U.S. Income Tax Return for an S Corporation

Transcription

1 Form Department of the Treasury Internal Revenue Service () Paid Preparer Use Only Caution: Include only trade or business income and expenses on lines 1a through 21. See the instructions for more information. Merchant card and third-party Gross receipts or sales Total. Add lines 1 a payment. For 2011, enter -0- b not reported on line 1a c 1a and 1b 1c d Returns and allowances plus any other adjustments (see instrs.) e Subtract line 1d from line 1c 1e 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. Print/Type preparer s name Do not file this form unless the corporation has filed or is attaching Form 255 to elect to be an S corporation. Preparer s signature Check if selfemployed OMB No For calendar year 2011 or tax year beginning, and ending A S election effective date Name D Employer identification number 11/01/2 B Business activity TYPE Holladay Grace Roofing code number OR (see instructions) Number, street, and room or suite no. If a P.O. box, see instructions. E Date incorporated 28 PRINT 1 Red Granite Loop #1 11/01/22 C Check if Sch. M- City or town, state, and ZIP code F Total assets (see instructions) attached Colorado Springs, CO 80 $ 1,0. G Is the corporation electing to be an S corporation beginning with this tax year? Yes X No If "Yes," attach Form 255 if not already filed H I Income Deductions (See instructions for limitations) Tax and Payments Sign Here 1120S Check if: (1) Final return (2) Name change () Address change () Amended return (5) S election termination or revocation Enter the number of shareholders who were shareholders during any part of the tax year a 2 a b c b c d U.S. Income Tax Return for an S Corporation Cost of goods sold (attach Form 1125-A) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross profit. Subtract line 2 from line 1e ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net gain (loss) from Form, Part II, line 1 (attach Form ) ~~~~~~~~~~~~~~~~~~~~~ Other income (loss) (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Statement 2 Total income (loss). Add lines through 5 Compensation of officers ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Statement Salaries and wages (less employment credits) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Repairs and maintenance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Bad debts ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rents ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Statement Interest Depreciation not claimed on Form 1125-A or elsewhere on return (attach Form 52) ~~~~~~~~~~~~~ Depletion (Do not deduct oil and gas depletion.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Advertising ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Pension, profit-sharing, etc., plans ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee benefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other deductions (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Statement 5 Total deductions. Add lines through 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ordinary business income (loss). Subtract line 20 from line Excess net passive income or LIFO recapture tax (see instructions) ~~~~~~ 22a Tax from Schedule D (Form 1120S) ~~~~~~~~~~~~~~~~~~~ Add lines 22a and 22b 2011 estimated tax payments and 2010 overpayment credited to 2011 ~~~~ Tax deposited with Form ~~~~~~~~~~~~~~~~~~~~~~ Credit for federal tax paid on fuels (attach Form 1) ~~~~~~~~~~~ Add lines 2a through 2c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Estimated tax penalty (see instructions). Check if Form 2220 is attached ~~~~~~~~~~~~~ Amount owed. If line 2d is smaller than the total of lines 22c and 2, enter amount owed ~~~~~~~~~~~~ Overpayment. If Iine 2d is larger than the total of lines 22c and 2, enter amount overpaid Enter amount from line 2 Credited to 2012 estimated tax Refunded = = Signature of officer Date Title May the IRS discuss this return with the preparer shown below (see instr.)? Tom O Neal, CPA P Firm s name SSA, P.C. Firm s EIN Firm s address 55 American Drive Phone no. Colorado Springs, CO (1) S JWA For Paperwork Reduction Act Notice, see separate instructions. Form (2011) b 2a 2b 2c Date c 2d ,5,11. 5,5,11. 5,5,11. 2,182,88. 1,822,28., ,85,0. 1, ,0. 1 President PTIN,2. 12,82. 8,5. 2,0. 8,08.,1., ,5. 811,058. 1,05,2. X Yes No

2 Form 1120S (2011) Holladay Grace Roofing Page 2 Schedule B Other Information (see instructions) Yes No 1 Check accounting method: (a) Cash (b) X Accrual (c) Other (specify) 2 5 See the instructions and enter the: (a) Business activity Construction (b) Product or service Roofing corporation? (For rules of attribution, see section 2(c).) If "Yes," attach a statement showing: (a) name and employer identification number (EIN), (b) percentage owned, and (c) if 1 owned, was a qualified subchapter S subsidiary election made?~~~~~~~~ Has this corporation filed, or is it required to file, Form 818, Material Advisor Disclosure Statement, provide information on any reportable transaction? If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount 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 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ Income (Loss) At the end of the tax year, did the corporation own, directly or indirectly, 50 or more of the voting stock of a domestic Check this box if the corporation issued publicly offered debt instruments with original issue discount ~~~~~~~~~~~~~~~~~ Instruments. Enter the accumulated earnings and profits of the corporation at the end of the tax year ~~~~~~~~~~ 2 Net rental real estate income (loss) (attach Form 8825) a Other gross rental income (loss) ~~~~~~~~~~~~~~~~~~~ b Expenses from other rental activities (attach statement) ~~~~~~~~~ c Other net rental income (loss). Subtract line b from line a ~~~~~~~~~~~~~~~~~~~~~~~~ Interest income Statement 5 Dividends: a Ordinary dividends b Qualified dividends ~~~~~~~~~~~~~~~~~~~ Royalties ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net short-term capital gain (loss) (attach Schedule D (Form 1120S)) ~~~~~~~~~~~~~~~~~~~~ 8a Net long-term capital gain (loss) (attach Schedule D (Form 1120S)) b Collectibles (28) gain (loss) ~~~~~~~~~~~~~~~~~~~~ c Unrecaptured section 1250 gain (attach statement) ~~~~~~~~~~~ 8c Net section 121 gain (loss) (attach Form ) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Statement 1,. Other income (loss) 10 (see instructions) Type 10 JWA Form 1120S (2011) a b 5b 8b $ 2 c 5a 8a 5,88. 8 Are the corporation s total receipts (see instructions) for the tax year and its total assets at the end of the tax year less than $250,0? If "Yes," the corporation is not required to complete Schedules L and M-1 X During the tax year, was a qualified subchapter S subsidiary election terminated or revoked? If "Yes," see instructions X 10aDid the corporation make any payments in 2011 that would require it to file Form(s) 10 (see instructions)? ~~~~~~~~~~~~~~~~~~ X bif "Yes," did the corporation file or will it file all required Forms 10? X Schedule K Shareholders Pro Rata Share Items Total amount 1 Ordinary business income (loss) (page 1, line 21) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 1,05,2. X X 1,

