive category 10 Other income (loss) J General category Form 1116, Part I Code K Other A Other portfolio income (loss) Other information B Involuntary conversions L foreign taxes paid Form 1116, Part II C Sec contracts and straddles Form 6781, line 1 M foreign taxes accrued Form 1116, Part II D Mining exploration costs recapture See Pub 535 N Reduction in taxes available for credit Form 1116, line 12 E Other income (loss) O Foreign trading gross receipts Form Section 179 deduction P Extraterritorial income exclusion Form Other deductions Q Other foreign transactions A Cash contributions (50%) 15 Alternative minimum tax (AMT) items B Cash contributions (30%) A Post-1986 depreciation adjustment C Noncash contributions (50%) B Adjusted gain or loss D Noncash contributions (30%) See the Shareholder s C Depletion (other than oil & gas) See the Shareholder s Instructions Instructions and the E Capital gain property to a 50% D Oil, gas, & geothermal ' gross income Instructions for Form 6251 organization (30%) E Oil, gas, & geothermal ' deductions F Capital gain property (20%) F Other AMT items G Contributions (100%) 16 Items affecting shareholder basis H Investment interest expense Form 4952, line 1 A Tax-exempt interest income Form 1040, line 8b I Deductions ' royalty income Schedule E, line 19 B Other tax-exempt income J Section 59(e)(2) expenditures C Nondeductible expenses See the Shareholder s K Deductions ' portfolio (2% floor) Schedule A, line 23 D Distributions Instructions L Deductions ' portfolio (other) Schedule A, line 28 E Repayment of loans from shareholders M Preproductive period expenses 17 Other information N Commercial revitalization deduction from rental real estate activities A Investment income Form 4952, line 4a See Form 8582 instructions B Investment expenses Form 4952, line 5 O Reforestation expense deduction C Qualified rehabilitation expenditures P Domestic production activities information See Form 8903 instructions (other than rental real estate) Q Qualified production activities income Form 8903, line 7b D Basis of energy property R Employer s Form W-2 wages Form 8903, line 17 E Recapture of low-income housing credit (section 42(j)(5)) Form 8611, line 8 S Other deductions F Recapture of low-income housing credit 13 Credits (other) Form 8611, line 8 A Low-income housing credit (section 42(j)(5)) G Recapture of investment credit See Form 4255 from pre-2008 buildings H Recapture of other credits B Low-income housing credit (other) from pre-2008 buildings I Look-back interest ' completed long-term contracts See Form 8697 C Low-income housing credit (section 42(j)(5)) J Look-back interest ' income forecast method See Form 8866 from post-2007 buildings See the Shareholder s K Dispositions of property with section 179 deductions D Low-income housing credit (other) from Instructions L Recapture of section 179 deduction post-2007 buildings M Section 453(l)(3) information E Qualified rehabilitation expenditures (rental real estate) N Section 453A(c) information F Other rental real estate credits O Section 1260(b) information G Other rental credits P Interest allocable to production expenditures See the Shareholder s H Undistributed capital gains credit Form 1040, line 73, box a Q CCF nonqualified withdrawals Instructions I Biofuel producer credit R Depletion information ' oil and gas J Work opportunity credit S Reserved See the Shareholder s K Disabled access credit Instructions T Section 108(i) information L Empowerment zone employment credit U Net investment income M Credit for increasing research activities V Other information SPSA /28/14 Schedule K-1 (Form 1120S) 2014

