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Home My WebLink About20162224.tiffAugust 5, 2016 Petitioner: SHAN I LLC 4720 W 105TH DR WESTMINSTER, CO 80031-1974 CLERK TO THE BOARD PHONE (970) 400-4226 FAX (970) 336-7233 WEBSITE: www.co.weld.co.us 1150 O STREET P.O. BOX 758 GREELEY CO 80632 Agent (if applicable): RE: THE BOARD OF EQUALIZATION 2016, WELD COUNTY, COLORADO NOTICE OF DECISION Docket #: 2016-2224 Appeal #: 2008211167 Hearing Date: 8/4/2016 10:00 AM Dear Petitioner: On the day indicated above, the Board of County Commissioners of Weld County Colorado convened and acting as the Board of Equalization, pursuant to C.R.S. Section 39-8-101 et seq., considered petition for appeal of the Weld County Assessor's valuation of your property described above, for the year 2016. The Assessment and valuation is set as follows: Actual Value as Actual Value as Account # Decision Determined by Assessor Set by Board R8941979 Stipulated - Approved Stipulated Value $8,176,991 $7,225,000 A denial of a petition, in whole or in part, by the Board of Equalization must be appealed within thirty (30) days of the date the denial is mailed to you. You must select only one of the following three (3) options for appeal: 1. Appeal to Board of Assessment Appeals: You have the right to appeal the County Board of Equalization's decision to the Colorado Board of Assessment Appeals. A hearing before that Board will be the last time you may present testimony or exhibits or other evidence, or call witnesses in support of your valuation. If the decision of the Board of Assessment Appeals is further appealed to the Court of Appeals pursuant to C.R.S. Section 39-8-108(2), only the record of proceedings from your hearing before the Board of Assessment Appeals and your legal brief are filed with the appellate court. All appeals to the Board of Assessment Appeals filed after August 10, 2016, MUST comply with the following provisions of C.R.S. Section 39-8-107(5): (5)(a)(I) On and after August 10, 2011, in addition to any other requirements under law, any petitioner appealing either a valuation of rent -producing commercial real property to the board of assessment appeals pursuant to section 39-8-108(1) or a denial of an abatement of taxes pursuant to section 39-10-114 shall provide to the county board of equalization or to the board of county commissioners of the county in the ote)l6 ' O2 4$ Do9`t case of an abatement, and not to the board of assessment appeals, the following information, if applicable: (A) Actual annual rental income for two full years including the base year for the relevant property tax year; (B) Tenant reimbursements for two full years including the base year for the relevant property tax year; (C) Itemized expenses for two full years including the base year for the relevant property tax year; and (D) Rent roll data, including the name of any tenants, the address, unit, or suite number of the subject property, lease start and end dates, option terms, base rent, square footage leased, and vacant space for two full years including the base year for the relevant property tax year. (II) The petitioner shall provide the information required by subparagraph (I) of this paragraph (a) within ninety days after the appeal has been filed with the board of assessment appeals. (b)(I) The assessor, the county board of equalization, or the board of county commissioners of the county, as applicable, shall, upon request made by the petitioner, provide to a petitioner who has filed an appeal with the board of assessment appeals not more than ninety days after receipt of the petitioner's request, the following information: (A) All of the underlying data used by the county in calculating the value of the subject property that is being appealed, including the capitalization rate for such property; and (B) The names of any commercially available and copyrighted publications used in calculating the value of the subject property. (II) The party providing the information to the petitioner pursuant to subparagraph (I) of this paragraph (b) shall redact all confidential information contained therein. (c) If a petitioner fails to provide the information required by subparagraph (I) of paragraph (a) of this subsection (5) by the deadline specified in subparagraph (II) of said paragraph (a), the county may move the board of assessment appeals to compel disclosure and to issue appropriate sanctions for noncompliance with such order. The motion may be made directly by the county attorney and shall be accompanied by a certification that the county assessor or the county board of equalization has in good faith conferred or attempted to confer with such petitioner in an effort to obtain the information without action by the board of assessment appeals. If an order compelling disclosure is issued under this paragraph (c) and the petitioner fails to comply with such order, the board of assessment appeals may make such orders in regard to the noncompliance as are just and reasonable under the circumstances, including an order dismissing the action or the entry of a judgment by default against the petitioner. Interest due the taxpayer shall cease to accrue as of the date the order compelling disclosure is issued, and the accrual of interest shall resume as of the date the contested information has been provided by the taxpayer. Appeals to the Board of Assessment Appeals must be made on forms furnished by that Board, and must be mailed or delivered within thirty (30) days of the date the denial by the Board of Equalization is mailed to you. The address and telephone number of the Board of Assessment Appeals are: Board of Assessment Appeals 1313 Sherman Street, Room 315 Denver, Colorado 80203 Telephone Number: 303-864-7710 Email: baa@state.co.us Fees for Appeal to the Board of Assessment Appeals: A taxpayer representing himself is not charged for the first two (2) appeals to the Board of Assessment Appeals. A taxpayer represented by an attorney or agent must pay a fee of $101.25 per appeal. OR 2. Appeal to District Court: You have the right to appeal the decision of the Board of Equalization to the District Court of the /county wherein your property is located: in this case that is Weld County District Court. A hearing before The District Court will be the last time you may present testimony or exhibits or other evidence, or call witnesses in support of your valuation. If the decision of the District Court is further appealed to the Court of Appeals pursuant to C.R.S. Section 39-8-108(1), the rules of Colorado appellate review and C.R.S. Section 24-4-106(9), govern the process. OR 3. Binding Arbitration: You have the right to submit your case to binding arbitration. If you choose this option, the arbitrator's decision is final and you have no further right to appeal your current valuation. C.R.S. Section 39-8-108.5 governs this process. The arbitration process involves the following: a. Select an Arbitrator: You must notify the Board of Equalization that you will pursue arbitration. You and the Board of Equalization will select an arbitrator from the official list of qualified people. If you cannot agree on an arbitrator, the District Court of the county in which the property is located (i.e., Weld) will select the arbitrator. b. Arbitration Hearing Procedure: Arbitration hearings are held within sixty (60) days from the date the arbitrator is selected, and are set by the arbitrator. Both you and the Board of Equalization are entitled to participate in the hearing. The hearing is informal. The arbitrator has the authority to issue subpoenas for witnesses, books, records documents and other evidence pertaining to the value of the property. The arbitrator also has the authority to administer oaths, and determine all questions of law and fact presented to him. The arbitration hearing may be confidential and closed to the public if you and the Board of Equalization agree. The arbitrator's decision must be delivered personally or by registered mail within ten (10) days of the arbitration hearing. c. Fees and Expenses: The arbitrator's fees and expenses are agreed upon by you and the Board of Equalization. In the case of residential real property, the fess may not exceed $150.00 per case. For cases other than residential real property, the arbitrator's total fees and expenses are agreed to by you and Board of Equalization, but are paid by the parties as ordered by the arbitrator. If you have questions concerning the above information, please call me at (970) 400-4226. Very truly yours, ir+A Esther E. Gesick, Clerk to the Board Weld County Board of County Commissioners and Board of Equalization Cc: Christopher Woodruff, Weld County Assessor COUNTY BOARD OF EQUALIZATION WELD COUNTY Single County Schedule Number R8941979 STIPULATION (As To Tax Year 2016,_, Actual Value) RE PETITION OF : Shan 1 LLC NAME: Hilton Homewood Suites ADDRESS: 2510 46ffi Ave Greeley, CO Petitioner (s) and the Weld County Assessor hereby enter into this Stipulation regarding the tax year 2016 valuation of the subject property, and jointly move the Board of Equalization to enter its order based on this Stipulation. Petitioner (s) and Assessor agree and stipulate as follows: 1. The property subject to this Stipulation is described as: Li SUFFOLK SUB 5TH FG 2. The subject property is classified as Commercial property. 