3 Form 1120S (2011) Deductions Credits Foreign Transactions Alternative Minimum Tax (AMT) Items Items Affecting Shareholder Basis Other Information Reconciliation 11 Section 1 deduction (attach Form 52) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 12 a Contributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Statement 8 b Investment interest expense Section 5(e)(2) c expenditures (1) Type (2) Amount ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other deductions d (see instructions) Type 1 a Low-income housing credit (section 2(j)(5)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Low-income housing credit (other) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Qualified rehabilitation expenditures (rental real estate) (attach Form 8) ~~~~~~~~~~~~~~~~~~ Other rental real estate d credits (see instructions) Type Other rental credits e (see instructions) Type f Alcohol and cellulosic biofuel fuels credit (attach Form 8) ~~~~~~~~~~~~~~~~~~~~~~~~ Other credits g (see instructions) Type 1 a Name of country or U.S. possession b Gross income from all sources ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Gross income sourced at shareholder level ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Passive category ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e General category ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ f g Interest expense ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ h Other ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ i j k Other (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ l mreduction in taxes available for credit (attach statement) n Other foreign tax information (attach statement) 15 a Post-18 depreciation adjustment ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Adjusted gain or loss ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Statement c Depletion (other than oil and gas) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Oil, gas, and geothermal properties - gross income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Oil, gas, and geothermal properties - deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ f 1 a Tax-exempt interest income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Other tax-exempt income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Nondeductible expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Statement 10 d Distributions (attach statement if required) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Repayment of loans from shareholders 1 a Investment income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Investment expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c d Foreign gross income sourced at corporate level Shareholders Pro Rata Share Items (continued) Other (attach statement ) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Deductions allocated and apportioned at shareholder level Deductions allocated and apportioned at corporate level to foreign source income Passive category ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ General category ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other information Holladay Grace Roofing Total foreign taxes (check one): Paid Accrued ~~~~~~~~~~~~~~~~~~~~~ Other AMT items (attach statement) Dividend distributions paid from accumulated earnings and profits ~~~~~~~~~~~~~~~~~~~~~ Other items and amounts (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11 12a 12b 12c(2) 12d 1a 1b 1c 1d 1e 1f 1g 1b 1c 1d 1e 1f 1g 1h 1i 1j 1k 1l 1m 15a 15b 15c 15d 15e 15f 1a 1b 1c 1d 1e 1a 1b 1c Page Total amount 1,0.,0. -2, ,.,0. 1,0. 18 Income/loss reconciliation. Combine the amounts on lines 1 through 10 in the far right column. From the result, subtract the sum of the amounts on lines 11 through 12d and 1l 18 1,0,28. JWA Form 1120S (2011)