9 Final K-1 Amended K-1 OMB No Schedule K-1 (Form 1120S) 2014 Part III Shareholder s Share of Current Year Income, Department of the Treasury For calendar year 2014, or tax Deductions, Credits, and Other Items Internal Revenue Service year beginning, Ordinary business income (loss) 13 ending, 145, Net rental real estate income (loss) Shareholder s Share of Income, Deductions, G See page 2 of form and separate instructions. Credits, etc 3 Other net rental income (loss) Credits A B C D E Part I Information About the Corporation Corporation s employer identification number Corporation s name, address, city, state, and ZIP code ASHOUR BROTHER INC NUBILT, INC 2134 S VALENTIA STREET DENVER, CO IRS Center where corporation filed return Ogden, UT Part II Information About the Shareholder Shareholder s identifying number Shareholder s name, address, city, state, and ZIP code OMAR H ASHOUR E. DORADO AURORA, CO Interest income 5 a Ordinary dividends 5 b Qualified dividends 14 Foreign transactions 6 Royalties 7 Net short-term capital gain (loss) 8 a Net long-term capital gain (loss) 8 b Collectibles (28%) gain (loss) 8 c Unrecaptured section 1250 gain 9 Net section 1231 gain (loss) 10 Other income (loss) 15 Alternative minimum tax (AMT) items A 2,499. F Shareholder s percentage of stock ownership for tax year % F O R I R S U S E O N L Y 11 Section 179 deduction 16 C 12 Other deductions A 11,875. D 17 Items affecting shareholder basis 1, ,692. Other information BAA For Paperwork Reduction Act Notice, see Instructions for Form 1120S. *See attached statement for additional information. Schedule K-1 (Form 1120S) 2014 SPSA /19/14

10 Schedule K-1 (Form 1120S) 2014 ASHOUR BROTHER INC Page 2 This list identifies the codes used on Schedule K-1 for all shareholders and provides summarized reporting information for shareholders who file Form For detailed reporting and filing information, see the separate Shareholder s Instructions for Schedule K-1 and the instructions for your income tax return. 1 Ordinary business income (loss). Determine whether the income (loss) is passive Code Report on or nonpassive and enter on your return as follows: N Credit for employer social security and Report on Medicare taxes See the Shareholder s Passive loss Instructions O Backup withholding Passive income Schedule E, line 28, column (g) P Other credits Nonpassive loss Schedule E, line 28, column (h) Nonpassive income Schedule E, line 28, column (j) 14 Foreign transactions 2 Net rental real estate income (loss) A Name of country or U.S. possession 3 Other net rental income (loss) B Gross income from all sources Form 1116, Part I Net income Schedule E, line 28, column (g) C Gross income sourced at Net loss shareholder level 4 Interest income Form 1040, line 8a Foreign gross income sourced at corporate level 5 a Ordinary dividends Form 1040, line 9a D Passive category E General category Form 1116, Part I 5 b Qualified dividends Form 1040, line 9b Royalties Schedule E, line 4 F Other 6 7 Net short-term capital gain (loss) Schedule D, line 5 Deductions allocated and apportioned at shareholder level Net long-term capital gain (loss) Schedule D, line 12 G Interest expense Form 1116, Part I 8 a 28% Rate Gain Worksheet, line 4 H Other Form 1116, Part I 8 b Collectibles (28%) gain (loss) (Schedule D instructions) Deductions allocated and apportioned at corporate level 8 c Unrecaptured section 1250 gain to foreign source income 9 Net section 1231 gain (loss) I Passive category 10 Other income (loss) J General category Form 1116, Part I Code K Other A Other portfolio income (loss) Other information B Involuntary conversions L foreign taxes paid Form 1116, Part II C Sec contracts and straddles Form 6781, line 1 M foreign taxes accrued Form 1116, Part II D Mining exploration costs recapture See Pub 535 N Reduction in taxes available for credit Form 1116, line 12 E Other income (loss) O Foreign trading gross receipts Form Section 179 deduction P Extraterritorial income exclusion Form Other deductions Q Other foreign transactions A Cash contributions (50%) 15 Alternative minimum tax (AMT) items B Cash contributions (30%) A Post-1986 depreciation adjustment C Noncash contributions (50%) B Adjusted