3. The County Assessor originally assigned the following actual value to the subject property for the tax year 2016: Total $8,176,991.00 4. After further review and negotiation, Petitioner (s) and Weld County Assessor agree to the following tax year 2016 actual value for the subject property: Total $7,225,000,00 5. The valuation, as established above, shall be binding only with respect to tax year 2016. 6. Brief narrative as to why the reduction was made: Cost analysis of hybrid of limited / full service hotels due to subject not having in house restaurant or banquet facilities. 7. Both parties agree that; (XIThe hearing scheduled before the Board of Equalization on 08/04/2016 at 10:00 an, be vacated. N R8941979 A hearing has not yet been scheduled before the Board. of Equalization. DATED this 2nd day of Aug, 2016. ...ii 4 v.: \ Petitioner sr Agent gent or Attorney (Assistant) County Attorney for Respondent, Weld County Board of Commissioners Address; ‘v1 Address: „ 1150 oc a P.. Box 758et 1` ► -_ j (o 2-oa g Greeley, CO 80632 Telephone: 3o3 S 1r 24 fr. I jl- • hone:(970) 336-7235 4 County Aes R et(4111/Dc Docket Number 2016-2224 Stip-1,Frm R8941979 Address: 1400 N.l7th Avenue Greeley, Co 80631 Telephone: (970) 353-3845 ext. 3697 2 Christopher M. Woodruff Weld County Assessor 1400 N 17th Ave Greeley, CO 80631 NOTICE OF DETERMINATION RECEIVED JUL 1 4 2016 WELD COUNTY COMMISSIONER Date of Notice: 6/30/2016 Telephone: (970) 353-3845 Fax: (970) 304-6433 Office Hours: 8:00AM — 5:00PM ACCOUNT NO. TAX YEAR TAX AREA LEGAL DESCRIPTION/ PHYSICAL LOCATION R8941979 2016 0600 L1 SUFFOLK SUB 5TH FG 2510 46 AV GREELEY , CO W ° OE w d a x a. SHAN I LLC 4720 W 105TH DR WESTMINSTER, CO 80031-1974 PROPERTY CLASSIFICATION ASSESSOR'S VALUATION ACTUAL VALUE PRIOR TO REVIEW ACTUAL VALUE AFTER REVIEW COMMERCIAL 8,176,991 8,176,991 TOTAL $8,176,991 $8,176,991 The Assessor has carefully studied all available information, giving particular attention to the specifics included on your protest The Assessor's determination of value after review is based on the following: CMOI - The Colorado Constitution requires commercial property to be valued using replacement cost, market and income approaches and assessed at 29%. If you disagree with the Assessor's decision, you have the right to appeal to the County Board of Equalization for further consideration, § 39-8-106(1)(a), C.R.S. The deadline for filing real property appeals is July 15. The Assessor establishes property values. The local taxing authorities (county, school district, city, fire protection, and other special districts) set mill levies. The mill levy requested by each taxing authority is based on a projected budget and the property tax revenue required to adequately fund the services it provides to its taxpayers. The local taxing authorities hold budget hearings in the fall. If you are concerned about mill levies, we recommend that you attend these budget hearings. Please refer to last year's tax bill or ask your Assessor for a listing of the local taxing authorities. Please refer to the reverse side of this notice for additional information. Agent (If Applicable): 16-DPT-AR PR 207-08/13 R8941979 10610220 APPEAL PROCEDURES County Board of Equalization Hearings will be held from August 1st through August 5th at 1150 0 Street. To appeal the Assessor's decision, complete the Petition to the County Board of Equalization shown below, and mail, file online, or deliver a copy of both sides of this form to: Weld County Board of Equalization 1150 O Street, P.O. Box 758 Greeley, CO 80631 Telephone: (970) 356-4000 ext, 4225 Online: httpliwww.to_weictra.usiapprsichae, To preserve your appeal rights, your Petition to the County Board of Equalization must be postmarked or delivered on or before July 15 for real property — after such date, your right to appeal is lost. You may be required to prove that you filed a timely appeal; therefore, we recommend that all correspondence be mailed with proof of mailing. You will be notified of the date and time scheduled for your hearing. The County Board of Equalization must mail a written decision to you within five business days following the date of the decision. The County Board of Equalization must conclude hearings and render decisions by August 5, § 39-8-107(2), C.R.S. if you do not receive a decision from the County Board of Equalization and you wish to continue your appeal, you must file an appeal with the Board of Assessment Appeals by September 10, § 39-2-125(1)(e), C.R.S. If you are dissatisfied with the County Board of Equalization's decision and you wish to continue your appeal, you must appeal within 30 days of the date of the County Board's written decision to ONE of the following: Board of Assessment Appeals District Court 1313 Sherman Street, Room 315 Contact the District Court in the County Denver, CO 80203 where the property is located. See your (303) 866-5880 local telephone book for the address and wwwidolaivolora, telephone number. in d'i nq. Arlbiitra tlor . For a list of arbitrators, contact the County Commissioners at the address listed for the County Board of Equalization. If the date for filing any report, schedule, claim, tax return, statement, remittance, or other document falls upon a Saturday, S iinday, of legal holiday, it shall be deemed to have been r timely filed if ilea on the next business day, § 39-1-120(`3), C.R.S. PETITION TO COUNTY BOARD OF EQUALIZATION What is your estimate of the property's value as of June 30, 2014? (Your opinion of value in terms of a specific ollar amount is required for real property pursuant to § 39-8-106(1.5), C.R.S.) .$ tui 54 +" u O CIO what es the is for your estimate of value or your reason for requesting a review? (Please attach acid4iol sheets as necessary and any supporting documentation, i.e., comparable sales, rent roll, original installed cost, appraisal, etc.) E1tqh couhLiv ihag catt W -me), ATTESTATION I, the undersigned owner or agent' of the property identified above, affirm that the statements contained herein Nand n any .ttachments hereto are true and complete. Signature 303 asi 2681, Telephone Number 'Attach letter of authorization signed by property owner —qe‘t Date 16-DPT-AR PR 207-08/13 R8941979 10610220 7/6/2016 Larimer County Assessor Property Information The Cyber Issue that. had been Inkpacting Lorimer County servic'=s has [?sari isolated and rX34ieizileitii..Count °:}.`ry es are ret.snitog to fun itmeticmazizty. Services Departments Public. Records NewS Assessor Property Information General Information Parcel Number: 86062-45-003 Tax District: 1100 Property Tax Year: 2016 Owner Name & Address HARMONY HOTELS LLC 2390 TOWER DR MONROE, LA 712015760 Property Address 1521 OAKRIDGE DR FORT COLLINS 8O525-OOOO Subdivision #: 145837 - OAKRIDGE BUSINESS PARK 37TH FIL, FTC (20060003717) Neighborhood #: 195 Legal Desaiption: LOT 3, OAKRIDGE BUSINESS PARK 37TH FR, FTC (20060003717) Sales Information Click a Sale Date to recorded document details or Reception No. to view the document. Sale Date Recepti*n No. O1/2O/2OO6 01%20/2004 Value Information 20060005397 20060005395 Business Abut Schedule Number: R1539245 Current Mill Levy: 90.634 Sale Pike Abstract Cod• if Ye i_ript!on 2220 2227 2227L 222OL Lodging Com/Res Corn/Res : Lodging Building Improvements Building ID: Property Type: Built As: Occupancy: Tails eia1Jt: Remo el: Quality: Condition: Class Descr: Exterior: Interior: Heat Roof Type: Roof Cover: Foundation: Ras t iF,5Iu Typo Improvement Improvement Land Land Inctuol Value !Maxim Commercial Hotel - Full Service Hotel - Full Service 2006 mond Very Good Wood Frame Package Unit Gable USr�nrlw Beam Units: Unit Type: Stories: Total Sq Ft: Can Sq F!9 Bsmt. Sq Ft: Bsmt. Fin. Sq Ft 99 0 0.00 0.00 4.00 $5,350,700 $799,500 $64,900 $584,900 f,i. 9tJ ir;i $71 la, son lideurwiily Oted $712,900 Warranty Deed Assessed Value $1,551,703 $63,640 $5,166 $169,621 Net 0.00 0.00 0.24 2.23 0 0 10,833 97,498 $6,600, Dap $1,790,130 2.47 : 108,331 Building Detail Type & Description I3K: crF i; Add On Add On Add On Add On Add On Description Canopy -Steel -Good Concrete - 4 inch Non -Reinforced Hot Tub Attached Local Stone - Good Swimming Pools Property Map 1602 10000 1 26200 615 This Google map below shows an approximate location of the property based on the address or coordinates where available. Note: Larimer County has no control of the content, operation or display of this map. For parcel maps use one of the following links: GIS Land Information Locator GIS Web Maps Portal how__ L) 00 (A §40-4\ Pt- calms 9 I zscotImS titi\stiv-12--" "P 88357 Rya http://www.larimer.orgtassessor/query/Detail.cfm?PropertyTypeVar=Corn mercial&Bui IdinglDVar=1&NumVar= R 1639245 1/2 7/6/2016 Larimer County Assessor Property Information The cyber issue that had Peen impacting Latimer t; r is s has been rcet ,;led z-md resolved, AU County Cservicea are ret4 rofrig kc futi fu.nct4maiity. Services Department: Pudic Records Assessor Property Information General Information Parcel Number: 97363-83-004 Tax District: 1106 Property Tax Year: 2016 Owner Name & Address WILLCO VII DEVELOPMENT LLLP 4836 S COLLEGE AVE STE 11 FORT COLLINS, CO 80525 News 1tSinegs A4 ,ut Schedule Number: R1648013 Current Mill Levy: 91.110 Property