Form Department of the Treasury Internal Revenue Service 72371 1-22-18 For calendar year 217 or other tax year beginning, and ending. Go to www.irs.gov/formt for instructions and the latest information. Do not enter SSN numbers on this form as it may be made public if your organization is a 51(c). Name of organization ( X Check box if name changed and see instructions.) OMB No. 1545-687 Open to Public Inspection for 51(c) Organizations Only Employer identification number A Check box if D (Employees trust, see address changed instructions.) B Exempt under section Print CALVERT IMPACT CAPITAL, INC. 52-15138 X 51( c )( 3 ) or E Unrelated business activity codes Number, street, and room or suite no. If a P.O. box, see instructions. (See instructions.) Type 48(e) 22(e) 7315 WISCONSIN AVENUE, NO. 1W Book value of all assets C F Group exemption number (See instructions.) at end of year 438,876,562. G Check organization type X 51(c) corporation 51(c) trust 41(a) trust Other trust H Describe the organization s primary unrelated business activity. INVESTMENT INCOME FROM PARTHERSHIP INTERESTS I During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? ~~~~~~ Yes X No If "Yes," enter the name and identifying number of the parent corporation. J The books are in care of DEREK STROCHER Telephone number 8-248-337 Part I Unrelated Trade or Business Income (A) Income (B) Expenses (C) Net 2 3 5 6 7 8 1 11 b b c Less returns and allowances c Balance ~~~ 12 Other income (See instructions; attach schedule) ~~~~~~~~~~~~ 12 13 Total. Combine lines 3 through 12 13 3,524. 3,524. Part II Deductions Not Taken Elsewhere (See instructions for limitations on deductions.) (Except for contributions, deductions must be directly connected with the unrelated business income.) 14 15 16 17 18 1 2 21 22 23 24 25 26 27 28 2 3 31 32 33 34 -T 48A 53(a) City or town, state or province, country, and ZIP or foreign postal code 52(a) BETHESDA, MD 2814 525 1 a Gross receipts or sales Cost of goods sold (Schedule A, line 7) ~~~~~~~~~~~~~~~~~ Gross profit. Subtract line 2 from line 1c ~~~~~~~~~~~~~~~~ 4 a Capital gain net income (attach Schedule D) ~~~~~~~~~~~~~~~ Net gain (loss) (Form 477, Part II, line 17) (attach Form 477) ~~~~~~ Capital loss deduction for trusts ~~~~~~~~~~~~~~~~~~~~ Income (loss) from partnerships and S corporations (attach statement) ~~~ Rent income (Schedule C) ~~~~~~~~~~~~~~~~~~~~~~ Unrelated debt-financed income (Schedule E) ~~~~~~~~~~~~~~ Interest, annuities, royalties, and rents from controlled organizations (Sch. F)~ Investment income of a section 51(c)(7), (), or (17) organization (Schedule G) Exploited exempt activity income (Schedule I) ~~~~~~~~~~~~~~ Advertising income (Schedule J) ~~~~~~~~~~~~~~~~~~~~ Compensation of officers, directors, and trustees (Schedule K) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Salaries and wages ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Repairs and maintenance Bad debts ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest (attach schedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Charitable contributions (See instructions for limitation rules) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Depreciation (attach Form 4562) Less depreciation claimed on Schedule A and elsewhere on return Depletion Contributions to deferred compensation plans ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total deductions. Add lines 14 through 28 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Unrelated business taxable income. Subtract line 33 from line 32. If line 33 is greater than line 32, enter the smaller of zero or line 32 For Paperwork Reduction Act Notice, see instructions. 