gain or loss D Noncash contributions (30%) See the Shareholder s C Depletion (other than oil & gas) See the Shareholder s Instructions Instructions and the E Capital gain property to a 50% D Oil, gas, & geothermal ' gross income Instructions for Form 6251 organization (30%) E Oil, gas, & geothermal ' deductions F Capital gain property (20%) F Other AMT items G Contributions (100%) 16 Items affecting shareholder basis H Investment interest expense Form 4952, line 1 A Tax-exempt interest income Form 1040, line 8b I Deductions ' royalty income Schedule E, line 19 B Other tax-exempt income J Section 59(e)(2) expenditures C Nondeductible expenses See the Shareholder s K Deductions ' portfolio (2% floor) Schedule A, line 23 D Distributions Instructions L Deductions ' portfolio (other) Schedule A, line 28 E Repayment of loans from shareholders M Preproductive period expenses 17 Other information N Commercial revitalization deduction from rental real estate activities A Investment income Form 4952, line 4a See Form 8582 instructions B Investment expenses Form 4952, line 5 O Reforestation expense deduction C Qualified rehabilitation expenditures P Domestic production activities information See Form 8903 instructions (other than rental real estate) Q Qualified production activities income Form 8903, line 7b D Basis of energy property R Employer s Form W-2 wages Form 8903, line 17 E Recapture of low-income housing credit (section 42(j)(5)) Form 8611, line 8 S Other deductions F Recapture of low-income housing credit 13 Credits (other) Form 8611, line 8 A Low-income housing credit (section 42(j)(5)) G Recapture of investment credit See Form 4255 from pre-2008 buildings H Recapture of other credits B Low-income housing credit (other) from pre-2008 buildings I Look-back interest ' completed long-term contracts See Form 8697 C Low-income housing credit (section 42(j)(5)) J Look-back interest ' income forecast method See Form 8866 from post-2007 buildings See the Shareholder s K Dispositions of property with section 179 deductions D Low-income housing credit (other) from Instructions L Recapture of section 179 deduction post-2007 buildings M Section 453(l)(3) information E Qualified rehabilitation expenditures (rental real estate) N Section 453A(c) information F Other rental real estate credits O Section 1260(b) information G Other rental credits P Interest allocable to production expenditures See the Shareholder s H Undistributed capital gains credit Form 1040, line 73, box a Q CCF nonqualified withdrawals Instructions I Biofuel producer credit R Depletion information ' oil and gas J Work opportunity credit S Reserved See the Shareholder s K Disabled access credit Instructions T Section 108(i) information L Empowerment zone employment credit U Net investment income M Credit for increasing research activities V Other information SPSA /28/14 Schedule K-1 (Form 1120S) 2014

11 Form 1125-E Compensation of Officers (Rev December 2013) G Attach to Form 1120, 1120-C, 1120-F, 1120-REIT, 1120-RIC, or 1120S. Department of the Treasury Internal Revenue Service G Information about Form 1125-E and its separate instructions is at OMB No Name Employer identification number ASHOUR BROTHER INC Note. Complete Form 1125-E only if total receipts are $500,000 or more. See instructions for definition of total receipts. 1 (a) Name of officer (b) Social security (c) Percent of Percent of stock owned time devoted (f) Amount of number to business (d) Common (e) Preferred compensation Issa Ashour % 50.0 % 50.0 % 48,914. Omar Ashour % 50.0 % 50.0 % 10, compensation of officers 59, Compensation of officers claimed on Form 1125-A or elsewhere on return 4 Subtract line 3 from line 2. Enter the result here and on Form 1120, page 1, line 12 or the appropriate line of your tax return BAA For Paperwork Reduction Act Notice, see separate instructions. 59,000. Form 1125-E (Rev ) CPCA /26/13