4 Form 1120S (2011) 1 Mortgages, notes, bonds payable in less than 1 year Mortgages, notes, bonds payable in 1 year or more Income included on Schedule K, lines 1, 2, c,, 5a,,, 8a,, and 10, not recorded on books this year (itemize): Balance Sheets per Books Assets 2 a Trade notes and accounts receivable ~~~ a Buildings and other depreciable assets ~~ 11 a Depletable assets ~~~~~~~~~~~ 12 Land (net of any amortization) ~~~~~ 1 a Intangible assets (amortizable only) ~~~ Schedule L b Less allowance for bad debts ~~~~~~ b Less accumulated depreciation ~~~~~ b Less accumulated depletion ~~~~~~ b Less accumulated amortization ~~~~~ 1 Other assets (att. stmt.) ~~~~~~~~~ 15 Total assets ~~~~~~~~~~~~~ Liabilities and Shareholders Equity 25 Adjustments to shareholders equity (att. stmt.) ~~ 2 Less cost of treasury stock ~~~~~~~ (,2. ) (,2. ) 2 Total liabilities and shareholders equity 5,2. 1,0. Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return Note: Schedule M- required instead of Schedule M-1 if total assets are $10 million or more - see instructions 1 Net income (loss) per books ~~~~~~ 1,015,1. 5 Income recorded on books this year not 2 Cash ~~~~~~~~~~~~~~~~~ Inventories ~~~~~~~~~~~~~~ U.S. government obligations ~~~~~~ Tax-exempt securities ~~~~~~~~~ Other current assets (att. stmt.) ~~~~~ Loans to shareholders ~~~~~~~~~ Mortgage and real estate loans ~~~~~ Other investments (att. stmt.) ~~~~~~ Accounts payable ~~~~~~~~~~~ Other current liabilities (att. stmt.) ~~~~ Loans from shareholders ~~~~~~~~ Other liabilities (att. stmt.) ~~~~~~~~ Capital stock ~~~~~~~~~~~~~ Additional paid-in capital ~~~~~~~~ Retained earnings ~~~~~~~~~~~ Holladay Grace Roofing a Tax-exempt interest $ Page Beginning of tax year End of tax year (a) (b) (c) (d) 28,1. 8,5. 1,28. 0,00. 1,28.,2. 5,1. 15,0. 15,0. Statement 1 Statement 15 Statement 1 Statement 18 included on Schedule K, lines 1 through 10 (itemize): 0,2. 2,5.,. 1,021,2., ,50. 11,2. 82,51. 11,2. 1,.,5. 5,2. 1,0. 12,8. 25, ,8. 15,18. 12,5. 12,5. 8,2.,5. 8 Balance at end of tax year. Subtract line from line JWA Deductions included on Schedule K, lines 1 a Depreciation $ a Depreciation $ b 2,. Travel and entertainment $ Stmt 1,1. 2,8. Add lines 5 and ~~~~~~~~~~~~~~ Add lines 1 through 1,0,28. 8 Income (loss) (Schedule K, line 18). Line less line 1,0,28. Analysis of Accumulated Adjustments Account, Other Adjustments Account, and Schedule M-2 Shareholders Undistributed Taxable Income Previously Taxed (see instructions) Expenses recorded on books this year not included on Schedule K, lines 1 through 12 and 1l (itemize): Balance at beginning of tax year ~~~~~~~~~~~~~~~~~~ Ordinary income from page 1, line 21 ~~~~~~~~~~~~~~~~ Other additions ~~~~~~~~~~~~~~~~~~~~~~~~~ Statement 11 through 12 and 1l, not charged against book income this year (itemize): (a) Accumulated adjustments account (b) Other adjustments account 2, ,05,2.,82. Loss from page 1, line 21 ~~~~~~~~~~~~~~~~~~~~~ ( ) Other reductions ~~~~~~~~~~~~~~~~~~~~~~~~~ Statement 12 Statement 1 ( 2,25. ) ( 210. ) Combine lines 1 through 5 ~~~~~~~~~~~~~~~~~~~~ 1,082, Distributions other than dividend distributions ~~~~~~~~~~~~,0. 88, (c) Shareholders undistributed taxable income previously taxed Form 1120S (2011)

5 Form (December 2011) Department of the Treasury Internal Revenue Service Name Attach to Form 1120, 1120-C, 1120-F, 1120-S, 105, and 105-B. Additional section 2A costs (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other costs (attach statement) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ See Statement 1 Total. Add lines 1 through 5 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Inventory at end of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Cost of goods sold. Subtract line from line. Enter here and on Form 1120, page 1, line 2 or the appropriate line of your tax return (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a Check all methods used for valuing closing inventory: (i) X Cost (ii) (iii) 1125-A Lower of cost or market Other (Specify method used and attach explanation) Cost of Goods Sold 5 8 OMB No Employer Identification number Holladay Grace Roofing Inventory at beginning of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 15,0. Purchases Cost of labor ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 1,210,2. 1,,. 58,228.,1,88. 15,0.,182,88. 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 0) ~~~~~~~~~~~~~~~~~~~~ d If the LIFO inventory method was used for this tax year, enter amount of closing inventory computed under LIFO ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d e If property is produced or acquired for resale, do the rules of Section 2A apply to the corporation? ~~~~~~~~~~~~~~~~~~ Yes f Was there any change in determining quantities, cost, or valuations between opening and closing inventory? ~~~~~~~~~~~~~~~ Yes If "Yes," attach explanation. X X No No For Paperwork Reduction Act Notice, see separate instructions. Form 1125-A ( )