1c 2 3 4a 4b 4c 5 6 7 8 1 11 ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee benefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Excess exempt expenses (Schedule I) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Excess readership costs (Schedule J) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other deductions (attach schedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 1 Unrelated business taxable income before net operating loss deduction. Subtract line 2 from line 13 ~~~~~~~~~~~~ Net operating loss deduction (limited to the amount on line 3) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Unrelated business taxable income before specific deduction. Subtract line 31 from line 3 ~~~~~~~~~~~~~~~~~ Specific deduction (Generally $1,, but see line 33 instructions for exceptions) ~~~~~~~~~~~~~~~~~~~~~ LHA **PUBLIC DISCLOSURE COPY** Exempt Organization Business Income Tax Return (and proxy tax under section 633(e)) 21 22a 14 15 16 17 18 1 2 22b 23 24 25 26 27 28 2 3 31 32 33 34 217 3,524. 3,524. 23,75. 3,. 26,75. 12,72. 12,72. 1,. 11,72. Form -T (217)
Form -T (217) CALVERT IMPACT CAPITAL, INC. 52-15138 Part III Tax Computation 35 Organizations Taxable as Corporations. See instructions for tax computation. Controlled group members (sections 1561 and 1563) check here X See instructions and: 36 37 38 a b c Enter your share of the $5,, $25,, and $,25, taxable income brackets (in that order): $ 5,. $ 25,. $,25,. Enter organization s share of: Additional 5 tax (not more than $11,75) $ Additional 3 tax (not more than $1,) ~~~~~~~~~~~~~ $ Income tax on the amount on line 34 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 3 Trusts Taxable at Trust Rates. See instructions for tax computation. Income tax on the amount on line 34 from: Proxy tax. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 4 Tax on Non-Compliant Facility Income. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total. Add lines 37, 38 and 3 to line 35c or 36, whichever applies Part IV Tax and Payments 41a Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) ~~~~~~~~ 41a 42 43 44 b c d e Total credits. Add lines 41a through 41d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other taxes. Check if from: Form 4255 Form 8611 Form 867 Form 8866 Other (attach schedule) Total tax. Add lines 42 and 43 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 45 a Payments: A 216 overpayment credited to 217 ~~~~~~~~~~~~~~~~~~~ 46 47 b 217 estimated tax payments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Tax deposited with Form 8868 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Foreign organizations: Tax paid or withheld at source (see instructions) ~~~~~~~~~~ f g Other credits and payments: Total payments. Add lines 45a through 45g ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 46 48 Tax due. If line 46 is less than the total of lines 44 and 47, enter amount owed ~~~~~~~~~~~~~~~~~~~ 48 4 Overpayment. If line 46 is larger than the total of lines 44 and 47, enter amount overpaid ~~~~~~~~~~~~~~ 4 8,241. 5 Enter the amount of line 4 you want: Credited to 218 estimated tax 8,241. Refunded 5. Part V Statements Regarding Certain Activities and Other Information (see instructions) 51 At any time during the 217 calendar year, did the organization have an interest in or a signature or other authority Yes No 52 53 Sign Here Tax rate schedule or Schedule D (Form 141) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Alternative minimum tax Other credits (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~ General business credit. Attach Form 38 ~~~~~~~~~~~~~~~~~~~~~~ Credit for prior year minimum tax (attach Form 881 or 8827) ~~~~~~~~~~~~~~ Subtract line 41e from line 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Backup withholding (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~ Credit for small employer health insurance premiums (Attach Form 841) Form 243 ~~~~~~~~ Form 4136 Other Total Estimated tax penalty (see instructions). Check if Form 222 is attached ~~~~~~~~~~~~~~~~~~~ over a financial account (bank, securities, or other) in a foreign country? If YES, the organization may have to file FinCEN Form 114, Report of Foreign Bank and Financial Accounts. If YES, enter the name of the foreign country here INDIA During the tax year, did the organization receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? ~~~~~~~~~ If YES, see instructions for other forms the organization may have to file. Enter the amount of tax-exempt interest received or accrued during the tax year $ 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. = = CFO Signature of officer Date Title Print/Type preparer s name Preparer s signature Date Check 41b 41c 41d 45a 45b 45c 45d 45e 45f 45g 1,. 