12 Form 8879-S IRS e-file Signature Authorization for Form 1120S OMB No G Do not send to the IRS. Keep for your records. G Information about Form 8879-S and its instructions is at Department of the Treasury Internal Revenue Service For calendar year 2014, or tax year beginning, 2014, ending,. Name of corporation Employer identification number ASHOUR BROTHER INC Part I Tax Return Information (Whole dollars only) 1 Gross receipts or sales less returns and allowances (Form 1120S, line 1c) 1 2 Gross profit (Form 1120S, line 3) 2 3 Ordinary business income (loss) (Form 1120S, line 21) 3 4 Net rental real estate income (loss) (Form 1120S, Schedule K, line 2) 4 5 Income (loss) reconciliation (Form 1120S, Schedule K, line 18) 5 266,755. Part II Declaration and Signature Authorization of Officer (Be sure to get a copy of the corporation s return) Under penalties of perjury, I declare that I am an officer of the above corporation and that I have examined a copy of the corporation s 2014 electronic income tax return 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 corporation s electronic income tax return. I consent to allow my electronic return originator (ERO), transmitter, or intermediate service provider to send the corporation s return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the corporation s federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the corporation s electronic income tax return and, if applicable, the corporation s consent to electronic funds withdrawal. Officer s PIN: check one box only I authorize Hany Abouyoussef to enter my PIN as my signature ERO firm name do not enter all zeros on the corporation s 2014 electronically filed income tax return. 4,340,472. 3,865, ,505. As an officer of the corporation, I will enter my PIN as my signature on the corporation s 2014 electronically filed income tax return. Officer s signature G Date G Title G President Part III Certification and Authentication ERO s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN do not enter all zeros I certify that the above numeric entry is my PIN, which is my signature on the 2014 electronically filed income tax return for the corporation 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-file Providers for Business Returns. ERO s signature G Date G ERO 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-S (2014) SPSA /03/14

13 ASHOUR BROTHER INC Form 1120S, Page 1, Line 5 Other Income (Loss) OTHER INCOME:DISCOUNT TO CUSTOMERS OTHER INCOME:ESTIMATE FEES OTHER INCOME:OTHER INTEREST EARNED UNCATEGORIZED INCOME , , , ,081. Form 1120S, Page 1, Line 19 Other Deductions ACCOUNTING AUTOMOBILE AND TRUCK EPENSE BANK CHARGES DISCOUNTS DUES AND SUBSCRIPTIONS INSURANCE JANITORIAL LEGAL AND PROFESSIONAL MEALS AND ENTERTAINMENT (50%) OFFICE EPENSE POSTAGE PRINTING TELEPHONE TRAVEL UTILITIES ADMINISTRATIVE EPENSES:COLLECTION FEES ADMINISTRATIVE EPENSES:CREDIT CARD MERCHANT EP ADMINISTRATIVE EPENSES:GIFT CARDS ADMINISTRATIVE EPENSES:OFFICE EPENSE:BUSINESS CARDS ADMINISTRATIVE EPENSES:OFFICE EPENSE:COMPUTER RELATED ADMINISTRATIVE EPENSES:OFFICE EPENSE:EMPLOYMENT ADS ADMINISTRATIVE EPENSES:OFFICE EPENSE:OFFICE SUPPLIES ADMINISTRATIVE EPENSES:OFFICE EPENSE:OTHER DIRECT EPENSES:ESTIMATES DIRECT EPENSES:LIENS DIRECT EPENSES:OPERATING SUPPLIES AND MATERIAL:OTHER DIRECT EPENSES:OTHER JOB EPENSES DIRECT EPENSES:OUTSIDE SERVICES DIRECT EPENSES:PROGRAM FEE:CRAWFORD CONNECTION DIRECT EPENSES:PROGRAM FEE:OTHER DIRECT EPENSES:SALES TA:OTHER DIRECT EPENSES:SUB-CONTRACTORS MARKETING:MEMBERSHIPS MARKETING:OTHER MARKETING:SOFTWARE MARKETING:SPONSORSHIP MARKETING:TRADE SHOWS MARKETING:UNIFORMS MARKETING:WEBSITE MISCELLANEOUS OPERATING EPENSES:AUTOMOBILE EPENSE:TOLL CHARGES OPERATING EPENSES:PROFESSIONAL DEVELOPMENT:CERTIFICATION FEES OPERATING EPENSES:PROFESSIONAL DEVELOPMENT:TRAINING & SEMINARS , , , ,081. 2, , ,498. 5, ,491. 4,795. 9, , ,657. 1,043. 6, , , , , ,137. 9, ,582. 1,016,473. 2, , , , ,497.