6 Form 52 Depreciation and Amortization (Including Information on Listed Property) OTHER OMB No Department of the Treasury Attachment Internal Revenue Service () See separate instructions. Attach to your tax return. Sequence No. 1 Name(s) shown on return Business or activity to which this form relates Identifying number Holladay Grace Roofing Other Depreciation Part I Election To Expense Certain Property Under Section 1 Note: If you have any listed property, complete Part V before you complete Part I. 1 Maximum amount (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 5,0. 2 Total cost of section 1 property placed in service (see instructions) ~~~~~~~~~~~~~~~~~~~~~ 2,50. Threshold cost of section 1 property before reduction in limitation~~~~~~~~~~~~~~~~~~~~~~ 2,0,0. Reduction in limitation. Subtract line from line 2. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~ 5 Dollar limitation for tax year. Subtract line from line 1. If zero or less, enter -0-. If married filing separately, see instructions 5 5,0. (a) Description of property (b) Cost (business use only) (c) Elected cost Roofing Equipment 1,0. 1, Tentative deduction. Enter the smaller of line 5 or line 8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 Carryover of disallowed deduction to Add lines and 10, less line 12 1 Note: Do not use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Do not include listed property. ) 1 15 Property subject to section 18(f)(1) election ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 15 1 Other depreciation (including ACRS) Part III MACRS Depreciation (Do not include listed property. ) (See instructions.) Section A 1 MACRS deductions for assets placed in service in tax years beginning before 2011 ~~~~~~~~~~~~~~ 1 1, If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here J Section B - Assets Placed in Service During 2011 Tax Year Using the General Depreciation System (a) Classification of property (b) Month and (c) Basis for depreciation year placed (business/investment use (d) Recovery in service only - see instructions) period (e) Convention (f) Method (g) Depreciation deduction 1a b c d e f g h i 20a b Residential rental property / 2.5 yrs. MM S/L / 2.5 yrs. MM S/L Nonresidential real property / yrs. MM S/L / MM S/L Section C - Assets Placed in Service During 2011 Tax Year Using the Alternative Depreciation System c 0-year Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Listed property. Enter the amount from line 2 ~~~~~~~~~~~~~~~~~~~ Total elected cost of section 1 property. Add amounts in column (c), lines and ~~~~~~~~~~~~~~ Carryover of disallowed deduction from line 1 of your 2010 Form 52 ~~~~~~~~~~~~~~~~~~~~ Business income limitation. Enter the smaller of business income (not less than zero) or line 5 Section 1 expense deduction. Add lines and 10, but do not enter more than line 11 Total. Add amounts from line 12, lines 1 through 1, lines 1 and 20 in column (g), and line 21. portion of the basis attributable to section 2A costs LHA For Paperwork Reduction Act Notice, see separate instructions. 2 ~~~~~~~~~ Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ -year property 5-year property -year property 10-year property 15-year property 20-year property 25-year property 25 yrs. S/L Class life 12-year / 12 yrs. 0 yrs. MM Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instr. For assets shown above and placed in service during the current year, enter the S/L S/L S/L ,0. 1,0. 5,0. 1,0. 1,50. 5 Yrs HY 2DB 50.,01. 8,08. Form 52 (2011)

7 Form 52 (2011) Holladay Grace Roofing Page 2 Part V Listed Property (Include automobiles, certain other vehicles, certain computers, and property used for entertainment, recreation, or amusement.) Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 2a, 2b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A - Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles. ) 2a Do you have evidence to support the business/investment use claimed? X Yes No 2b If "Yes," is the evidence written? X Yes No (a) Type of property (list vehicles first ) (b) (c) (d) (e) (f) (g) (h) (i) Business/ Basis for depreciation investment Cost or Recovery Method/ Depreciation (business/investment use percentage other basis use only) period Convention deduction 2 Add amounts in column (i), line 2. Enter here and on line, page 1 2 Section B - Information on Use of Vehicles year ( do not include commuting miles) ~~~~~~ (a) (b) (c) (d) (e) (f) Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle Yes No Yes No Yes No Yes No Yes No Yes No Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5 owners or related persons Do you meet the requirements concerning qualified automobile demonstration use? ~~~~~~~~~~~~~~~~~~~~~~~ Note: If your answer to, 8,, 0, or 1 is "Yes," do not complete Section B for the covered vehicles. Part VI Amortization (a) (b) (c) (d) (e) (f) Description of costs Date amortization Amortizable Code Amortization Amortization begins amount section period or percentage for this year 2 Date placed in service Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50 in a qualified business use Property used more than 50 in a qualified business use:!!!! See Statement 20 5,1. Property used 50 or less in a qualified business use: Total business/investment miles driven during the Add amounts in column (h), lines 25 through 2. Enter here and on line 21, page 1 ~~~~~~~~~~~~ Total. Add amounts in column (f). See the instructions for where to report S/L - S/L - S/L Elected section 1 cost Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5 owner," or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. Total commuting miles driven during the year ~ Total other personal (noncommuting) miles driven~~~~~~~~~~~~~~~~~~~~~ Total miles driven during the year. Add lines 0 through 2~~~~~~~~~~~~ Was the vehicle available for personal use during off-duty hours? ~~~~~~~~~~~~ Was the vehicle used primarily by a more than 5 owner or related person? ~~~~~~ Is another vehicle available for personal use? Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your employees?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, directors, or 1 or more owners ~~~~~~~~~~~~ Do you treat all use of vehicles by employees as personal use? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Amortization of costs that begins during your 2011 tax year:!! Amortization of costs that began before your 2011 tax year ~~~~~~~~~~~~~~~~~~~~~~~~~~ 0,820.,01. Yes X No X X X X Form 52 (2011)