35c 36 37 38 3 4 41e 42 43 44 47 Page 2 May the IRS discuss this return with the preparer shown below (see instructions)? X Yes No self- employed Paid JOHN HUSKINS P181531 Preparer Firm s name JOHNSON LAMBERT LLP Firm s EIN 52-144677 Use Only 4242 SIX FORKS RD, STE 15 Firm s address RALEIGH, NC 276 Phone no. 1-71-64 Form -T (217) if PTIN 1,75. 1,75. 1,75. 1,75. 1,. X X 723711 1-22-18
Form -T (217) CALVERT IMPACT CAPITAL, INC. 52-15138 Page 3 Schedule A - Cost of Goods Sold. Enter method of inventory valuation N/A 1 Inventory at beginning of year ~~~ 1 6 Inventory at end of year ~~~~~~~~~~~~ 6 2 Purchases ~~~~~~~~~~~ 2 7 Cost of goods sold. Subtract line 6 3 Cost of labor~~~~~~~~~~~ 3 from line 5. Enter here and in Part I, 4 a Additional section 263A costs line 2 ~~~~~~~~~~~~~~~~~~~~ 7 (attach schedule) ~~~~~~~~ 4a 8 Do the rules of section 263A (with respect to b Other costs (attach schedule) ~~~ 4b property produced or acquired for resale) apply to 5 Total. Add lines 1 through 4b 5 the organization? Schedule C - Rent Income (From Real Property and Personal Property Leased With Real Property) (see instructions) 1. Description of property Yes No (a) 2. From personal property (if the percentage of rent for personal property is more than 1 but not more than 5) Rent received or accrued (b) From real and personal property (if the percentage of rent for personal property exceeds 5 or if the rent is based on profit or income) 3(a) Deductions directly connected with the income in columns 2(a) and 2(b) (attach schedule) Total. Total. (c) Total income. Add totals of columns 2(a) and 2(b). Enter (b) Total deductions. Enter here and on page 1, here and on page 1, Part I, line 6, column (A). Part I, line 6, column (B). Schedule E - Unrelated Debt-Financed Income (see instructions) 3. Deductions directly connected with or allocable 2. Gross income from to debt-financed property 1. Description of debt-financed property or allocable to debtfinanced property (a) Straight line depreciation (b) Other deductions (attach schedule) (attach schedule) 4. Amount of average acquisition 5. Average adjusted basis 6. Column 4 divided 7. Gross income 8. Allocable deductions debt on or allocable to debt-financed of or allocable to by column 5 reportable (column (column 6 x total of columns property (attach schedule) debt-financed property 2 x column 6) 3(a) and 3(b)) (attach schedule) Enter here and on page 1, Part I, line 7, column (A). Enter here and on page 1, Part I, line 7, column (B). Totals ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.. Total dividends-received deductions included in column 8. Form -T (217) 723721 1-22-18
Form -T (217) CALVERT IMPACT CAPITAL, INC. 52-15138 Schedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instructions) Exempt Controlled Organizations 1. Name of controlled organization 2. Employer 3. Net unrelated income 4. Total of specified 5. Part of column 4 that is 6. Deductions directly identification (loss) (see instructions) payments made included in the controlling connected with income number organization s gross income in column 5 Page 4 Nonexempt Controlled Organizations 7. Taxable Income 8. Net unrelated income (loss). Total of specified payments 1. Part of column that is included 11. Deductions directly connected (see instructions) made in the controlling organization s with income in column 1 gross income Totals J Schedule G - Investment Income of a Section 51(c)(7), (), or (17) Organization (see instructions) 1. Description of exploited activity 1. Description of income 2. Amount of income 2. Gross unrelated business income from trade or business Enter here and on page 1, Part I, line 1, col. (A). 