14 ASHOUR BROTHER INC Form 1120S, Page 1, Line 19 Other Deductions Continued OPERATING EPENSES:UTILITIES:TRASH REMOVAL 3,808. 2,274,481. Other Current Assets: 1120S, Schedule L, Line 6 Beginning of End of Other Current Assets: tax year tax year OTHER CURRENT ASSETS:Prepaid:Prepaid Rent Undeposited Funds OTHER CURRENT ASSETS:Employee Advances:Other OTHER CURRENT ASSETS:Employee Reimbursables 3,750. 8, , , ,374. Other Assets: 1120S, Schedule L, Line 14 Beginning of End of Other Assets: tax year tax year Leasehold Deposit 4,200. 4,200. 4,200. 4,200. Other Current Liabilities: 1120S, Schedule L, Line 18 Beginning of End of Other Current Liabilities: tax year tax year Credit Cards: Customer Retainers Insurance Liability:EMC Commerical Package Insurance Liability:Other Payroll Liabilities:AFLAC Payroll Liabilities:Health insurance - employee ded Payroll Liabilities:Health insurance-company paid Payroll Liabilities:Other Payroll Liabilities:Payroll Liabilities-SIMPLE IRA Payroll Liabilities:SIMPLE IRA Plan-Employee Credit Cards:Conoco:7010/6002-Conoco (Omar) Credit Cards:Conoco:7011/6001-Conoco (Issa) Credit Cards:Conoco:7013/6005-Conoco (General) Credit Cards:Conoco:7019- Conoco (Chris Rains) Credit Cards:Conoco:7020-Conoco (Sherry McClure) Credit Cards:Conoco:7021-Conoco (Dierdre Fye) Credit Cards:Conoco:7023-Conoco (Scott Peck) Credit Cards:Conoco:7024- Musa Credit Cards:Conoco:7026-Conoco (Jeremy Hall) 14, ,364. 5, , , , , ,800. 7, , , ,380. 2,532. 3,165. 1, ,160. 1, ,506.

15 ASHOUR BROTHER INC Other Current Liabilities: 1120S, Schedule L, Line 18 Continued Beginning of End of Other Current Liabilities: tax year tax year Credit Cards:Conoco:7027- Conoco (Billy Gerhardt) Credit Cards:Conoco:7028- Conoco (Lance Miller) 2nd Credit Cards:Conoco:7029-General (2nd) Credit Cards:Conoco:Other Credit Cards:Home Depot-7061 Credit Cards:Ironstone / First Citizens Visa:Alex - FC Visa 0899 Credit Cards:Ironstone / First Citizens Visa:Benjamin - FC Visa /4931 Credit Cards:Ironstone / First Citizens Visa:Bryan-FC Visa Credit Cards:Ironstone / First Citizens Visa:Carl-FC Visa Credit Cards:Ironstone / First Citizens Visa:Cheryl-FC Visa Credit Cards:Ironstone / First Citizens Visa:Chris-FC Visa Credit Cards:Ironstone / First Citizens Visa:Dan-FC Visa Credit Cards:Ironstone / First Citizens Visa:Dave-FC Visa Credit Cards:Ironstone / First Citizens Visa:Dean-FC Visa Credit Cards:Ironstone / First Citizens Visa:Derek-FC Visa Credit Cards:Ironstone / First Citizens Visa:Dierdre-FC Visa Credit Cards:Ironstone / First Citizens Visa:Eric - FC Visa 3883 Credit Cards:Ironstone / First Citizens Visa:Evelyn-FC Visa Credit Cards:Ironstone / First Citizens Visa:Gabe-FC Visa Credit Cards:Ironstone / First Citizens Visa:Gerardo-FC Visa Credit Cards:Ironstone / First Citizens Visa:Glenn-FC Visa Credit Cards:Ironstone / First Citizens Visa:Issa- FC Visa Credit Cards:Ironstone / First Citizens