Form Schedule K-1 (Form Schedule K-1 (Form Shareholder's Share of Income, Deductions, Credit, etc.

Caution: DRAFT FORM
This is an advance proof copy of an IRS tax form.
It is subject to change and OMB approval before it
is officially released. You can check the scheduled
release date on our web site (www.irs.gov).
If you have any comments on this draft form, you can
submit them to us on our web site. Include the word
DRAFT in your response. You may make comments
anonymously, or you may include your name and
e-mail address or phone number. We will be unable
to respond to all comments due to the high volume
we receive. However, we will carefully consider
each suggestion. So that we can properly consider
your comments, please send them to us within 30
days from the date the draft was posted.

671109
Final K-1

Schedule K-1
(Form 1120S)

2009

Department of the Treasury
Internal Revenue Service

year beginning

Deductions, Credits, and Other Items

Ordinary business income (loss)

Information About the Corporation

2

Net rental real estate income (loss)

3

Other net rental income (loss)

4

Interest income

A

Corporation’s employer identification number

5a Ordinary dividends

B

Corporation’s name, address, city, state, and ZIP code

5b Qualified dividends

7

Net short-term capital gain (loss)

8c Unrecaptured section 1250 gain

Shareholder’s identifying number

E

Shareholder’s name, address, city, state, and ZIP code

.

.

.

9

Net section 1231 gain (loss)

10

Other income (loss)

15

Alternative minimum tax (AMT) items

11

Section 179 deduction

16

Items affecting shareholder basis

12

Other deductions

17

Other information

%

For IRS Use Only

Shareholder’s percentage of stock
ownership for tax year
. . .

Royalties

Foreign transactions

8b Collectibles (28%) gain (loss)

Information About the Shareholder

D

F

6

14

8a Net long-term capital gain (loss)

IRS Center where corporation filed return

Part II

Credits

, 2009

, 20

Shareholder’s Share of Income, Deductions,
© See back of form and separate instructions.
Credits, etc.

C

13

f
o
s
a
9
t
0
f
0
a
2
r
/
D /24
6
0
ending

Part I

OMB No. 1545-0130

Part III Shareholder’s Share of Current Year Income,
1

For calendar year 2009, or tax

Amended K-1

* See attached statement for additional information.
For Paperwork Reduction Act Notice, see Instructions for Form 1120S.

Cat. No. 11520D

Schedule K-1 (Form 1120S) 2009

Schedule K-1 (Form 1120S) 2009

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 1040. 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 or nonpassive and enter on your return as follows:
Report on
Passive loss
See the Shareholder’s Instructions
Passive income
Schedule E, line 28, column (g)
Nonpassive loss
Schedule E, line 28, column (h)
Nonpassive income
Schedule E, line 28, column (j)
2. Net rental real estate income (loss)
See the Shareholder’s Instructions
3. Other net rental income (loss)
Net income
Schedule E, line 28, column (g)
Net loss
See the Shareholder’s Instructions
4. Interest income
Form 1040, line 8a
5a. Ordinary dividends
Form 1040, line 9a
5b. Qualified dividends
Form 1040, line 9b
6. Royalties
Schedule E, line 4
7. Net short-term capital gain (loss)
Schedule D, line 5, column (f)
8a. Net long-term capital gain (loss)
Schedule D, line 12, column (f)
8b. Collectibles (28%) gain (loss)
28% Rate Gain Worksheet, line 4
(Schedule D instructions)

Code
M Credit for increasing research
activities
N Credit for employer social security
and Medicare taxes
O Backup withholding
P Other credits

Report on

f
o
s
%
a
9
t
0
f
0
a
2
r
/
D /24
6
0

8c. Unrecaptured section 1250 gain
9. Net section 1231 gain (loss)
10. Other income (loss)