3. Expenses directly connected with production of unrelated business income Enter here and on page 1, Part I, line 1, col. (B). Enter here and on page 1, Part I, line, column (A). 4. Net income (loss) from unrelated trade or business (column 2 minus column 3). If a gain, compute cols. 5 through 7. Add columns 5 and 1. Enter here and on page 1, Part I, line 8, column (A). Add columns 6 and 11. Enter here and on page 1, Part I, line 8, column (B). 3. Deductions Total deductions directly connected 4. Set-asides 5. and set-asides (attach schedule) (attach schedule) (col. 3 plus col. 4) 5. Gross income 6. Expenses from activity that attributable to is not unrelated column 5 business income Enter here and on page 1, Part I, line, column (B). Totals.. Schedule I - Exploited Exempt Activity Income, Other Than Advertising Income (see instructions).. 7. Excess exempt expenses (column 6 minus column 5, but not more than column 4). Enter here and on page 1, Part II, line 26. Totals... Schedule J - Advertising Income (see instructions) Part I Income From Periodicals Reported on a Consolidated Basis 1. Name of periodical 2. Gross 3. Direct advertising advertising costs income 4. Advertising gain or (loss) (col. 2 minus col. 3). If a gain, compute cols. 5 through 7. 5. Circulation 6. Readership income costs 7. Excess readership costs (column 6 minus column 5, but not more than column 4). Totals (carry to Part II, line (5)) 723731 1-22-18... Form -T (217)
Form -T (217) CALVERT IMPACT CAPITAL, INC. 52-15138 Part II Income From Periodicals Reported on a Separate Basis (For each periodical listed in Part II, fill in columns 2 through 7 on a line-by-line basis.) Totals from Part I 1. Name of periodical 2. Gross 3. Direct advertising advertising costs income Enter here and on page 1, Part I, line 11, col. (A). Enter here and on page 1, Part I, line 11, col. (B). 4. Advertising gain or (loss) (col. 2 minus col. 3). If a gain, compute cols. 5 through 7. 5. Circulation 6. Readership income costs 7. Excess readership costs (column 6 minus column 5, but not more than column 4). Enter here and on page 1, Part II, line 27. Totals, Part II (lines 1-5)... Schedule K - Compensation of Officers, Directors, and Trustees (see instructions) 3. Percent of 4. Compensation attributable Title time devoted to 1. Name 2. to unrelated business business... Total. Enter here and on page 1, Part II, line 14 Page 5. Form -T (217) 723732 1-22-18
CALVERT IMPACT CAPITAL, INC. 52-15138 }}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM -T OTHER DEDUCTIONS STATEMENT 1 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} TAX PREPARATION FEE 3,. }}}}}}}}}}}}}} TOTAL TO FORM -T, PAGE 1, LINE 28 3,. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM -T INCOME (LOSS) FROM PARTNERSHIPS STATEMENT 2 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} NET INCOME PARTNERSHIP NAME GROSS INCOME DEDUCTIONS OR (LOSS) }}}}}}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}}}} HIGHER EDUCATION FINANCE FUND, LP 12,87.. 12,87. MICROVEST EDF, LP 1,145.. 1,145. MICROVEST+PLUS, LP -67,485.. -67,485. SPARK FUND I, LP 3,777.. 3,777. }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}}}} TOTAL TO FORM -T, PAGE 1, LINE 5 3,524.. 3,524. ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~~~ STATEMENT(S) 1, 2
CALVERT IMPACT CAPITAL, INC. 52-15138 }}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM -T TAX COMPUTATION STATEMENT 3 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} 1. TAXABLE INCOME.............. 2. LESSER OF LINE 1 OR FIRST BRACKET AMOUNT. 3. LINE 1 LESS LINE 2............ 4. LESSER OF LINE 3 OR SECOND BRACKET AMOUNT. 5. LINE 3 LESS LINE 4............ 6. INCOME SUBJECT TO 34 TAX RATE...... 7. INCOME SUBJECT TO 35 TAX RATE...... 8. 15 PERCENT OF LINE 2............ 25 PERCENT OF LINE 4........... 1. 34 PERCENT OF LINE 6........... 11. 35 PERCENT OF LINE 7........... 12. ADDITIONAL 5 SURTAX............ 13. ADDITIONAL 3 SURTAX........... 11,72 11,72 1,75 14. TOTAL OF LINES 8 THROUGH 13 TO FORM -T, PAGE 2, LINE 35C 1,75 ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ STATEMENT(S) 3