Address 314 PAVILION LN FORT COLLINS 80525-0000 Subdivision #: 8240001000 - PLAZA AT PAVILION LANE, FTC (20080046570) Neighborhood #: 190 Legal Description: LOT 4, PLAZA AT PAVILION LANE, FTC (20080046570) Sales Information Click a Sale Date to recorded document details or rIttrotion No. to view the document. ral�� Date Reception No. ae/zo� o a 16340 4J:.83 Value Information 4g.i:street Code/Description 2220L Lodging 2220 Lodging Vpi4ur, Type pe Land Improvement Sake Price Deed 'Type $1,200,000 Warranty Deed Actua V3{glad Totals: Building Improvements Building ID: Property Type: Built As: Occupancy: Year Built: Year Remodel: Quality: Cnndltlan: Class Omer Exterior: Interior: Heat Roof Type: Roof Cover: Foundation: Rooms: Bedrooms: Baths: Units: Unit Type: Stories: Total Sq Ft: Condo Sq Ft: flint_ Sq Slott. F4n1 Sq Fs; Commercial Hotels - Limited Service Hotels - Limited Service 2014 $399,300 $5,100,700 Average Plus Very Good Masonry Package Unit 83 0 0.00 0.00 1.00 $5,500,000 Building Add On Add On Add On Add On Add On Add On Property Map Assessed Value Net: Acres $115,797 $1,479,203 $1, 595,000 Detail Type & Description Description Asphalt > 10,000 sf Concrete - 4 inch Non -Reinforced Concrete - 4 inch Non -Reinforced Elevator 1.5 2-3 Story Patio Roof Siamese Connection - 4 inch 0.65 0.00 0.65 Net SO ' : 28,524 0 28,524 14000 144 400 .1 144 This Google map below shows an approximate location of the property based on the address or coordinates where available. Note: Larimer County has no control of the content, operation or display of this map. For parcel maps use one of the following links: GIS Land Information Locator GIS Web Maps Portal Cuhdeilwocia (E�I ae; ��rS valve, C6 zGS (u\Ilif http:ilwww.larimer.orglassessorlquery/ etail.cfrn?PropertyTypeVar=Commercial&BuildingiDVar=1&NurnVar=R1648013 1/2 Form 1 065 Ucpsroneri of ho Tre,astxy raarag Fbtrrenus &nvite U.S. Return of Partnership Income For calendar year 2015, or tax year beginning , 2015, ending , 20 Information about Form 1065 and Rs cop rata Ins.inktglaii at verib'llttik& vflarintatt8 OMB No, 1545.0123 2015 A Principal business activity RENTAL B Principal product or service REAL ESTATE C Business code number 531120 Type or Print Name of partnership SHAN I, LLC t wbor street, and room or suite number. If a P.O. box, see the Instructions. 4720 W. 105TH DRIVE City or town, state or province, country, and ZIP or foreign postal code WESTMINSTER CO 80031 a Emptoyer identification no. 450-4000VV E Date business started 0:2/06/ 1 F Total assets (see the Instrs) $ 12,597,314. G Check applicable boxes: (1) (6) H Check accounting method: (1) I J ram Y Initial return (2) ['Final return (3) !Omit change (4) Technical termination —• also check (1) or (2) Cash (2) DAccrual (3) Other (specify) Address change (5) F i i )s al a a Number of Schedules K-1. Attach one for each person who was a partner at any time during the tax year Check if Schedules C and M-3 are attached Amended return I 44111141M Mlle Cautrgn. Mc *My trade of &Snits imam and axiieutemo on lines la ftvough 22 below. See the instructions for more I!P7 _ nenstiOn, E E 1 N D E R tDr s aC T O O a N L. s M 1 T A T 1 O s 1 a Gross receipts or sales Mil . - .... .. - 1$, l • . 4 I , b Returns and allowances 1 1 1. •I _I a■ 1 6 c Balance. Subtract line lb from line 1a 2 Cost of goods sold (attach Form 1125-A) 3 Gross profit. Subtract One 2 from fine 1c ', r -. t e 1 . • pa a!•.. a• a a Ma!• a f - I e! is ■ 1.1,r , t9 ■ r e l 4 Ordinary income (loss) from other partnerships, estates, and trusts (attach statement) 5 Net farm profit (loss) (attach Schedule F (Form 1040)) 6 7 a 04 ! r . 9 i . ., . . . . • t 7 1 e el i t■ I t• '1 r e 1 1 - Net gain (loss) from Form 4797, Part II, line 17 (attach Form 4797) . 1 ■ Other Income (loss) (a�ika.ct statement) . . 1 8 Total Income (loss). Combine lines 3 thrai rl- 7 .. a a - ., s . • ! swig' 9 Salaries and wages (other than to partners) (less employment credits) . 10 Guaranteed payments to partners .. _ .a ,. a a 1 r a 1 ■ n n■ a l l■ :1 ,. ■, 6 1 1 6 11 Repairs and maintenance 12 Bad debts . . . - 13 Rent 14 Taxes and licenses. 15 Interest 16a Depreciation (If required, attach Form 4562) a a . a . . . a a 1 , . b Less depreciation reported on Form 1125-A and elsewhere on return 17 Depletion (Do not deduct oil and gas depletion ) 18 Retirement plans, etc 19 Employee benefit programs 20 Other deductions (attach statement) . . . a a • a l • • 1' • • ■ ■ 1 1 m I ,. 1 .s a a a 4 e ■ ! ,- r r e . I • 1 • E d f e Y •i a i' e r t i a• are e - I r s 1 1 a- t It I a r■•!!• :r ■ V 1■ 1 1 1 • . 1 • 1 1 ••4 9.- ■ ., 44 a ! •- M P e i t i •i r e 1 i -, 1 1 1 1 1 9, 1 1 . 16 a lib 1c 2 425448 3 425 548 11411 215 54:4 n■ 1 1 0 .i . F -4 a M! 1 • a •_ M■ 1 1 a i l■ d 1. ■ 1■• .1 I c sis o 'as' . ' .STM 1 21 Total deductions. Add the amounts shown in the far right column for lines 9 through 2O 1 22 Ottliltiasy business incornw "loss), Subtract line 21 from line 8 1 .1 • a. . a a 5 6 8 9 1690 17.3 10 11 74 12 13 14 15 16c 17 18 z r 20S. 215r 542. - 20 21 22 542 ,c691 -1517,, x2.14» Sign Here la-,i;rkcctr mrivrry, t declare that I Miro nbc7shsdthis return, Inclutl accom 'sctrsitkMs.au: tLdgments, find to the best of rrrf kettrawsitand' #let, It is tom. rr rcl, sot c e prolt. Declaration olimargatei,}c Poi than general pats or WINO Peaty o :iry Aster Mane aaer) is based on all PlififfriaiDft al Will rreparer for any k u'AMt'ipl5. Signature of general partner or limited liability company member manager May the IRS discuss this return iwith the preparer shown below (see Instrs)? r Dale INo Paid Preparer Use Only Print/Type preparers name DQNAL D C TAYLOR Firm's name Preparers signature Date 03/12/16 Firm's address - 1.7gel Ft T'T.TWfZ rrnE T iskttiptinis Check n If PTIN FIr msEIN `, —07914176 9 19211....,_ Phone no. BAA For Paperwork Reduction Act Notice, see separate instructions. PTPA0112 08/03/15 4303) 2317 - Form 1065 (2015) Form 1065 {2015) SHAM I , LLC 45-4460067 fie. le 2 Schedule a (Miter Information 1 What type of entity is filing this return? Check the applicable box: Yes No a - Domestic general partnership b Domestic limited partnership c X Domestic limited liability company d Domestic limited liability partnership e Foreign partnership f Other . 2 At any time during treated as a similar paw? the taxyear, was any parines in the partnership a disregarded entity, a par.°tneserrip), a trust, an $ cwrpctraSon, an estate (other than an &Mete of a deceased :.,.,,,...,......,.,r. ..... ,•., partnership (including an &y partner), or a ncrnlwe or — 3 AL 11te end of the Las. a Did any 'i tafgn Of domes orgstniaallone cc cry the partnership& For Owning 5+/'0% or More year: corpcn+llan, pe ltnershlp (Sidud realign Dom, d iy eir Indirecty, rules of constructive ownership, sae of the Partnership_ , , ,.. . . v any entity treated aria partnership), In or to --a mpt an inherent rd 50% or meths to the profit, ion, w capital of Instructions. if Yes,' elim h Schedule B-1:, information on Partners , b . A • • . .. , , , ... , , , ''"'II.' 4 4 i, P , , . 4 , , L 4 ,, 4 . w X b Did any individual pan.iershlp? Owning 50% or estate own., (frailly or indirectly, an interest of 50% or more in the profit, foes;, or capital of the for rules of etYi 1ructira awnt1rship, see instructions. If 'Yes,' attach SchSUie B-1, !bromeliad on Partners or More of the Pertnersilip. , - . - . - - - , , , t . a s , , , . a . , , ,. , ia...... .. 3 1*of sa•al.Flo 4 At the end a Own dlreclle to, vete of Any through of the tax year, did 26!16 cc nnre, or harakiri ar dorm ) t't•,r.,r , - , F . the OIStito sllc . . pannershksi.. &e dy or ingtrocl corporation? For rules , . , , , , - , • , ►, S0% or rnore of the lettii votinpower °fall ciasaes of stock entitled er constructive ownership, s instr tiers. If Yes_' cor ►fete Oi 1 - y r e i . r r e r e , r , , r .• r r r too t r. • e .- , :- X (I) Name of Corporation (n) Employer Identification Number (If any) pm Criunint lncorra1rmllgn of (lv Voting Percentage d in Stock 1 b Ovhri &re ly in They foreign riJle .M ei an interest of 20% or more, or dos estle psi -heirship nalrucbve ownership, see or (including lesnuctions. own, dine ern, err! If Year Or lesitereily, an interest of 50% or inure in the monk loss, or capital traded as a p rine ai ipi) or in the beneficial intend of a trust? For complete (I) it cugh (v+)Wm* - - . - . X (i) Name of Entity (II) Employer Identification Number (If any) (iii) Entity Type of (Ivy' CetIrIIrry� Qi Organization I (vi Peeler Owned Loss, Maximum !age in Profit, or Capitel _ Yes Igo 5 Did the partnership file Form 8883, Election of' Partnership Level Tax Treatment, or an election statement under section 6231 {a)(l)(S)iA) Ilar pPrtneratip4avei lag leaa'imani, 111a.i la in effect for this tax year? See Form 81393 far more details . . , . , . . 6 Does the partnership sattsty an four at the following conditions? a The partnership's total receipts for the tax year were less than $250,000, b The partnership's total assets at the end of the tax year were less than $1 million. a Schedules K-1 are filed with the return and furnished to the partners on or before the due date (Including extensions) for the partnership return. d The partnership is not filing and is not required to file Schedule M-3 - , If 'Yes,' the partnership is not required to complete Schedules L, NI -1, and M-2; Item F on page 1 of Form 1065; or Item L on Schedule K-1. 