Visa:Jacob-FC Visa /9849 Credit Cards:Ironstone / First Citizens Visa:Jason-FC Visa Credit Cards:Ironstone / First Citizens Visa:Jeremy-FC Visa Credit Cards:Ironstone / First Citizens Visa:Jim-FC Visa Credit Cards:Ironstone / First Citizens Visa:Joe-FC Visa Credit Cards:Ironstone / First Citizens Visa:John-FC Visa Credit Cards:Ironstone / First Citizens Visa:Justin - FC Visa Credit Cards:Ironstone / First Citizens Visa:Lance-FC Visa Credit Cards:Ironstone / First Citizens Visa:Leah-FC Visa Credit Cards:Ironstone / First Citizens Visa:Lee-FC Visa Credit Cards:Ironstone / First Citizens Visa:Mark - FC Visa Credit Cards:Ironstone / First Citizens Visa:Omar- FC Visa Credit Cards:Ironstone / First Citizens Visa:Other Credit Cards:Ironstone / First Citizens Visa:Scott-FC Visa /6943 Credit Cards:Ironstone / First Citizens Visa:Sean - FC Visa Credit Cards:Ironstone / First Citizens Visa:Stephen-FC Visa Credit Cards:Lowe s Credit Cards:Other Credit Cards:Wells Fargo Visa:Issa-WF (new) Credit Cards:Wells Fargo Visa:Omar-WF 1189(new) Credit Cards:Wells Fargo Visa:Other Credit Cards:Wright Express : Plate No 624HQ Credit Cards:Wright Express : Plate No 792HIG Credit Cards:Wright Express : Plate No 713LJA Credit Cards:Wright Express : Plate No 714LJA Credit Cards:Wright Express : Plate No 358HIG Credit Cards:Wright Express : Plate No 729MM Credit Cards:Wright Express : Plate No 684PSR Credit Cards:Wright Express : Plate No 627VCA Credit Cards:Wright Express : Plate No 227WDJ 1,705. 1,257. 3, , ,504. 1,272. 2, ,444. 4, , , , , ,501. 4,813. 1, ,388. 1, , ,006. 5,247. 2,831. 2,110. 7,655. 6,892. 4, ,935. 3,068. 3, , , ,941. 2, ,704. 1, , , ,293. 7,677. 9,622. 9,354. 5,967. 8, ,795. 9,138.

16 ASHOUR BROTHER INC Other Current Liabilities: 1120S, Schedule L, Line 18 Continued Beginning of End of Other Current Liabilities: tax year tax year Credit Cards:Wright Express : Indep 01 Credit Cards:Wright Express : Plate No 687PSR Credit Cards:Wright Express : Plate No 625HQ Credit Cards:Wright Express : Plate No 059YCD Credit Cards:Wright Express : Plate No 972TW Credit Cards:Wright Express : Plate No 622HQ Credit Cards:Wright Express : Dierdre Credit Cards:Wright Express : Plate No 341YPU Credit Cards:Wright Express : Mussa Credit Cards:Wright Express : Plate No 417ZUG Credit Cards:Wright Express : Plate No 340YPU Credit Cards:Wright Express : Plate No. 633AQF Credit Cards:Wright Express : Plate No. 635AQF Credit Cards:Wright Express : Plate No. 049ZUE Credit Cards:Wright Express :Other 155, ,515. 9,829. 6,977. 7,422. 9, ,060. 2,060. 5, ,492. 3,149. 1, , ,365. Other Liabilities: 1120S, Schedule L, Line 21 Beginning of End of Other Liabilities: tax year tax year Direct Deposit Liabilities (clients prepaid) Direct Deposit Liabilities 259, , Form 1120S, Page 5, Schedule M-2, Line 5 Schedule M-2, Other Reductions CHARITABLE CONTRIBUTIONS MEALS AND ENTERTAINMENT 23,750. 2, ,855.