CALVERT IMPACT CAPITAL, INC. 52-15138 12/31/17 CONTROLLED FOREIGN PARTNERSHIP REPORTING THE TAXPAYER MAY BE REQUIRED TO FILE U.S. FORM 8865, BUT IS NOT DOING SO UNDER THE CONSTRUCTIVE OWNERSHIP EXCEPTION. THE TAXPAYER HAS AN INTEREST IN MICROVEST SHORT DURATION FUND, LP, 7315 WISCONSIN AVENUE, SUITE 3W BETHESDA, MD 2814, EIN: 27-27177, WHICH FILED FORM 8865S OR WAS A PARTNER IN FUNDS THAT FILED 8865S FOR THE YEAR ENDED 12/31/17. THE TAXPAYER HAS AN INTEREST IN MICROVEST+PLUS, LP, 7315 WISCONSIN AVENUE, SUITE 3W BETHESDA, MD 2814, EIN: 45-317721, WHICH FILED FORM 8865S OR WAS A PARTNER IN FUNDS THAT FILED 8865S FOR THE YEAR ENDED 12/31/17.
SCHEDULE D (Form 112) Department of the Treasury Internal Revenue Service Name Capital Gains and Losses Attach to Form 112, 112-C, 112-F, 112-FSC, 112-H, 112-IC-DISC, 112-L, 112-ND, 112-PC, 112-POL, 112-REIT, 112-RIC, 112-SF, or certain Forms -T. Go to www.irs.gov/form112 for instructions and the latest information. OMB No. 1545-123 217 Employer identification number Part I See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. 1a Totals for all short-term transactions reported on Form 1-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 84, leave this line blank and go to line 1b 1b Totals for all transactions reported on Form(s) 84 with Box A checked 2 Totals for all transactions reported on Form(s) 84 with Box B checked 3 Totals for all transactions reported on 5 6 8a Totals for all long-term transactions reported on Form 1-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions on Form 84, leave this line blank and go to line 8b 8b Totals for all transactions reported on Form(s) 84 with Box E checked 1 Totals for all transactions reported on 12 13 14 (d) (e) (g) Adjustments to gain (h) Cost or loss from Form(s) 84, (or other basis) Part I, line 2, column (g) Proceeds (sales price) Form(s) 84 with Box C checked 4 Short-term capital gain from installment sales from Form 6252, line 26 or 37 ~~~~~~~~~~~~~~~~~~~~~~ 15 Net long-term capital gain or (loss). Combine lines 8a through 14 in column h Part III Summary of Parts I and II 16 Enter excess of net short-term capital gain (line 7) over net long-term capital loss (line 15) ~~~~~~~~~~~~~~~~ 17 Net capital gain. Enter excess of net long-term capital gain (line 15) over net short-term capital loss (line 7) ~~~~~~~~ 18 CALVERT IMPACT CAPITAL, INC. 52-15138 Short-Term Capital Gains and Losses - Assets Held One Year or Less Short-term capital gain or (loss) from like-kind exchanges from Form 8824 ~~~~~~~~~~~~~~~~~~~~~~ Unused capital loss carryover (attach computation) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ has qualified timber gain, also complete Part IV~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Note: If losses exceed gains, see Capital losses in the instructions. 4 5 6 11 12 13 14 15 16 17 18 Gain or (loss). Subtract column (e) from column (d) and combine the result with column (g) ( ) 7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column h 7 Part II Long-Term Capital Gains and Losses - Assets Held More Than One Year See instructions for how to figure the amounts to enter on the lines below. (d) (e) (g) Adjustments to gain (h) Gain or (loss). Subtract Proceeds Cost or loss from Form(s) 84, column (e) from column (d) and This form may be easier to complete if you (sales price) (or other basis) Part II, line 2, column (g) combine the result with column (g) round off cents to whole dollars. Form(s) 84 with Box D checked Totals for all transactions reported on Form(s) 84 with Box F checked 11 Enter gain from Form 477, line 7 or ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Long-term capital gain from installment sales from Form 6252, line 26 or 37 ~~~~~~~~~~~~~~~~~~~~~~ Long-term capital gain or (loss) from like-kind exchanges from Form 8824 ~~~~~~~~~~~~~~~~~~~~~~ Capital gain distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Add lines 16 and 17. Enter here and on Form 112, page 1, line 8, or the proper line on other returns. If the corporation 86,777. -86,777. -86,777.. JWA For Paperwork Reduction Act Notice, see the Instructions for Form 112. Schedule D (Form 112) 217 72151 3-1-18