7 Is this partnership a piAblicly traded partnertiNp as defined in section 469(1X2)`7 , , , . 4 - , , _ t r r , , : , , , . - 8 Durfng the tax year reduce the principal did the partnership have any debt that was cancelled, was forgiven, or had the terms modified so as to amount of the debt? X X 9 Has this par -harshly filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide Information on anyreprrrtable Iratlseetia! n . . _ _ _ , _ X ..„-4.-„, - 10 Al any time during calendar year 2D15, did the financial partnership have an iniercet id or a signalers or ether authority ever 1 3 a account in a Por n cesmrry (such Instructions for exceptions and filing requirements: Accounts (FbARJ. If 'Yes,' ear' the name or as a tam amount, fort FIr gN the rorslen �rttte/. sawlike actesrnt, or oilier financial acrnur f' See the Form 114, Report or Fore*, Sark, and Financial I" PTPA0112 08/03/15 Form 1065 (2015) Forrn 1065 (2016) SHAN I. LLC 45-4 460067 I Schedule B 'Other Information (continued) _ Yes He 11 At any Me during the lax year, did the parinersl rac alvt a distribution from, or was it the grantor of, or transferor to, a g fore n inist7 II Yea.. the partnership may have to file Form 3520, Annual Return To Report Transactions With Foreign Trusts and Rateletolteriain Foreign Girls. Bee instructions-, - . . - :. . ..- . . - - . . . . , , , : . . ' 12a Is the partnership making, or had it previously made (and not revoked), a section 754 election? . _ . . . . . , _ . . _ _ . , . . . . , See instructions for details regarding a section 754 election. . b Did the partnership make for this tax ynr an optional basis adjustment under section 743(b) or 734(b)? If 'Yes,' attach a the computation and allocation of tam basis ndjusirtaM, Sir, instructions statement showing - { c Is the partnership required to adjust the basis of partnership assets under section 743(b) or 734(b) because of a substantial built -In loss (as defined under section 743(d)) or substantial basis reduction (as defined under section 734(d))? if 'Yes,' attach a statement six}wing the corapulation and allocation of the basis adjustment. See Instrs 5{ 13 Check this box if, during the current or prig tax year, the partnership distributed any proper shale' in a like -kind i etr.chan or contributed such ereeerty to another entity (oilier than disregarded entitles wholly owned by the psaerrlp throughout the tax year) , . . • . , , , . .. . .. - . • ` . 14 At any time during the tax year, did the partnership distribute to any partner a tenancy -In -common or other undivided interest in partne hip l"' n ' ,3yynity? , . a . . i , t . ', . - . t I.. . 4 NIP r - _ .. . . . . , . . . . , I I . . _ , , r , , ._ - 15 if the parinerkiip Is rewired to file Form 8858, information Return of U.S. Persons With Respect To Foreign Disregarded Entities, aver the number Oaf Forms 8858 attached. See instructions ' 16 Does the partnership have any foreign partners? If 'Yes/ enlrr the number of Forms 8805, Foreign Partner's information Statement of Section 1446 Vag Wm Tax, flied for this parViersbip. r 17 Enter the number of Forms 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships, attached to this return. 1°- . 18a Did you make any payments in 2015 that would require you to file Form(s) 1099? See Instructions . . . . .. . . ,. - .. . . 1 : , *- b if -yes.' did you or will you file required F eIrn(s11099? . . . , , , . , , , . . _ _ , - 19 Enter the number of Form(s) 5471, Information Return of U.S. Persons With Respect To Certain Foreign Corporations, attached to this return. i` 20 Enter the number of partners that are foreign governments under section 892. I• Designation of Tax Matters Partner (see instructions) Enter below the general partner or member -manager designated as the tax matters partner (TMP) for the tax year of this return. Name of designated IMP Dip Identifying number of TMP If eha IMP k it p ,MACcd n raps as'il►stive Phone number of TMP frp M&sm of dwynazed TMP PTPA0112 08/03/18 Form 1065 (2015) Form 1065 12015 S RAN r LLC .1.� -1- L:3 -•v 1/ 1 ,11, 11..!i'..t soih ciuIe PartnersDistributive Share Items Total amount Income (Loss) 1 Ordinary 2 Net 3 a Other b Expenses c Other 4 Guaranteed 5 interest 6 Dividends: 7 Royalties 8 Net 9a Net b Collectibles c Unrecaplured 10 Net 11 Other business Income (loss) (page Mine 22) . .. y . - . . , - rental real estate income (loss) (attach Form 8825) . . . . 11 . 1. , gross rental income (loss) ... from other rental activities (attach stmt) = , . . net rental income (loss). Subtract line 3b from line 3a - . 1 P E payments, . . . . _ 1 . t - . , _ , a .. t ,11 11 .. , . . income. , . - . - • . - _ , . , .. a 1 . .. t r a Ordinary dividends 11 14 a , 11 11 b Qualified dividends _ 1111 11 11 E short-term capital gain (loss) (attach Schedule D (Form 1065)) , :1111 long-term capital gain (loss) (attach Schedule D (Form 1065)) .. (28%) gain (loss). section 1250 gain (attach statement) - - section 1231 gain (loss) (attach Form 4797) - income l InliacNns) Type ► - , ., , a a , , 3a. e , a , , , . ,, w _ . . _ . a . . , , _ 1 —57 7 , 214 .. 2 - —� 3 e :— 3 b , 11 11, , . , ,1 . , „ 613 I a , . , . . . .. a a i .1 S , . .. t .. 4 -- . a . a , 4 . 4 .• 5 68 ' a , amine g a 7 s , . • . , a 4 p , SI t•III.. . , 1 ... , t . , y p p .. . - , 6r . , . , 5 9 a 10 0c , , , : - . . . . , 11 Deduc- tons 12 Section 13a Contributions b Investment c Section d O l c 179 deduction (attach Form 4562) . < • , , , , interest expense , ..... 1 a : a . 1 ... . , , . . • , , . 59(e)(2) expenditures: (1) Type ' dcducib s!:set h eats:1W' r Tie tip,__ _- , , , , 12 . . _ 13 b (2) Amount - 13 cam• tad Self- Employ- meet �- 14a Net earnings (loss) from self-employment i . a a :.. . , . . . . .. , . 1 a a 1 a , , _ b Grass farming or fishing Income 1111. 1111 a _ _ _ _ � i. , r , , t . „ c Gross nonfarm Income , a a , . _ , : . a p . , r 6 , , . . . . . _ — , , . r ., _ - or it 1,td 14 b 14 c :1 2 Credits 15a Low-income housing credit (section 42(1)(5)) . . . ... , , . - . . , . , b Low-income housing credit (other) _ , _ _ . . . c Qualified rehabilitation expenditures (rental real estate) (attach Form 3468,1f applicable) d Other rental real estate credits (see instructions) Type ► e Other rental credits (see Instructions) Type *- f Other credits (see Instructions) _ _ _ • - , . - a , . Type • a 1 M ,, , , . , ,, _ r • , , 4 e L , , , p t8 a 15 b 15 e 15d 15 e 1S f Foreign Trans- actions 16 a Name b Gross c Gross Foreign d Passive Deductions g Interest Deducllons I Passive I Total in Reduction e Other of country or U.S. possession . 1 . a D.f lo. a a , 11 , t , 1 . - , _ - . , - a , , ..... — — — ='4•r Sr an a a as, - ,.; p - + i • a . 16b income from all sources . . . . . . . . . .. . . , a a Income sourced at partner level , .. : . 1..1, gross Income sourced at partnership level category 0.e General category - -z r_ s a �- � allocated and apportioned at partner level expense ► h Other allocated and apportioned at partnership level lo foreign source income category ph. j General category - , rat it - i aroma a 3 Other , . , ► k Other - . , ,. , , , , , - , , . . -- ,p r y r p . . . 1 16a c 16f lei! 1Ck. foreign taxes (check one): Paid D Accrued 169 in taxes available for credit (attach statement) . . . . - foreign tax information (*1Iach *tame* _ _ , ,. , , , , o 16m Alternative Minimum Tax (AMT) Items 17a Post -1986 depreciation adjustment. . . . . . . 11 .. . _ . . . , . , 11 . b Adjusted gain or loss , p E . 1 1 . . 1 .. a . • • c Depletion (other than oil and gas) d Oil, gas, and geothermal properties — gross Income 1 . , . •. . 11 - - , , . a Oil, gas, and geothermal properties — deductions . . . . < a . . , e , a , f Other AMT items falietivamo . , _ ■ 1111. ► . , 4 0-• I I , - a , .. 11 , a . , _ . .. , , .. - , _ , . , , 1 a 4 1 - 36.6 . , .11 11 .. , al ., . a , � ... .. .. 1 , . , c • e 170 — r 17 b 17c 17,11 17e E i p •. -, - e . a . .1111 a Other Infor- mation 18 a Tax-exempt interest income . 1 1 - to Other tax-exempt income c Nondeductible expenses _ ., , , - , , . , 1ga Distributions of cash and marketable securities , , . b Distributions of other property ,1,.,,,,-_.,-,. a•,,..14„.,.a,i4.am. 200 Investment Income : . _ _ . , , . _ . . .., binvestment expenses . .•, a _ . . a , a, . - . ! 1 s , 1 11 e Other items and amounts ( ach dint) ., . . . . • . , , ,. , 1 a p p!, 1. ., ! 14 , , , . , 1 , 1 1 a , 4 + , . 1 .. t. . 1 1 1 1 4 t 1111 . , _ , _ , a i 1 al 1 Y, 1 !. I T 18 p , 1 sr ., 11 11 . ` . i .• 1 14 , - , E : t -gm , 18 : 1 se , ... F 4 .1 rg d 3 41.10-S s. 191 . , ,, , , 1 , ,,.pa -j••••• 20 a 68 20 b . . . . t , , •i , . 1 . 1 , 11 11. _ Form 1065 (2015) PTPAO134 08/03/15 Form 1065 (zt1151 SHAN`I LLC Analysis of Net income (Loss) 45-446OO67 Page 5 1 Net income (loss). Combine Schedule K, lines 1 through 11. From the result, subtract the sum of Schedule K, Ilnes 12 Wart 13d, and 161 2 Analysis by partner type: a ocerat pastras [SchedjuLe, L (I) Corporate (II) Individual (active) (ill) indivIrlual (passive) (Iv) Partnership ■ ■. •6 0 1 1 (v) Exempt rgaratlan —577 146 (vi) NomineetOther —577,146. Balance Sheets per Books Assets 1 Cash 2a Trade notes and accounts receivable r , b Less allowance for bad debts . 