8 OMB No Form (Also Involuntary Conversions and Recapture Amounts Department of the Treasury Under Sections 1 and 280F(b)(2)) Attachment Internal Revenue Service () J Attach to your tax return. Sequence No. Name(s) shown on return 2 Sales of Business Property 2011 Identifying number Holladay Grace Roofing Enter the gross proceeds from sales or exchanges reported to you for 2011 on Form(s) 10-B or 10-S (or substitute statement) that you are including on line 2, 10, or 20 (see instructions) 1 0. Part I Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualty or Theft - Most Property Held More Than 1 Year (f) Cost or other Depreciation (g) Gain or (loss) (b) Date (c) Date (d) (e) Gross basis, plus Subtract (f) from (a) Description of acquired sold allowed or allowable sales price improvements and the sum of (d) and (e) property (mo., day, yr.) (mo., day, yr.) since acquisition expense of sale 2 Gain, if any, from Form 8, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Section 121 gain from installment sales from Form 252, line 2 or ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Section 121 gain or (loss) from like-kind exchanges from Form 882 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gain, if any, from line 2, from other than casualty or theft ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Combine lines 2 through. Enter the gain or (loss) here and on the appropriate line as follows: ~~~~~~~~~~~~~~~~~~ Partnerships (except electing large partnerships) and S corporations. Report the gain or (loss) following the instructions for Form 105, Schedule K, line 10, or Form 1120S, Schedule K, line. Skip lines 8,, 11, and 12 below. Individuals, partners, S corporation shareholders, and all others. If line is zero or a loss, enter the amount from line on line 11 below and skip lines 8 and. If line is a gain and you did not have any prior year section 121 losses, or they were recaptured in an earlier year, enter the gain from line as a long-term capital gain on the Schedule D filed with your return and skip lines 8,, 11, and 12 below. 8 Nonrecaptured net section 121 losses from prior years (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Subtract line 8 from line. If zero or less, enter -0-. If line is zero, enter the gain from line on line 12 below. If line is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line as a long-term capital gain on the Schedule D filed with your return (see instructions) Part II Ordinary Gains and Losses 5 8 1,. 1,. 10 Ordinary gains and losses not included on lines 11 through 1 (include property held 1 year or less): Loss, if any, from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gain, if any, from line or amount from line 8, if applicable ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gain, if any, from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net gain or (loss) from Form 8, lines 1 and 8a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 15 Ordinary gain from installment sales from Form 252, line 25 or ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ordinary gain or (loss) from like-kind exchanges from Form 882 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Combine lines 10 through 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For all except individual returns, enter the amount from line 1 on the appropriate line of your return and skip lines a and b below. For individual returns, complete lines a and b below: a If the loss on line 11 includes a loss from Form 8, line 5, column (b)(ii), enter that part of the loss here. Enter the part of the loss from income-producing property on Schedule A (Form 100), line 28, and the part of the loss from property used as an employee on Schedule A (Form 100), line 2. Identify as from "Form, line 18a." See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Redetermine the gain or (loss) on line 1 excluding the loss, if any, on line 18a. Enter here and on Form 100, line 1 JWA For Paperwork Reduction Act Notice, see separate instructions. 11 ( ) 12 1, ,0. 18a 18b Form (2011)

9 Holladay Grace Roofing Form (2011) Part III Gain From Disposition of Property Under Sections 125, 1250, 1252, 125, and 1255 (b) Date acquired Page 2 (c) Date sold 1 (a) Description of section 125, 1250, 1252, 125, or 1255 property: (mo., day, yr.) (mo., day, yr.) A 28 Classic XT Dominator B 28 Chevy K C D These columns relate to the properties on lines 1A through 1D. J Property A Property B Property C Property D Gross sales price ( Note: See line 1 before completing.) Cost or other basis plus expense of sale ~~~~~~ Depreciation (or depletion) allowed or allowable ~~ Adjusted basis. Subtract line 22 from line 21 ~~~~ ,0. 15,8. 15, ,0. 2, , If section 125 property: a Depreciation allowed or allowable from line 22 ~~~ b Enter the smaller of line 2 or 25a a Additional depreciation after 15 ~~~~~~~~ b Applicable percentage multiplied by the smaller of c Subtract line 2a from line 2. If residential rental d Additional depreciation after 1 and before 1 ~ e Enter the smaller of line 2c or 2d ~~~~~~~ f Total gain. Subtract line 2 from line 20 If section 1250 property: If straight line depreciation was used, enter -0- on line 2g, except for a corporation subject to section 21. line 2 or line 2a ~~~~~~~~~~~~~~~ property or line 2 is not more than line 2a, skip lines 2d and 2e ~~~~~~~~~~~~~~~~~ Section 21 amount (corporations only) ~~~~~ g Add lines 2b, 2e, and 2f If section 1252 property: Skip this section if you did not dispose of farmland or if this form is being completed for a partnership (other than an electing large partnership). a Soil, water, and land clearing expenses ~~~~~~ b Line 2a multiplied by applicable percentage ~~~~ c Enter the smaller of line 2 or 2b If section 125 property: a Intangible drilling and development costs, expenditures for development of mines and other natural deposits, mining exploration costs, and depletion ~~~~~~ b Enter the smaller of line 2 or 28a If section 1255 property: a Applicable percentage of payments excluded from income under section 12 ~~~~~~~~~~~~ b Enter the smaller of line 2 or 2a 2b Summary of Part III Gains. Complete property columns A through D through line 2b before going to line a 25b 2a 2b 2c 2d 2e 2f 2g 2a 2b 2c 28a 28b 2a 5,0. 0,88. 15,8. 28,0. 5,0. 28,0. 0 Total gains for all properties. Add property columns A through D, line 2 ~~~~~~~~~~~~~~~~~~~~~~~~ 0 5, Subtract line 1 from line 0. Enter the portion from casualty or theft on Form 8, line. Enter the portion from other than casualty or theft on Form, line 2 1,. Part IV Recapture Amounts Under Sections 1 and 280F(b)(2) When Business Use Drops to 50 or Less (see instructions.) Add property columns A through D, lines 25b, 2g, 2c, 28b, and 2b. Enter here and on line 1 ~~~~~~~~~~~~~~ Section 1 expense deduction or depreciation allowable in prior years ~~~~~~~~~~~~~~ Recomputed depreciation (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Recapture amount. Subtract line from line. See the instructions for where to report JWA 5 (a) Section 1 1,0. (b) Section 280F(b)(2)