17 ASHOUR BROTHER INC Supporting Statement of: Form 1120S p1-2/gross Sales Description CONSTRUCTION SERVICES:Change Order CONSTRUCTION SERVICES:Other CONSTRUCTION SERVICES:Renovation & Remodel-Commercial CONSTRUCTION SERVICES:Renovation-Remodel-Residential CONSTRUCTION SERVICES:Repairs and Reconstruction-Ins CONSTRUCTION SERVICES:Supplement-Insurance RESTORATION SERVICES:Abatement RESTORATION SERVICES:Board Up / Shoring RESTORATION SERVICES:Contents RESTORATION SERVICES:Hazardous Clean-up RESTORATION SERVICES:Mitigation RESTORATION SERVICES:Mold Remediation ROOFING:Roofing Repairs- Commercial ROOFING:Roofing Repairs- Residential ROOFING:Roofing Replacement-Residential Amount 158, , ,192. 1,841. 1,885, , , , , , , , , , ,140. 4,340,472. Supporting Statement of: Form 1120S p1-2/salaries and wages Description ADMINISTRATIVE EPENSES:WAGES-AD:Administration- Hourly ADMINISTRATIVE EPENSES:WAGES-AD:Administrative Salary ADMINISTRATIVE EPENSES:WAGES-AD:Vacation- Admin Salary MARKETING:Sales/Marketing Salary MARKETING:WAGES-MKT:Commission Marketing Payroll Expenses:AFLAC- company paid portion Payroll Expenses:FICA- Medicare Company Payroll Expenses:FICA- Social Security Company Payroll Expenses:Other Payroll Expenses:SIMPLE IRA Payroll Expenses:State Unemployment PRODUCTION:WAGES:Commission PRODUCTION:WAGES:Project Manager Salary:Cell Phone-Personal PRODUCTION:WAGES:Project Manager Salary:Commission-Project Mgr PRODUCTION:WAGES:Project Manager Salary:Other PRODUCTION:WAGES:Project Manager Salary:Vacation-PM Amount 13, , , ,207. 9,160. 2, , , ,608. 6, , , ,113. 1, ,784.

18 ASHOUR BROTHER INC Supporting Statement of: Form 1120S p1-2/line 9 Description OPERATING EPENSES:Repairs:Building Repairs OPERATING EPENSES:Repairs:Equipment Repairs Amount ,542. Supporting Statement of: Form 1120S p1-2/licenses Description DIRECT EPENSES:Licenses and Permits OPERATING EPENSES:Contractor Licenses Amount 32,746. 2, ,542. Supporting Statement of: Form 1120S p1-2/line 16 Description MARKETING:Advertising:Client Appreciation MARKETING:Advertising:Marketing MARKETING:Advertising:Marketing Referral programs MARKETING:Advertising:Other Amount 1, ,749. 2,750. 5, ,662. Supporting Statement of: Form 1120S p1-2/meals and Ent 50% allow. Description MARKETING:Travel & Ent:Entertainment MARKETING:Travel & Ent:Meals MARKETING:Travel & Ent:Other Amount 12. 3, ,211.

19 ASHOUR BROTHER INC Supporting Statement of: Form 1120S p3-5/sch L, 1(d) Description CASH ACCOUNTS:Checking- Wells Fargo 1068 CASH ACCOUNTS:IB-Checking 1228 CASH ACCOUNTS:IB-Money Market 8037 CASH ACCOUNTS:IB-Payroll 4522 CASH ACCOUNTS:NuBilt- Wells Fargo 6083 CASH ACCOUNTS:Petty Cash Amount 112, , , , , ,428. Supporting Statement of: Form 1120S p3-5/sch L, 10a(c) Description Amount Fixed Assets:Computer and Software Fixed Assets:Furniture & Fixtures Fixed Assets:Operational Equipment Fixed Assets:Vehicles 37, , , , ,590. Supporting Statement of: Form 1120S p3-5/sch L, 22(d) Description Amount Common Stock:Issa Common Stock:Omar 14, , ,000. Supporting Statement of: Form 1125-A/Line 3 Description DIRECT EPENSES:Wages:Direct Labor:Other DIRECT EPENSES:Wages:Direct Labor:Overtime- Direct Labor DIRECT EPENSES:Wages:Mileage Reimbursement Amount 336, , ,318.