3 Inventories 4 U.S. government obligations 5 Tax-exempt securities 6 Other current assets (attach stmt) 7 a Loans to partners (or persons related to partners) . b Mortgage and real estate loans B Other Investments (attach stmt) 9a Buildings and other depreciable assets . b Less accumulated depreciation le a Depletable assets b Less accumulated depletion ▪ t , • s I II 11 Land (net of any amortization) , 12a Intangible assets (amortizable only) b Less accumulated amortization 13 Other assets (attach stmt) 14 Total assets - Liabilities and Capital 15 Accounts payable . _ _ , , _ _ _ 16 Mortgages, notes, bonds payable in less than 1 year . 17 Other current liabilities (attach stml) 16 All nonrecourse loans 19a Loans from partners (or persons related to partners) b Mortgages, notes, bonds payable In 1 year or more 20 Other liabilities (attach stml) 21 Partners' capital accounts 22 Total liabilities and capital Schedule Mri Reconcil _ation a income Note. The partnership may , I $ . , , (a) Beginning of tax year (b) !DJ cftax year (c) (dl 534 436 53r 256. 6 423i' 748 413,748 i14 L 1119.49005 343,171 1k605,834, ,. 700a000 173,848 173,848. 244,296. 5A.072 700,000 3a 22 4 7..622,-0332 5,474,751 2,347,291 7 822 032. Loss per Books . ku Some -oss per return. be required to file Schedule M-3 see instructions). • 2,' 597 , 314 . 1 c 131,2268 1,466 046 12,597,314, 1 Net income (loss) 2 Income included 2, 3c, 5,6a, 7, recorded on books 3 Guaranteed pmts 4 Erpeinses recorded on ktietk.le K, Ilnes I mite): a Depreciation . . b Turret and entertainment .. 5 Add lines 1 through per books , . ., .. - i . on Schedule K, lines 1, 8, 9a, 10, and 11, not this year (itemize): 6 Income recorded on books this year not included on Schedule K, lines 1 through 11 (Itemize): a Tax-exempt interest . $ (other than health insurance) . on woks this year not Included 1 al�ugh 13d, and 161 . $ . $ --elm.-- — ,_ 7 Mal era inc64ded w heauIe K, lines 1 8rre 11 ytql Kid I�.r l tr, C1 artist book income I � io a Depreciation . . . $ — — - - a � rl acr aer r - a " - -. in 8 Add tines Band 7, ., , 9 home (Ins) (Analysis of Net Income (Loss), line 1), ;gut lrad lima from ®rne 5 4 . . , . , - , . , . , , Schedule M-2 Analysis of PartnersCapital Accounts I Baidr eat begin urtgo(year . a , . , . . 2 Capital contributed: a Cash _ _ _ , b Property. . .. , 3 Net income (loss) per books 4 Other Increases (itemize): 5 Add lines 1 through 4 , - , ., , . , . _ . a 2/ 347,281 . 6 t tribe one. a Cash ... , , . . , . ill b Property 7 Other decreases (Itemize): 341 105 37 f 016 . —577,146 — 8 Add lines 6 and 7. . . , , , , , , , .: , , 9 Balance al end of year. Subtract line 8 from line 5 391,105 . 1, 807,151 , 1,466 046 . PTPA0134 08/03115 Form 1065 (2015) SCHEDULE NI -3 (Form 1065) Um Wpm! of km rlueaury In$ImerRiverwe ars229 Name or partnership Net raceme (Loss) Reconciliation for Certain Partnerships Attach to Form leilS or Farm 1005 -B - information about 5ehtth le Mr3 (Form 1085 and its !!sIrudIons is ?it INDVW.$19,170VPIOMP1065, miatuus This ;Schedule V3 Is being nod us@ (check Eli that apply); A X The amount of fhv pflisrabipta Ids nasals al Pie end of the tax year k equal al to 510 million or inn t3 TN" amount of Kiae pslriershiews adjusted total estate for the tee your Is gvol to $1 a ration or mane, if box B le otiocked, taw lho amount or Whaled d Iola' asses t the tax year 0111111 amount or total recoil ter the lax year le equal tojas Alton or retire, Ir box C Its Chid, enter Shei. t rateip he for OMB No. 1545.0123 2015 Employer identification number the lax year D fl An entity that fxls' a poL to entey panne ea ih rrta cc IP the partn h l° owns eat k deemed to oien an. Infereee of 50 f arearil er More in the pailitershipis capital, mint 0(1-254, on WTI i (fur* the Sx year_of the oannershiee Name of Reportable Entity Partner Identifying Number Maximum Percentage Owned at Deemed morel E gVoluntary Filer, - art 1 L 1 na nci2l Infofrm (ton and Net Income fLns 1 Rocc of aJIii ticurr x O F m 10-K for its income atatamen t period ending with or wtthhi liiis tax year? Yes. Skip lines lb and is and complete lines 2 through 11 with respect to that SEC Form 10-K. No. Go to line lb. See instructions If multiple non -tax -basis income statements are prepared. b Did the partnership prepare a certified audited non -tax -basis income statement for that period? w�l Yes. Skip line 1c and complete lines 2 through 11 with respect to that income statement. No. Go to line 1c. the partnership prepare a non -tax -basis Income statement for that period? HI Yes. Complete lines 2 through 11 with respect to that income statement. Er No. Skip lines 2 through 3b and enter the partnership's net income (loss) per its books and records on line 4a. 2 Enter the moons stnketngnt period: Beginning Ending I a f-ig the n !Mtn:" hlrin llgjr. n a .±+ot!•r.�o»4 P -.. ......,.... i. Ivvl ver v..w... rat lerueiwh. rn..}.:h-- J.-.tl.-t---..--n.,- sla .,-.-r.• a vay.. Ii/V LI4%.'./ nag LI Ste Ii IVV Poe O /I i OLCILI110$I► iiCl*'JU vii IIIC is • Yes. (If 'Yes', attach a statement and the amount of each Item restated.) Li No. b Has the partnership's income statement been restated for any of the five income statement periods Immediately preceding the period on line 27 Yes. (If 'Yes', attach a statement and the amount of each Item restated.) _____3 No, 4a Worldwide consolidated net income (loss) from income statement source identified in Part I, line 1 b indicate accounting standard used for line 4a (see instructions): i 9GAAP 2 IFRS 3 D704(b) 4 El Tax -basis 5 Other: (Specify) DP 5 a Net income from nonincludlble foreign entities (attach statement) b Net loss from nonincludible foreign entities (attach statement and enter as a positive amount) . 6 a Net income from nonincludlble U.S. entitles (attach statement) b Net loss from noninciudlbie LAS. entitles (attach statement and enter as a positive amount) 7 a Net income (loss) of other foreign disregarded entities (attach statement) . b Net income (loss) of other U.S. disregarded entities (attach statement) . 8 Adjustment to eliminations of transactions between includible entities and noninctudlble entities (attach statement) 9 Adjustment to reconcile income statement period to tax year (attach statement) 10 Other adjustments to reconcile to amount on line 11 (attach statement) . . , e 11 Net income (loss) per Income statement of the partnership. Combine lines 4a through 10, L • , Note, Part I tine 11 at EgialEfit.wael 26.. column (et eJ $cj-iedule M-1, tlnrs 1 (see inalnaciforesL _ 12 Enter the total amount (not Just the paanorsirSaa of the assets and Retinae& of all entitles Wile or removed on the "olibt nn Ones: Total Assets ▪ I I. I - . r , I • • i L r .1 , - .I is , . . . . P e r I I F • 4 e ■ • • I I 4 I I . I II . 00 • 1 I O ■ e • r iI a • a i t I • ■ • a i • 4 b •1 t. eat • n a Included on Part I, line 4 . . b Removed on Part I, line 5. . o Removed on Part i, line 6. d t4on P o I I I I . ▪ tosi a I. e A ■ I. I• • I- a i 4- • r I. r i a I • • i I .I 4 I . I Is I i 4 4 Total L IbinE I I 4 F I Y a • 4a —577, 1.4e6 5a 5b' Gal 6b 7a 7b 8k 9 10 1.11 —53i 146.. 034 U.131 268 BAA For Paperwork Reduction Act Notice, see the Instructions for your return. PTPA1101 07/22115 Schedule M-3 (Form 1065) 2015 Schedule M-3 (Form 1065) 2015 Page 2 Nitro SHAN I. LLC Employer identification number 45-4460067 Part it Reconciliation of Net Income (Loss) per Income Statement of Partnership With Income (Loss) per Return Income (Loss) Items (Attach statements for lines 1 through 10) 1 Income (loss) from equity method foreign corporations 2 Gross foreign dividends not previously taxed ...... , • . . 3 Subpart F, QEF, and similar income Inclusions - . 4 Gross foreign distributions previously taxed. 5 Income (loss) from equity method U.S. corporations. r , . r 6 U.S. dividends 7 Income (loss) from U.S. partnerships 8 Income (loss) from foreign partnerships :... , , 9 Income (toss) from other pass - through entitles , .. , . , 10 Items relating to reportable transactions 11 Interest Income (see instructions) . 12 Total accrual to cash adjustment 13 Hedging transactions 14 Mark -to -market income (loss) 15 Cost of goods sold (see Instructions) 16 Sale versus lease (tor sellers and/or lessors) 17 Section 481(a) adjustments 18 Unearned/deferred revenue 19 income recognition from long•ierm contracts 20 Original Issue discount and other imputed Interest 21 a Income statement gainlioss on sale, exchange, abandonment, worthlessness, or other disposition of assets other than inventory and pass -through entitles b Gross capital gains from Schedule ID, exclud- ing amounts from pass -through entities . . . C GEMS taitiLai loses from &Nat:Jule D, excluding ametin Lc From p,155.1hrcyligh ssitSa gbandorwrent losses;, end worthless stock losses d Net gain/loss reported on Form 4797, line 17, excluding amounts from per -through entitles, abandonment losses, and worthless stock losses . . . , . . _ _ , _ , _ . . e Abandonment losses f Worthless stock losses (attach statement) g Other gain/loss on disposition of assets other than inventory , . _ a i . , _ o 4 I _ , .. 