10 OMB No Form (Also Involuntary Conversions and Recapture Amounts Department of the Treasury Under Sections 1 and 280F(b)(2)) Attachment Internal Revenue Service () J Attach to your tax return. Sequence No. Name(s) shown on return 1 2 Alternative Minimum Tax Sales of Business Property 2011 Enter the gross proceeds from sales or exchanges reported to you for 2011 on Form(s) 10-B or 10-S (or substitute Identifying number Holladay Grace Roofing statement) that you are including on line 2, 10, or 20 (see instructions) 1 Part I Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualty or Theft - Most Property Held More Than 1 Year (f) Cost or other Depreciation (g) Gain or (loss) (b) Date (c) Date (d) (e) Gross basis, plus Subtract (f) from (a) Description of acquired sold allowed or allowable sales price improvements and the sum of (d) and (e) property (mo., day, yr.) (mo., day, yr.) since acquisition expense of sale 2 Gain, if any, from Form 8, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Section 121 gain from installment sales from Form 252, line 2 or ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Section 121 gain or (loss) from like-kind exchanges from Form 882 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gain, if any, from line 2, from other than casualty or theft ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Combine lines 2 through. Enter the gain or (loss) here and on the appropriate line as follows: ~~~~~~~~~~~~~~~~~~ Partnerships (except electing large partnerships) and S corporations. Report the gain or (loss) following the instructions for Form 105, Schedule K, line 10, or Form 1120S, Schedule K, line. Skip lines 8,, 11, and 12 below. Individuals, partners, S corporation shareholders, and all others. If line is zero or a loss, enter the amount from line on line 11 below and skip lines 8 and. If line is a gain and you did not have any prior year section 121 losses, or they were recaptured in an earlier year, enter the gain from line as a long-term capital gain on the Schedule D filed with your return and skip lines 8,, 11, and 12 below. 8 Nonrecaptured net section 121 losses from prior years (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Subtract line 8 from line. If zero or less, enter -0-. If line is zero, enter the gain from line on line 12 below. If line is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line as a long-term capital gain on the Schedule D filed with your return (see instructions) Part II Ordinary Gains and Losses 5 8 1,52. 1, Ordinary gains and losses not included on lines 11 through 1 (include property held 1 year or less): Loss, if any, from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gain, if any, from line or amount from line 8, if applicable ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gain, if any, from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net gain or (loss) from Form 8, lines 1 and 8a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 15 Ordinary gain from installment sales from Form 252, line 25 or ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ordinary gain or (loss) from like-kind exchanges from Form 882 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Combine lines 10 through 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For all except individual returns, enter the amount from line 1 on the appropriate line of your return and skip lines a and b below. For individual returns, complete lines a and b below: a If the loss on line 11 includes a loss from Form 8, line 5, column (b)(ii), enter that part of the loss here. Enter the part of the loss from income-producing property on Schedule A (Form 100), line 28, and the part of the loss from property used as an employee on Schedule A (Form 100), line 2. Identify as from "Form, line 18a." See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Redetermine the gain or (loss) on line 1 excluding the loss, if any, on line 18a. Enter here and on Form 100, line 1 JWA For Paperwork Reduction Act Notice, see separate instructions. 11 ( ) 12 1, ,0. 18a 18b Form (2011)

11 Holladay Grace Roofing Form (2011) Alternative Minimum Tax Page 2 Part III Gain From Disposition of Property Under Sections 125, 1250, 1252, 125, and 1255 (b) Date acquired (c) Date sold 1 (a) Description of section 125, 1250, 1252, 125, or 1255 property: (mo., day, yr.) (mo., day, yr.) A 28 Classic XT Dominator B 28 Chevy K C D These columns relate to the properties on lines 1A through 1D. J Property A Property B Property C Property D Gross sales price ( Note: See line 1 before completing.) Cost or other basis plus expense of sale ~~~~~~ Depreciation (or depletion) allowed or allowable ~~ Adjusted basis. Subtract line 22 from line 21 ~~~~ ,0. 15,8. 15, ,0. 2,58. 28,0.. If section 125 property: a Depreciation allowed or allowable from line 22 ~~~ b Enter the smaller of line 2 or 25a a Additional depreciation after 15 ~~~~~~~~ b Applicable percentage multiplied by the smaller of c Subtract line 2a from line 2. If residential rental d Additional depreciation after 1 and before 1 ~ e Enter the smaller of line 2c or 2d ~~~~~~~ f Total gain. Subtract line 2 from line 20 If section 1250 property: If straight line depreciation was used, enter -0- on line 2g, except for a corporation subject to section 21. line 2 or line 2a ~~~~~~~~~~~~~~~ property or line 2 is not more than line 2a, skip lines 2d and 2e ~~~~~~~~~~~~~~~~~ Section 21 amount (corporations only) ~~~~~ g Add lines 2b, 2e, and 2f If section 1252 property: Skip this section if you did not dispose of farmland or if this form is being completed for a partnership (other than an electing large partnership). a Soil, water, and land clearing expenses ~~~~~~ b Line 2a multiplied by applicable percentage ~~~~ c Enter the smaller of line 2 or 2b If section 125 property: a Intangible drilling and development costs, expenditures for development of mines and other natural deposits, mining exploration costs, and depletion ~~~~~~ b Enter the smaller of line 2 or 28a If section 1255 property: a Applicable percentage of payments excluded from income under section 12 ~~~~~~~~~~~~ b Enter the smaller of line 2 or 2a 2b Summary of Part III Gains. Complete property columns A through D through line 2b before going to line a 25b 2a 2b 2c 2d 2e 2f 2g 2a 2b 2c 28a 28b 2a 5,0. 0, ,8. 28,0. 5,0. 28,0. 0 Total gains for all properties. Add property columns A through D, line 2 ~~~~~~~~~~~~~~~~~~~~~~~~ 0 5, Subtract line 1 from line 0. Enter the portion from casualty or theft on Form 8, line. Enter the portion from other than casualty or theft on Form, line 2 1,52. Part IV Recapture Amounts Under Sections 1 and 280F(b)(2) When Business Use Drops to 50 or Less (see instructions.) Add property columns A through D, lines 25b, 2g, 2c, 28b, and 2b. Enter here and on line 1 ~~~~~~~~~~~~~~ Section 1 expense deduction or depreciation allowable in prior years ~~~~~~~~~~~~~~ Recomputed depreciation (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Recapture amount. Subtract line from line. See the instructions for where to report JWA 11 5 (a) Section 1 1,0. (b) Section 280F(b)(2)