20 January 22, 2015 ISSA H ASHOUR E, ADRIATIC PLACE AURORA, CO Dear ISSA H ASHOUR, Enclosed is your 2014 Schedule K-1 (Form 1120S), Shareholder's Share of Income, Credits, Deductions, etc., which has been filed with the 2014 Form 1120S U.S. Income Tax Return for an S Corporation for ASHOUR BROTHER INC. The amounts reported to you on lines 1-17 of the Schedule K-1 (Form 1120S), Shareholder's Share of Income, Credits, Deductions, etc., represent your share of income, credits, deductions, and other information to be reported on the appropriate lines of your tax return. The IRS uses codes on some lines of the Schedule K-1 to identify the item and provide reporting information. These codes are identified on page 2 of the K-1. Enclosed is your 2014 Schedule K1 Equivalent (Form 106), which has been filed with the 2014 Form 106 Colorado State S Corporation Return of Income of ASHOUR BROTHER INC. Should you have any questions regarding this information, please do not hesitate to call. Sincerely, ASHOUR BROTHER INC 2134 S VALENTIA STREET DENVER, CO 80231

21 January 22, 2015 OMAR H ASHOUR E. DORADO AURORA, CO Dear OMAR H ASHOUR, Enclosed is your 2014 Schedule K-1 (Form 1120S), Shareholder's Share of Income, Credits, Deductions, etc., which has been filed with the 2014 Form 1120S U.S. Income Tax Return for an S Corporation for ASHOUR BROTHER INC. The amounts reported to you on lines 1-17 of the Schedule K-1 (Form 1120S), Shareholder's Share of Income, Credits, Deductions, etc., represent your share of income, credits, deductions, and other information to be reported on the appropriate lines of your tax return. The IRS uses codes on some lines of the Schedule K-1 to identify the item and provide reporting information. These codes are identified on page 2 of the K-1. Enclosed is your 2014 Schedule K1 Equivalent (Form 106), which has been filed with the 2014 Form 106 Colorado State S Corporation Return of Income of ASHOUR BROTHER INC. Should you have any questions regarding this information, please do not hesitate to call. Sincerely, ASHOUR BROTHER INC 2134 S VALENTIA STREET DENVER, CO 80231

22 Departmental Use Only Form 106 (09/08/14) COLORADO DEPARTMENT OF REVENUE Denver, CO (0043) or- Colorado Pass-Through Entity and Composite Nonresident Income Tax Form 106 Fiscal Year Beginning (MM/DD): Ending(MM/DD/YYYY): ? 2014 Mark for Amended Return Name of Organization ASHOUR BROTHER INC Colorado Account Number? Doing Business As NUBILT, INC Federal Employer ID Number? Address City State ZIP 2134 S VALENTIA STREET DENVER CO If you are attaching a statement disclosing a listed or reportable transaction, check this box? A. This return is being filed for (check one)? Partnership S Corporation LLC LP LLP LLLP Association Non-Profit B. Beginning depreciable assets from federal return C. Ending depreciable assets from federal return?? 705, ,590. D. Business or profession E. Date of organization or incorporation SERVICE 06/06/94 F. If this is a final return, check this box G. If the IRS has made any adjustments to your federal return or have you? filed amended federal returns during the last four years, check this box (MM/DD/YY) H. Number of partners or shareholders as of year end Explain: 2 Part I: Computation of Colorado Income Round to the nearest dollar 1. Ordinary income from line 1 federal Schedule K? of all other income? Modifications increasing federal income? of lines 1, 2 and Allowable deductions from federal Schedule K? Colorado Marijuana Business Deduction? Other modifications decreasing federal income? of lines 5 through Line 4 minus line Colorado Source Income from (mark one): Part IV Other (attach explanation) Income is all Colorado Income? File at: - or - Mail to and make checks payable to: Colorado Department of Revenue Denver, CO COSZ /12/14