Schedule D (Form 112) 217 CALVERT IMPACT CAPITAL, INC. 52-15138 Part IV Alternative Tax for Corporations with Qualified Timber Gain. Complete Part IV only if the corporation has qualified timber gain under section 121(b). Skip this part if you are filing Form 112-RIC. See instructions. 1 Enter qualified timber gain (as defined in section 121(b)) ~~~~~~~~~~~~~ 1 2 Enter taxable income from Form 112, page 1, line 3, or the applicable line of your tax return ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 21 Enter the smallest of: (a) the amount on line 1; (b) the amount on line 2; or (c) the amount on Part III, line 17 ~~~~~~~~~~~~~~~~~~~~~~~~~ 21 Page 2 22 Multiply line 21 by 23.8 (.238) 23 Subtract line 17 from line 2. If zero or less, enter -- 23 24 Enter the tax on line 23, figured using the Tax Rate Schedule (or applicable tax rate) appropriate for the return with which Schedule D (Form 112) is being filed 22 24 25 Add lines 21 and 23 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 25 26 Subtract line 25 from line 2. If zero or less, enter -- ~~~~~~~~~~~~~~~~ 26 27 Multiply line 26 by 35 (.35) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 27 28 Add lines 22, 24, and 27 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2 Enter the tax on line 2, figured using the Tax Rate Schedule (or applicable tax rate) appropriate for the return with which Schedule D (Form 112) is being filed ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3 Enter the smaller of line 28 or line 2. Also enter this amount on Form 112, Schedule J, line 2, or the applicable line of your tax return 28 2 3 Schedule D (Form 112) 217 72152 3-1-18 JWA
Form 84 (217) Attachment Sequence No. 12A Page 2 Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on page 1 Social security number or taxpayer identification no. CALVERT IMPACT CAPITAL, INC. 52-15138 Before you check Box D, E, or F below, see whether you received any Form(s) 1-B or substitute statement(s) from your broker. A substitute statement will have the same information as Form 1-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check. Part II Long-Term. Transactions involving capital assets you held more than 1 year are long term. For short-term transactions, see page 1. Note: You may aggregate all long-term transactions reported on Form(s) 1-B showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D, line 8a; you aren t required to report these transactions on Form 84 (see instructions). You must check Box D, E, or F below. Check only one box. If more than one box applies for your long-term transactions, complete a separate Form 84, page 2, for each applicable box. If you have more long-term transactions than will fit on this page for one or more of the boxes, complete as many forms with the same box checked as you need. X (D) Long-term transactions reported on Form(s) 1-B showing basis was reported to the IRS (see Note above) (E) Long-term transactions reported on Form(s) 1-B showing basis wasn t reported to the IRS (F) Long-term transactions not reported to you on Form 1-B 1 (a) (b) (c) (d) (e) Description of property Date acquired Date sold or Proceeds Cost or other (Example: 1 sh. XYZ Co.) (Mo., day, yr.) disposed of (sales price) basis. See the (Mo., day, yr.) Note below and see Column (e) in Adjustment, if any, to gain or loss. If you enter an amount in column (g), enter a code in column (f). See instructions. (f) (g) the instructions Code(s) Amount of adjustment (h) Gain or (loss). Subtract column (e) from column (d) & combine the result with column (g) NET CAPITAL LOSS FROM SCHEDULES K-1 86,777. <86,777.> 2 Totals. Add the amounts in columns (d), (e), (g) and (h) (subtract negative amounts). Enter each total here and include on your Schedule D, line 8b (if Box D above is checked), line (if Box E above is checked), or line 1 (if Box F above is checked) 86,777. <86,777.> Note: If you checked Box D above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. 72312 11-2-17 Form 84 (217)