22 Other income (loss) items with differences (attach statement) 23 Total income (toss) items, Combine tines 1 through 22 24 Total expense/deduction items, (From Part Ill, line 31) (see instructions) 25 Other Items with no differences 26 Reconciliation totals. Combine lines 23 through 25 . (b) Income (Loss) per Temporary Income Sliatermanl Difference (c) Permanent Difference (d) Income (Loss) per Tax Return r 0 ,. — 577,146 — 577, 146 0 —577_114!6,. --577146 Note: Line 26, column (a), must equal Part I, line 11, and column (d) must equal Form 1065, Analysis of Net Income (Loss), line 1. BAA Schedule M-3 (Form 1065) 2015 PTPA1123 12/11/15 Schedule M-3 (Rim 1t 5) 2015 Pagel apt,.,e a! partnership St1J'a- I r LLC Pert III 1Reconciliation of Net Income Return — Expense/Deduction 45-44 60067 (Loss) per Income Statement of Partnership With Income (Loss) per Items Expense/Deduction Items 1 State and local current income tax expense , 2 Stale and local deferred income tax expense . . . 3 Foreign current income tax expense (other than foreign withholding taxes) 4 Foreign deferred income tax expense 5 Equity -based compensation 6 Meals and entertainment 7 Fines and penalties 8 Judgments, damages, awards, and similar costs 9 Guaranteed payments 10 Pension and profit-sharing 11 Other post -retirement benefits 12 Deferred compensation 13 Charitable contribution of cash and tangible property .. . . . _ . . 14 Charitable conlritxdion of intangible property . . . . 15 Organizational expenses as per Regulations section 1.709-2(a) ,. . . , _ . _ . 1$ Syndication expenses as per Regulations section 1.709-2(b) 17 Current year acquisition/reorganization investment banking fees . . .. . 18 Current year acquisition/reorganization legal one•! ir rtn ;name N1 PA ...VUV1..11V11� (V V4 .. r 4 I I E . 19 Amortization/impairment of goodwill 20 Amortization of acquisition, reorganization, and start-up costs 21 Other amortization or impairment write-offs 22 Reserved 23 a Depletion Oil & Gas b Depletion — Other than 00 & Gas 24 intangible drilling & development costs . 25 Depreciation 26 Bad debt expense 27 Interest expense (see Instructions) . I . t t n t ti ■ • 28 Purchase versus lease (for purchasers and/or lessees) 29 Research and development costs - - _ 30 Other expense/deduction items with differences (attach statement) 31 Total expenseiSduction Irteims, Combine Rime 1 Ihroujh . EnW here and an Pad H. ling 24, reporting. positive airwuit as megative ibrisi taut amts as pnalltva . , I I (a) Expense per Income Statement Ten>frary Oileuremc,i (c) Permanent Difference (d) Deduction per lax. Return 11115:- 0 6. 072 072 343.171. 343, Tt. 349. 243 349243 Schedule M-3 (Form 1065) 2015 PTPA1123 07/22/15 Form 4562 Defterrrrn# of to Tfear■sy I:M.rl'�t Rarenet Simla Depreciation and Amortization (including Information on Listed Property) ►` Attach to your tax return. 499) Information about Form 4562 and its separate instructions is at wwwirs.gov#oneril$62, OMB No. 1545.0172 2015 AlIntirreirot sN. 179 � Nem.Os) shown on rnluln SHAH' Ir- LT�IC lisatitiaire or sthoty 7�,sw•r-h IN; iform lEeelei Fort 1065 T■i,ne 2'2 - Identifying number 45.4460067 Part I 4 Election To Expense Certain) Property Under Section 179 Note: If you have :air listed pmparly, CD.Wiffi969 Part V before Leer.campltefe Part L 1 Maximum amount (see Instructions) PI f P 4 4 to , 2 Total cost of section 179 property placed in service (see instructions) 3 Threshold cost of section 179 property before reduction In limitation (see instructions) 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . 5 Dollar limitation for tax year Subtract line 4 from line 1. If zero or less, enter -0-. if married filing aeperral_, see Sistructions. t. - / I . I $ 6 (al Description of s web, - T 1 1 tl F. 1 • . I • ■ I I I ■ ■ i I I I r •1 I 4 . • I I L • 500.000 2 4 1. : 4 F i1. 3 ■ 1•.■■ t e a 4 • t I I Abi Cost (business use only) ( ) Elected cost 2,000,000. 5 7 Listed property. Enter the amount from line 29 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 9 Tentative deduction. Enter the smaller of line 5 or line 8 10 Carryover of disallowed deduction from line 13 of your 2014 Form 4562 11 Business income limitation. Enter the smaller of business Income (not less than zero) or line 5 (see instrs) 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 13 Comer of disallowed deduction to 2016. Add lines 9 and 10, less line 12 : I I r I 1 7 I ITT lit 1 I ■ I e I t r I I Note: Do not use Part It or Part MT bt bw .for rod f r ty1 in,sreatt use Part V I , e I t • 8 9 10 11 12 13 Pail II Special Depreciation Allowance and Other Depreciation (Do not Include listed peoperiy.) (See ttttpueborrs.y 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) • 15 Property subject to section 168{0(1) election 16 Ober depreciation (Iroduding ACAS'? , / r - Part i:ii MACRS Depreciation (Do not include listed property.) (See Instructions, .1 ■ II t 11 1 L i ./ 11 & a 1 • I. 4 4 •I F - w I 44 F 4 a 4 x a 4 4 .1- ■. II .■ I. J I . • i it i I I. ■ a I I 11 a a . • • o ■ I 14 15 16 Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2015 18 If you are electing lo group any assets placed in service during the tax year into one or more general asset accrouMs, ictsmok here 9 e ! I r• 17 P Section B -- Assets Placed in Service During 2015 Tax Year Using the General Depredation System (a) Ciasslficallon of property (b) Month and year Mat in si,vt a (c) Basis for depnaclatton c■ierme iwnWren! use zniy — rider fnt uctions)_�+�— ([f) Recovery period (e) Conventcn (f) Method (g) Depreciation deduction �.{�.{�� 19 a 31496,prep ty . I I .. . b 5ryea prcp r - 4 ... . c 7-yearproperly . . .... ' .. 1, 546, 431 . 7.0 yrs I HY 200 DB 220 j 919 . d 10 -year ro 1 . • r 12"y L , 1 _ ete2 yry� f 20-yeO. proert# a I. property i i I J■- g≥ Lye trpfopt t 1 .. • • 25 yrs S/L h Residential rental prort1y - , , _ , . . 27 .5 yrs MM SIL 27.5 yrs . MM S/L I Nonresidential real property( III I I , 1 , I 07/15 82 950, 155 , 39 rs MM S/L 105 183 . 07/15 1, 4S2, 419., 39. 0yrs MM S/L - 1 17,069. Section C — Assets Placed in Service During 2015 Tax Year thing the Alternative Depreciation System 20 a Class life . I • . . .1 ■ b 12•yfear. 1sr- 1 �_ I t • Part IV Summary t;see Instructions.) 21 Listed property. Enter amount from line 28 22 Total. Add amounts TRW 101812, lines 14 tlnough 17, lines 19 and 20 in cubmn (g), and line 21, Enter here and on the appropriate lines of yaw return. Parlrlrihlps and S corps diens — see instructions , . . 23 For assets shown above and placed In service during the current year, enter the ration cif the basis attributable to section 263A Este , I . t I I I - 23 BAA For Paperwork Reduction Act Notice, see separate Instructions. 5/L 12 yrs - 40 vrs Etta S/L S/L ■ a I t r ', I r 1 I r, I 21 22 343(171. I r L FDIZ0812 10/27/15 Form 4562 (2015) 15 =4460067 Page eNircr Listed Property (Include automobiles, certain other vehicles. certain aircraft, certain computers, and property used for entertainment, recreation, or amusement) Note:. Fenn 1Oi i are usurp Ntio Stan twrs eele rate or deducting lease expense, complete only 24a, 24b, tokum►rs 40 through (e) of Sateen A, Alf cif Secniori 0, and SE elioo C if applicable. Section A — Depreciation and Other information (Caution: See the Instructions for limits for pa-ssxmeer automobiles.) Form 4562 (2t}15I S HAN 14 LLC 24 a Do you have evidence to support the businessilnvesiment use claimed? - (a) Type of properly (list vehicles first) (b) Date Mist in 6try}Pn (c) hush ) 4r .nnani usri $1,L v (d) Cost or other basis 1 c 9 Li Yes 1 No ,24b if 'Yes,' is the evidence written? . (e) Basis for depreciation (business/Investment use only) (f) Recovery period (9) Method! Convention (h) Depredation deduction 25 Special depreciation allowance for qualified listed property placed in service during the tax year and _Weld mere than 50% eta r ,k> ed busir'as unto [grae irystrr,�rtla- l) - . . 26 Pr€tporty used more than 50% in a qualified business use: 25 Yes Duo (0 Elected section 179 cost 27 Property used 50% or less in a qualified business use: 28 Add amounts in column (h), lines 25 through 27, Enter here and on line 21, par 1 , . , , , a , , _ 29 l r}�j mounts Itr cdurnn fill �r,n . Enr r .i�rttd on Ano T. tt 1 I _ „ 28 p • 129 Section t3 — information on Use of Vehicles Compete his section for vehicles used bye solo oreletot, partner, or other 'more than 5% c".'r.er,' or related person. If you provided vehicles to your employeles, first answer the questions in Section C loo sloe if you meet an except_or; to completing this soelicn for those vetides, 30 31 32 33 34 35 36 Total business/investment miles driven during the year (do not include commuting miles) Total commuting miles driven during the year Total other personal (nancommuting) miles driven . . , . _ , .. .. . .. , . Total miles driven during the year. Add lines 30 through 32 . .. . . . . , , , , , Was the vehicle available for personal use during off -duty hours? Was the vehicle used primarily bar a more than 5% owner or related pecscin? . . . . - . Is another....glide available for .peraortS a -1? 1 r, m _.. j (a) Vehicle 1 (b) Vehicle 2 (c) Vehicle 3 (d) Vehicle 4 (e) Vehicle 5 (f) Vehicle 6 _ i - Yes I No I Yes ! No Yes I No Yes I No Yes No 1 Yes No ,- Section C -- Questions for Employers Who Provide Vehicles for Use by Their Employees .1",oawtw those queens to deterraih-ra if you meet an exception to completing Section B rot vehicles used by employees who are not more than tea ovonen or related persons (see i isttu ions), 37 Do you maintain, a written policy statement that prohibits all personal use of vehicles, including commuting, by your employees? 