12 Form Department of the Treasury Internal Revenue Service Name(s) shown on tax return Form 882 No Like-Kind Exchanges 2011 (and section 10 conflict-of-interest sales) Attach to your tax return. OMB No Attachment Sequence No. Identifying number Holladay Grace Roofing Part I Information on the Like-Kind Exchange 10 1 Note: If the property described on line 1 or line 2 is real or personal property located outside the United States, indicate the country. Description of like-kind property given up: 25 Chevy Tahoe 2 Description of like-kind property received: 2011 Cadillac Escalade Date like-kind property given up was originally acquired (month, day, year) ~~~~~~~~~~~~~~~~~~~~~~~~~ 02/0/05 Date you actually transferred your property to other party (month, day, year)~~~~~~~~~~~~~~~~~~~~~~~~~ 08/22/11 5 Date like-kind property you received was identified by written notice to another party (month, day, year). See instructions for 5-day written identification requirement ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 08/22/11 Date you actually received the like-kind property from other party (month, day, year). See instructions ~~~~~~~~~~~~~ 08/22/11 Was the exchange of the property given up or received made with a related party, either directly or indirectly (such as through an intermediary)? See instructions. If "Yes," complete Part II. If "No," go to Part III Part II Related Party Exchange Information 8 Name of related party Relationship to you Related party s identifying no. Yes X No Address (no., street, and apt., room, or suite no., city or town, state, and ZIP code) During this tax year (and before the date that is 2 years after the last transfer of property that was part of the exchange), did the related party sell or dispose of any part of the like-kind property received from you (or an intermediary) in the exchange or transfer property into the exchange, directly or indirectly (such as through an intermediary), that became your replacement property?~~~~~~~~~~ Yes No 10 During this tax year (and before the date that is 2 years after the last transfer of property that was part of the exchange), did you sell or dispose of any part of the like-kind property you received? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No If both lines and 10 are "No" and this is the year of the exchange, go to Part III. If both lines and 10 are "No" and this is not the year of the exchange, stop here. If either line or line 10 is "Yes," complete Part III and report on this year s tax return the deferred gain or (loss) from line 2 unless one of the exceptions on line 11 applies. 11 If one of the exceptions below applies to the disposition, check the applicable box: a The disposition was after the death of either of the related parties. b c LHA The disposition was an involuntary conversion, and the threat of conversion occurred after the exchange. You can establish to the satisfaction of the IRS that neither the exchange nor the disposition had tax avoidance as one of its principal purposes. If this box is checked, attach an explanation (see instructions). For Paperwork Reduction Act Notice, see the instructions. Form 882 (2011)

13 Form 882 No. 1 Holladay Grace Roofing Form 882 (2011) Page 2 Name(s) shown on tax return. Do not enter name and social security number if shown on page 1. Your social security number Part III Realized Gain or (Loss), Recognized Gain, and Basis of Like-Kind Property Received Caution: If you transferred and received (a) more than one group of like-kind properties or (b) cash or other (not like-kind) property, see Reporting of multi-asset exchanges in the instructions. Note: Complete lines 12 through 1 only if you gave up property that was not like-kind. Otherwise, go to line in the same manner as if the exchange had been a sale ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Caution: If the property given up was used previously or partly as a home, see Property used as home in the instructions. 2 Enter the number from the upper right corner of your certificate of divestiture. ( Do not attach a copy of your certificate. Keep the certificate with your records.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 28 Fair market value (FMV) of other property given up ~~~~~~~~~~~~~~~~~~~~~ Adjusted basis of other property given up ~~~~~~~~~~~~~~~~~~~~~~~~~ Gain or (loss) recognized on other property given up. Subtract line 1 from line 12. Report the gain or (loss) Cash received, FMV of other property received, plus net liabilities assumed by other party, reduced (but not below zero) by any exchange expenses you incurred (see instructions) ~~~~~~~~~~~~~~~~~~~~~~ FMV of like-kind property you received ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Add lines 15 and 1 Description of divested property Description of replacement property ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ,5.,5. 18 Adjusted basis of like-kind property you gave up, net amounts paid to other party, plus any 1 20 exchange expenses not used on line 15 (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Realized gain or (loss). Subtract line 18 from line 1~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter the smaller of line 15 or line 1, but not less than zero ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ,820. 1,2. 21 Ordinary income under recapture rules. Enter here and on Form, line 1 (see instructions) ~~~~~~~~~~~~~~~ Subtract line 21 from line 20. If zero or less, enter -0-. If more than zero, enter here and on Schedule D 2 or Form, unless the installment method applies (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Recognized gain. Add lines 21 and 22 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Deferred gain or (loss). Subtract line 2 from line 1. If a related party exchange, see instructions ~~~~~~~~~~~~~~ 2 1,2. 25 Basis of like-kind property received. Subtract line 15 from the sum of lines 18 and ,820. Part IV Deferral of Gain From Section 10 Conflict-of-Interest Sales Note: This part is to be used only by officers or employees of the executive branch of the Federal Government or judicial officers of the Federal Government (including certain spouses, minor or dependent children, and trustees as described in section 10) for reporting nonrecognition of gain under section 10 on the sale of property to comply with the conflict-of-interest requirements. This part can be used only if the cost of the replacement property is more than the basis of the divested property. 2 Date divested property was sold (month, day, year) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 0 Sales price of divested property (see instructions) ~~~~~~~~~~~~~~~~~ 0 1 Basis of divested property ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 2 Realized gain. Subtract line 1 from line 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 Cost of replacement property purchased within 0 days after date of sale ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Subtract line from line 0. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Ordinary income under recapture rules. Enter here and on Form, line 10 (see instructions) ~~~~~~~~~~~~~ Subtract line 5 from line. If zero or less, enter -0-. If more than zero, enter here and on Schedule D or Form (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Deferred gain. Subtract the sum of lines 5 and from line 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~ 8 Basis of replacement property. Subtract line from line Form 882 (2011)