Form (Rev. January 217) Department of the Treasury Internal Revenue Service Type or print File by the due date for filing your return. See instructions. Application Is For 2 3a b c File a separate application for each return. Information about Form 8868 and its instructions is at www.irs.gov/form8868. Electronic filing (e-file). You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of the forms listed below with the exception of Form 887, Information Return for Transfers Associated With Certain Personal Benefit Contracts, for which an extension request must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, visit www.irs.gov/efile, click on Charities & Non-Profits, and click on e-file for Charities and Non-Profits. All corporations required to file an income tax return other than Form -T (including 112-C filers), partnerships, REMICs, and trusts must use Form 74 to request an extension of time to file income tax returns. Name of exempt organization or other filer, see instructions. Number, street, and room or suite no. If a P.O. box, see instructions. 7315 WISCONSIN AVENUE, NO. 1W City, town or post office, state, and ZIP code. For a foreign address, see instructions. BETHESDA, MD 2814 Return Code Application Is For Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, Enter filer s identifying number Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 887-EO for payment instructions. LHA For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 1-217) 3a 3b 3c $ $ $ OMB No. 1545-17 Employer identification number (EIN) or Social security number (SSN) Enter the Return Code for the return that this application is for (file a separate application for each return) Form or Form -EZ Form -BL Form 472 (individual) Form -PF 8868 Application for Automatic Extension of Time To File an Exempt Organization Return Automatic 6-Month Extension of Time. Only submit original (no copies needed). Form -T (sec. 41(a) or 48(a) trust) 1 2 3 4 5 Form -T (trust other than above) 6 Form 887 12 DEREK STROCHER The books are in the care of 7315 WISCONSIN AVENUE, SUITE 1W - BETHESDA, MD 2814 Telephone No. 8-248-337 Fax No. 31-28-66 Return Code Form -T (corporation) 7 Form 141-A Form 472 (other than individual) Form 5227 Form 66 If the organization does not have an office or place of business in the United States, check this box~~~~~~~~~~~~~~~~~ If this is for a Group Return, enter the organization s four digit Group Exemption Number (GEN). If this is for the whole group, check this box. If it is for part of the group, check this box and attach a list with the names and EINs of all members the extension is for. 1 I request an automatic 6-month extension of time until NOVEMBER 15, 218, to file the exempt organization return for the organization named above. The extension is for the organization s return for: CALVERT IMPACT CAPITAL, INC. 52-15138 X calendar year217 or tax year beginning, and ending. If the tax year entered in line 1 is for less than 12 months, check reason: Initial return Final return Change in accounting period If this application is for Forms -BL, -PF, -T, 472, or 66, enter the tentative tax, less any nonrefundable credits. See instructions. If this application is for Forms -PF, -T, 472, or 66, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit. by using EFTPS (Electronic Federal Tax Payment System). See instructions. 7 8 1 11 1,.. 1,. 723841 4-1-17