38 Do you maintain a written policy statement that prohibits poreenal use of vehklr,z, enr.ep1 commuting, by your employees? Ste the instructions for vehicles used by corporate officers, directors, or 1 or more owners . . ,• 39 Do you treat all use of vehicles by employees as personal use?. _ , . , . . . a . , 40 Do Iyou provide more than lien vehicle* bet your employees, obtain information from your employees about the use of the vehicles, end retain the eifarmatficn received? . a Y..'. 1 I 1 I I t ', I I 41 Do you meet the r gslrements concerning quali�lied auicfrobllt r bititiriar;Ibbn use? (Se+e Iti9(, uriions.) Note: If yaw ans war to 37, 38, 39, 40, or is 'Yes,' do 00 convbii? Sectk a 6 for Jho r era. rS yeductes. Par 1....1ADIo Yes (a) Description of costa 03) Date amortization begins (c) Amortizable amount 42 Amortization of costs that begins ter" your 2015 tax yea (sae inseuttior: ); LOAN FE ti 01/15 :84.,296 C' SE r _ 07/01/1,5 60 000 43 Amortization of costs that began before your 2015 tax year I I o flea. Adci am©unts in column jib. See the instructions for where to ties rt - FOIZ0812 10/27115 id) Code section (e) Amortization period or percentage (f) Amortization for 1hls year 195 195 I . 4 a . , ,, 10.00 vrs h I ■ 43 t r 3i 0O 44 Form 4562 (2015) Schedule K -I (Form 1065) Qepdtedni of tln Tret ury IMin& Raven= Samba 2015 For calendar year 2015, or tax year beginning ending Final K-1 Ei Amended K-1 651113 OMB No. 1545-0123 Part Ill:. Partner's Share of Current Year Income, Deductions, Credits, and Other Items 2015 1 Ordinary business income (loss) —288,607 Partner's Share of Income, Deductions, Credits, etc. See separate instructions. Part I p Information About the Partnership A Partnership's employer identification number 45-4460067 Net rental real estate Income (loss) 15 Credits 3 Other net rental income (loss) 16 I Foreign transactions 4 Guaranteed payments B Partnership's name, address, city, state, and ZIP code SEHAN I, LLC 4720 W. 105TH DRIVE WESTMINSTER, CO 80031 5 a Interest Income 34 Ordinary dividends Sb Qualified dividends C IRS Center where partnership flied return OGDEN, UT [Check if this Is a publicly traded partnership (PIP) 7 Royalties i 3.'@ S a @ s a asla0aNMaaa a Net shorl•term capital gain (loss) —a aL Part III j Information About the Partner E Partner's Identifying number 520-08-5876 a Net long-term capital gain (toss) F Partner's name, address, city, state, and ZIP code DAVID AMIN 4720 W. 105TH DRIVE WESTMINSTER, CO 80031 9b Collectibles (28%) gain (loss) 17 Alternative minimum tax (AMT) Items A 27,615. c Unrecaptured section 1250 gain 10 Net section 1231 gain (loss) 18 nGeneral partner or LLC �� !t member-rnimager H © Domestic partner I1 What type of entity is this partner? Limited partner or other —LW member Foreign partner X INDIVIDUAL 12 If this partner is a retirement plan (IRA/SEP/Keogh/etc.), check here Partner's share of profit, loss, and capital (see instructions): Beginning Ending Profit 50.00000 % r0400 00 1 Other income (loss) Loss 50 -00000 X0:.00000 % Capital 50.00000 % 50,0000V_ :— K Partner's share of liabilities at year end: Nonrecourse Qualified nonrecourse financing . Recourse 1 . L S. m I. oo . t . Partner's capital account analysis: Beginning capital account 1 Capital contributed during the year Current year increase (decrease) Withdrawals & distributions • Ending capital account Tax basis Other (explain) M Did the partner contribute property with a built-in gain or loss? ElvetEl No If'Yes', attach statement see Instructions) BAA For Paperwork Reduction Act Notice, see instructions for Form 1065. [ GAAP • r , 5 a X465,. 634 . 1,173.641. 18,508. $ —288,573. • r 553 % $ 733,023. Section 704(b) book 12 Section 179 deduction Tax-exempt income and nondeductible expenses 13 Other deductions S 19 A Distributions 170,553, a e S ASA s -- a a a a a al a 20 I.Other information A 14 Self-employment earnings (loss 34. *See attached statement for additional information. F O R R s s E O Y Schedule K-1 (Form 1085) 2015 PTPA0312 07/22/15 651113 11 Final K-1 0 Amended K-1 OMB ,1a 1545-0123 Schedule K -'I 2015 (Form 1065) For calendar 201 5, tax Part III Partner's Share of Current Year Income, Deductions, Credits, Other Items year or and r: +rrtr! ni of Pt riaatiiry year beginning ,2O16 til la R:evenua 1 Ordinary business income (loss) 15 Credits is :1 Ai ending 67 .._$$ Partner's Share of Income, Deductions, Credits, 2 Nei rental real estate income (loss) _ etc. } See separate instructions. 3 Other net rental Income (loss) 16 Foreign transactions LPart I Information About the Partnership - - - -- - --- 4 Guaranteed payments A Partnership's employer identification number _ 4 5-4 4 6 0 0 6 7 5 interest income B Partnership's name, address, city, state, and ZIP code 34 ,. SHAN I, LLC 4720 W. 105TH DRIVE t3 a Ordinary dividends s7 ............. WESTMINSTER, CO 80031 6 b Qualified dividends C IRS Center where partnership filed return OGDEN, UT 7 Royalties D Check if this is a publicly traded partnership (PIP) 8 Net short-term capital gain (loss) 'Part it `T$ Information About the Partner 9 a Net long-term capital gain (loss) 9 t Alternative minimum iax (AM i) items A 27,615_ E Partner's 653-18-7696 Identifying number 9 b Collectibles (28%) gain (toss) F Partner's MINA name, address, city, state, and ZIP code AMIN 9 c Unrecaptured section 1250 gain 4720 WESTMINSTER, W. 105TH DRIVE CO 80031 10 Net section 1231 gain (loss) 18 Tax-exempt Interne and nondeductible expenses 11 Other income (loss) G flGeneral partner or LLC mumber-marhager Ea Limited partner or other LLCmem __----_—._—_----_--_ r, ,---, m uomestic partner U Foreign partner II SMh.c$ 11Ata nrnnllh,r Ic We nnr{nnr'i _ • ' film if r4 of -nay Uy� IO 11110 Ft" N I W , • - ' ltVLJ1V DUAL - - _ - Iv 1= L.. Ea _ _ .� = L l_ .= 12 If this ;partner Is a retirement plan (IRA/SEP/Keogh/etc.), 19 Distributions check here 12 i Section 179 deduction A 170 552 ` E J Partner's share of profit, loss, and capital (see instructions): , Beginning Ending 13 Other deductions Profit CO - 00000 % 51 SQO _r o _ j 20 Other information Loss 50.00000 % 5 0.000 0 Capital 'Q. ia.O Is 50i_00000 % — --...m_.a" Pi 34. K Partner's share of liabilities at year end: Nonrecourse ,, . 1 1 , , . . .... $ , , _ _ __—__ _—_----_ — Qualified nonrecourse financing. . 1 . 14 Self-employment earnings (loss) Recourse $ } 56$, 634 L. Partner's capital account analysis: r Beginning capital account p . ' . $ 11 17 r L_ *Sec: attached statement foradditi taf information. Capital contributed during the year _ ., ,. $ 18,508 , � Current year increase (decrease) . . .. $ —28 Q4 $ 7 3 . F R Withdrawals &distributions , 1 . .. - . $ 170, 552 . I Ending capital account 1 ,$ 733, 023 . R S X:1It x basis GAAP Q Sectian 704(b) book u t3#her (explain) s E M Did tf-in partner contribute property with a built-in gain or toss? a 0 ties X No N L if Yee, attach:slitr .rent (see In's'tructions Y QA A C.... 6..-........t. d. -F.. _al_� a _. •a__ie ___ _. - - , see Instructions for Form 9065. Schedule K•1 (Form 1065) 2015 PTPA0312 ©7/22116 Y t9 C o o Ui 0 0 a Q Ct it O E C t9 .2 a. O two in H 0 u Current Depreciation 105.1-83 56,411 to .-I CO a tD I -I rn 1.1, 0 r ri In in ID m ri N H m icy Cn 343, 171 1 CI N O M O O O m N N o to N r 0 tD r — Prior Depreciation O l OO u c a c CD c Teo {.) I7.00 I 200DB/HY `, N 39.00 i SL /ME • N i w J O O Depreciable Basis In Ir1 ri Ln 04 41 N O rn N O N N .-t Q1 r4 1 In H 25, 850 It) r O �' r I rI I!'i o O cM ri rf lD m N cc O e 4. ID L-_ 244,296 I 244.2961 - r. �j I Special Depreciation Allowance f I Ca I ,r r ' Section 179 0 4n .a Vt p = 0 0 r1 0 0 r-1 0 0 r♦ 0 o r-1 o 0 I -I flo 0 r-1 a 0 ri = 3 Q 1 O o O N r 000'00L 000'00L Imo- - Cost (net of land) 8,950,155 394,579 cv Q r- 4, in (VIM r i 011 .-1 a' . In r-i U) (0 . N 11,949,005 in o 4 0 . cr rd ra I to 01O N . 0o 0 O . tip' (_ r 244,2961 244,2961 'IN r4 0 a 5-1 •••,...ri r -t 0 a Cade Date in Service In H ..tl o O in Y'1 Ni... ra o a 07/01/15 V: r'1 %.,.. r' o; a to r•-1rl rl O a _ y IMMI _. I lal, ,. I !AMORTIZATION LOAN FEES FRANCHISE FEES d. SUBTOTAL CURRENT YEAR 1 � Asset Description I Z 0 4.4 W 1 -{Fri al EQUIPMENT FURNITURE & FIXTURES I BUILDING I EQUIPMENT SUBTOTAL CURRENT YEAR TOTALS KI; HAi I O O 4 2 I Un Il (/) O C? SHAN I, LLC 45-4460067 1 Form 1065, Line 20 Other deductions ACCOUNTING 790. ADVERTISING 1,799. AMORTIZATION 6,072. BANK CHARGES 9,.403. DUES AND SUBSCRIPTIONS _ 240. INSURANCE OFFICE EXPENSE POSTAGE SUPPLIES TELEPHONE UNIFORMS UTILITIES 31,215. 7,292. 85. 202,228. 8,511. 2,696. X603. SECTION 179D _ 127,629. BEVERAGE PURCHASE CABLE TV FRANCHISE FEES LANDSCAPING 3,547. 2,805. 42,908e 48,256. LODGING FOR CONTRACTORS 2,180g t'4U.511.; ..__S_w IN LOBBY itii. REFUNDS INTERNET TRANSPORTATION 324s 19,935. 1,250. TRASH REMOVAL 540, Total 541 691, Deuartmenter Use Oni - Form 106 (08/10/16) COLORADO DEPARTMENT OF REVENUE Colo Denver, CO D0261-0006 (0043) Pass -Through Entity 2015 and Composite Nonresident itncomle Tax Form 146 -ar- iF,,yflgIflfljflg (MM1DR115): Ending{MM10A1YY}: , Mark for Amended Return 150106 11030 Name e' Orgmtegion SHAH I, LLC Oaratla.Accounl Number •45-4460067 Dalt; Niimislod,,.,t •$tlitd Ettivbffig ID Number 045-4460067 4720 . 