14 Holladay Grace Roofing }}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} Footnotes Statement 1 Employees have reimbursed the company for their personal use of company vehicles. Therefore, business use is shown 1. 1 Statement(s) 1

15 Holladay Grace Roofing }}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} Form 1120S Other Income Statement 2 Description Amount }}}}}}}}}}} }}}}}}}}}}}}}} Other Income. }}}}}}}}}}}}}} Total to Form 1120S, Page 1, Line 5. ~~~~~~~~~~~~~~ Form 1120S Compensation of Officers Statement Social Time Security Devoted to Pct of Amount of Name of Officer Number Business Stock Compensation }}}}}}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}} }}}}}} }}}}}}}}}}}}}} Chad Holladay ,50. Roger Grace ,50. }}}}}}}}}}}}}} 1,5. Total Compensation of Officers Less: Compensation Claimed Elsewhere Employment Credit Reduction }}}}}}}}}}}}}} Total to Form 1120S, Page 1, Line 1,5. ~~~~~~~~~~~~~~ Form 1120S Taxes and Licenses Statement Description Amount }}}}}}}}}}} }}}}}}}}}}}}}} Payroll Taxes 8,. Personal Property Taxes 1,08. }}}}}}}}}}}}}} Total to Form 1120S, Page 1, Line 12 8,5. ~~~~~~~~~~~~~~ Form 1120S Other Deductions Statement 5 Description Amount }}}}}}}}}}} }}}}}}}}}}}}}} Bank charges,. Dues and subscriptions,520. Insurance 22,08. Meals and Entertainment 2,. Office expense 58,. Professional fees 55. Security 1,5. Telephone 2,. 15 Statement(s) 2,,, 5

16 Holladay Grace Roofing }}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} Travel 2,01. Utilities,5. }}}}}}}}}}}}}} Total to Form 1120S, Page 1, Line 1 151,5. ~~~~~~~~~~~~~~ Schedule K Interest Income Statement Description Amount }}}}}}}}}}} }}}}}}}}}}}}}} Interest Income 1,0. }}}}}}}}}}}}}} Total to Schedule K, Line 1,0. ~~~~~~~~~~~~~~ Schedule K Net Section 121 Gain (Loss) Statement Description Amount }}}}}}}}}}} }}}}}}}}}}}}}} Section 121 Gain (Loss) from Trade or Business 1,. }}}}}}}}}}}}}} Total to Schedule K, Line 1,. ~~~~~~~~~~~~~~ Schedule K Charitable Contributions Statement 8 No 50 / 1 Description Limit Limit 0 Limit 20 Limit }}}}}}}}}}} }}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} Contributions,0. }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} Totals to Schedule K, Line 12a,0. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ 1 Statement(s) 5,,, 8

17 Holladay Grace Roofing }}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} Schedule K Adjusted Gain or Loss Statement Total 25/28 Rate Description Amount Amount }}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} Adjusted Gain or Loss allocable to: Ordinary gain or loss Section 121 gain or loss -2. Short-term capital gain or loss Long-term capital gain or loss Unrecaptured section 1250 gain - 25 Rate Amount Schedule K Nondeductible Expenses Statement 10 Description Amount }}}}}}}}}}} }}}}}}}}}}}}}} Key Man Life Insurance 210. Excluded Meals and Entertainment Expenses 2,. }}}}}}}}}}}}}} Total to Schedule K, Line 1c 2,. ~~~~~~~~~~~~~~ Schedule M-2 Accumulated Adjustments Account - Other Additions Statement 11 Description Amount }}}}}}}}}}} }}}}}}}}}}}}}} Portfolio Interest Income 1,0. Net Gain under Section 121 1,. }}}}}}}}}}}}}} Total to Schedule M-2, Line - Column (a),82. ~~~~~~~~~~~~~~ Schedule M-2 Accumulated Adjustments Account- Other Reductions Statement 12 Description Amount }}}}}}}}}}} }}}}}}}}}}}}}} Charitable Contributions,0. Section 1 Expense Deduction 1,0. Nondeductible Expenses 2,. }}}}}}}}}}}}}} Total to Schedule M-2, Line 5 - Column (a) 2,25. ~~~~~~~~~~~~~~ 1 Statement(s), 10, 11, 12