See the Shareholder’s Instructions
See the Shareholder’s Instructions

Code
A Other portfolio income (loss)
See the Shareholder’s Instructions
B Involuntary conversions
See the Shareholder’s Instructions
C Sec. 1256 contracts & straddles
Form 6781, line 1
D Mining exploration costs recapture See Pub. 535
E
Other income (loss)
See the Shareholder’s Instructions
11. Section 179 deduction
See the Shareholder’s Instructions
12. Other deductions
A Cash contributions (50%)
B Cash contributions (30%)
C Noncash contributions (50%)
See the Shareholder’s
D Noncash contributions (30%)
Instructions
E
Capital gain property to a 50%
organization (30%)
F
Capital gain property (20%)
G
Contributions (100%)
H
Investment interest expense
Form 4952, line 1
Schedule E, line 18
I
Deductions—royalty income
J
Section 59(e)(2) expenditures
See the Shareholder’s Instructions
K Deductions—portfolio (2% floor)
Schedule A, line 23
L Deductions—portfolio (other)
Schedule A, line 28
M Preproductive period expenses
See the Shareholder’s Instructions
N Commercial revitalization deduction
from rental real estate activities
See Form 8582 instructions
O Reforestation expense deduction
See the Shareholder’s Instructions
P Domestic production activities
information
See Form 8903 instructions
Q Qualified production activities income Form 8903, line 7
R Employer’s Form W-2 wages
Form 8903, line 15
S Other deductions
See the Shareholder’s Instructions
13. Credits
A Low-income housing credit (section
42(j)(5)) from pre-2008 buildings
See the Shareholder’s Instructions
B Low-income housing credit (other) from
pre-2008 buildings
See the Shareholder’s Instructions
C Low-income housing credit (section
42(j)(5)) from post-2007 buildings
Form 8586, line 11
D Low-income housing credit (other)
from post-2007 buildings
Form 8586, line 11
E
Qualified rehabilitation
See the Shareholder’s
expenditures (rental real estate)
Instructions
F
Other rental real estate credits
G
Other rental credits
Form 1040, line 70, box a
Undistributed capital gains credit
H
Alcohol and cellulosic biofuel fuels
I
credit
Form 6478, line 7
Form 5884, line 3
J
Work opportunity credit
K
Disabled access credit
See the Shareholder’s Instructions
L
Empowerment zone and renewal
communtiy employment credit
Form 8844, line 3

%

%

See the Shareholder’s Instructions

Form 8846, line 5
Form 1040, line 61
See the Shareholder’s Instructions

14. Foreign transactions
A Name of country or U.S.
possession
Form 1116, Part I
B Gross income from all sources
C Gross income sourced at
shareholder level
Foreign gross income sourced at corporate level
D Passive category
E
General category
Form 1116, Part I
F
Other
Deductions allocated and apportioned at shareholder level
G
Interest expense
Form 1116, Part I
H
Other
Form 1116, Part I
Deductions allocated and apportioned at corporate level to foreign source
income
I
Passive category
Form 1116, Part I
J
General category
K
Other
Other information
L
Total foreign taxes paid
Form 1116, Part II
M Total foreign taxes accrued
Form 1116, Part II
N Reduction in taxes available for
credit
Form 1116, line 12
O Foreign trading gross receipts
Form 8873
P Extraterritorial income exclusion
Form 8873
See the Shareholder’s Instructions
Q Other foreign transactions
15. Alternative minimum tax (AMT) items
A Post-1986 depreciation adjustment
See the
B Adjusted gain or loss
Shareholder’s
C Depletion (other than oil & gas)
Instructions and
D Oil, gas, & geothermal—gross income
the Instructions for
E
Oil, gas, & geothermal—deductions
Form 6251
F
Other AMT items
16. Items affecting shareholder basis
A Tax-exempt interest income
Form 1040, line 8b
B Other tax-exempt income
C Nondeductible expenses
See the Shareholder’s
D Property distributions
Instructions
E
Repayment of loans from
shareholders

%
%

%
%

17. Other information
A Investment income
B Investment expenses
C Qualified rehabilitation expenditures
(other than rental real estate)
D Basis of energy property
E
Recapture of low-income housing
credit (section 42(j)(5))
F
Recapture of low-income housing
credit (other)
G
Recapture of investment credit
H
Recapture of other credits
Look-back interest—completed
I
J
K
L
M
N
O
P
Q
R
S
T

long-term contracts
Look-back interest—income forecast
method

Dispositions of property with
section 179 deductions
Recapture of section 179
deduction
Section 453(l)(3) information
Section 453A(c) information
Section 1260(b) information
Interest allocable to production
expenditures
CCF nonqualified withdrawals
Depletion information—oil and gas

Amortization of reforestation
costs
Other information

%

Form 4952, line 4a
Form 4952, line 5
See the Shareholder’s Instructions
See the Shareholder’s Instructions
Form 8611, line 8
Form 8611, line 8
See Form 4255
See the Shareholder’s Instructions
See Form 8697
See Form 8866

See the Shareholder’s
Instructions