105TH DRIVE ESTMINSTER amps Co80031 yip Jr you are attaching a statement disclosing a listed or reportable transaction, check this box • II A. This return is being filed for (check one): • Partnership I S Corporation fb..Xt LLC I LP LLP J LLLP Association Non -Profit B. Beginning depreciable assets from federal return • 6413748 C. Ending depreciable assets from federal return * 11949005 D. Business or profession RENTAL E. Date of organization or incorporation eetworIYY) 02/06/12 F. If this is a final return, check this box 0 �I C. If the IRS has made any adjustments to your federal return or have you flied amended federal returns during the last four years, check this box H. Number of partners or shareholders as of year end 2 Explain: Part I: Computation of Colorado Income Round to the nearest dollar 1. Ordinary income from line 1 federal Schedule K e 1 — 5 7 7 214 $ 0 2. Total of all other income • 2 68 3. Modifications increasing federal Income • 3 4. Total of lines 1 2 and 3 4 -577146 DO 5. Allowable deductions from federal Schedule K • 5 i 0 0 6. Colorado Marijuana Business Deduction • 6 00 i 1 7. Other modifications decreasing federal income a 7 8. Total. of lines 5 through 7 8 9, Line4minusline8 9 -577146 • t1 10. Colorado Source income from (mark one): -577146 1 i Part IV 9 Other (attach explanation) >' Income is all Colorado Income • 10 File at: www.Cotorado.gov/RevenueOntrne - or - Mail to and make checks payable to; Colorado Department of Revenue Denver, CO 80261-0006 COSZ0101 01/15/16 11111111 d i 6 i i u i i i 1 q i 150106 21030 di Form 106 (08/10/15) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006 Form 106 Part II Name - SHAN I LLC Pawl bJurnM{ 45-4460067 Part II: Composite Nonresident Income Tax Return Do not (=prate lines 11-31 unless ycci are filing a curaposrie nonresident return. 11. Colorado —source Income of nonresident partners/shareholders electing to be included In this con trslle filing a 11 0 0 12. Tax; 4.63% of the amount on line 11 ,e 12 0 00 13. 106CR credits allocated to these partners/shareholders/members (e itxie lines 19 !!sough 22, and lines 25 through 26, Form 106CR) • 13 Ori 14. Nonrefundable Erdeirprin Zone credits — as calculated, or from DR 1366 line 87 a 14 0 15. Certified auction group license fee credit allocated to these arinsraharehokierairmeepbeire,• 15 0 16; Total of lines 13_14 and 15 16 17. Net lax, line 12 minus line 16 17 I 0 00 . Estimated Tax credits and extension parivints. a 18 0 j .I 19. Withbokilrtp from brew or garnbilec winnings s 19 0 20, Gross conservation easement credit allocated to these padners/shareholders/members. from DR 1305G Line 33 • 20 0 . it - - 21. Innovative Motor Vehicle peibttettedsliareholderstrniumbers Credit from form DR 0617 allocated to these • 21 - - --- 0 C 22. _ Reilindeble Refseviabic Energy Tax Credit from fine 88 of form DR 1366 • 22 0 . 23. Business Personal Property Credit: Use the worksheet In the DR 106 Book irlgtrticUnns to ralcuslatP st!hm!t •--+R,! of ae-eQeanr'a statement _ 23 n �? Li 24. Subtotal; add lines 16 to 23 24 0 rJ 25. Penally flrocititlei on Line I) 25 {{ I Gr rte. ilk Mimes, ilricludtc on Line 28) • 26 0 C 27. Estimated tax penalty (lnclixle on Line 25) a 27 I 0 D. �1.!, f rare 17 lit tiretsr nun lima 24, sell. caked a! 0 r:1f l 29. rproll I1ne 24 minus line 17 29 Q ii I 30. Qi rpzy!modrilto be credited to 2016 estimated tax is 30 0 ►0 31. Overipaymeal Ica be refunded 31 ,� A t ti _ I declare this return to be true, correct and complete under penalty of perjury in the second degree. Declaration of preparer is based on all information of which preparer has any knowledge. COSZ0101 11102/16 i a i 150106 31030 im i u i i i u Form 106 (08/10115) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006 Form 106 Part II Name SHAN I, LLC �45-4460067 Account Number Direct Routing Number Type: LI Checking Savings Deposit Account Number l I May the Colorado Department of Revenue discuss this return with the paid preparer shown I Yes No below (see instructions)? Signature of partner or signature and tills of officer Date (MMIDR/YY) Pw*enor flan preparing return (name and phone number) TNT ENTERPRISES INC (303) 237-6695 Date (MM/DO/YY) 03/12/16 This 51.1. may carniel MI, chock la a urn umsaebotiE anthill li r .1.3 ilon_ Your bank a remiai nay tc thane egos lirw nit* iiri Rtitind try Pmi Srlitt4 ; rig -e sr Wan Wit tit' KU A I inetni Asp le) Tosultict i*t or raeotowled Sias I'M rrr#tia'il c1 rants Y0u; t aorAl�lll xa C0SZ0101 10/26/15 ill 150106 41030 ICH Form 106 (03/10/15)HMI'13MIIIIII Form Denver, ( DEPARTMENT OF REVENUE 0 Form 106 Part rll Do not submit federal K-1 schedules. III We SHAN I, LLC I�YSr) 4AA hooter 45-4460067 Part Part III _ III: Identification of Partners, Shareholders or Members nYtt . be Carr iilelnd for each pafire tshaaaho&lei;rrrmntku r. DO NOT submit federal K-1 schedules. Name of Partner, Shareholder or Member DAVID AMIN SSN or Colorado Account Number 520-08-5876 Address of artner. Shareholder or Member _ T 4720 W. 105TH DRIVE WESTMINSTER CO 80031 ProfitlLoss or Stock Ownership Percentage CI Composite I 10107 Attached El 0108 Filed 50.00000 Name of Partner, Shareholder or Member MINA AMIN SSN or Colorado Account Number 653-18-7696 Address of Partner, Shareholder or 4720 W. 105TH Member DRIVE WESTMINSTER CO 80031 ProfitLoss or Stock Ownership Percentage 50.00000 I, I Composite 0107 Attached L__I 0108 Filed Name of Partner, Shareholder or Member SSN or Colorado Account Number Address of Partner, Shareholder or Member Profit/Loss or Stock Ownership Percentage Composite F I 0107 Attached I I 0108 Filed Name of Partner, Shareholder or Member SSN or Colorado Account Number Address of Partner, Shareholder or Member I i IVIIULVOO VI VIVOI% VWIIOI.l111F! raiben'taws I I Composite [I 0107 Attached � I 0108 Filed Name of Partner, Shareholder or Member Ii SSW or Colorado Account Number J Address of Pawner, Shareholder or Member FrofrtrLose or Stock Ownership Percentage I�I Composite I .1 0107 Attached LI 0108 Filed Name or Partner, Shareholder or Member 58W or Colorado Account Number Address of Partner, Shareholder or Member Profitlloss or Stock Ownership Percentage Composite 0107 Attached I 0108 Filed Name of Partner, Shareholder or Member 8SN or Colorado Account Number Address of Partner, Shareholder or Member Profit/Loss or Stack Ownership Percentage CI Composite I I 0107 Attached 0108 Flied P'hb<ncc li j this tat! for additional partners as needed. CO$Z0103 10116/15 Schedule�� Form 106 Colorado S Cor orationlPartnership Schedule -K-1 Equivalent For calendar year or fiscal year 2015 Beginning 2015 and ending Partnership S -Corporation X� LLC LP LLP LLLP Final K-1 Amended K-1 General Information Shareholder/Partner Identification No. 520-08-5876 Shareholder/Partner Name, Address and ZIP Code DAVID AMIN 4720 W. 105TH DRIVE WESTMINSTER CO 80031 S-Corporation/Partnership Identification No. 45-4460067 S-Corporation/Partner Name, Address and ZIP Code S]'1II . I I . I,I,r 4720 W. 105TH DRIVE WESTMINSTER CO 80031 Profit/Loss or Stock Ownership Percentage . .. I- .a 11 1 e. It'llI 11 50 .00000 Check box if Colorado nonresident I I. - IIIII. I I I. I . Ia. I I Non -Resident Information 1 Shareholder/Partner Is included in composite non-resident tax return Amount of Colorado composite payment made on behalf of shareholder/partner . 2 Colorado tax withheld from shareholder/partner and remitted with Form DR 0108- . I . r 3 Form DR 0107 was filed by taxpayer- .4 _ J I t I a I I I; t I Shareholder/Partner Share of Colorado income and Credits Income Amounts A Cotcrmdo source Income (loss) . . o I B Guaranteed payments - Addition to Colorado source income C Guaranteed payments - Deduction from Colorado source income D Adjusted Colorado source income (loss) (A + B - C) .. - 1 t , I I I • I r it! M -288573 -288573 Credits from Form 106CR 1 The old Investment credit (can only be claimed by C Corporations) . . , .. 2 The new investment credit (can only be claimed by C Corporations) . - . a Y t 1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Historic property preservation credit .. Child care contribution credit Child care center family care home investment credit Employer child care investment credit School to career investment credit . - . Colorado works program credit . ... . Remediation of contaminated land credit . Aircraft manufacturer new employee credit Colorado Job growth incentive credit. Credit for advanced industries . Alternative fuel refueling facility credit . Nonrefundable alternative fuel vehicle credit carryforward Gross conservation easement credit Innovative motor vehicle credit . . .. . - . . Certified auction group license fee credit Non-refundable enterprise zone credits (Form DR 1366, line 87) . Low-income housing credit Credit for food contributed to hunger -relief charitable organizations Refundable renewable energy tax credit (Form DR 1366, line 88) Business Personal Property Credit I t I a . I I . . . I t I a • I Slit .a I I I I I I I I - I t I I t I I '1 I r I I • Y Y I • • t I - •i I. a i a i I ■ • • ■ 't I' t • I- 4 a a Is I I. I I' ■ • M • • I r i I u• ✓ ef I. i • i a a • . ▪ . 3 4 5 6 8 9 10 11 12 13 14 15Q 16 17 18 19 20 21 22 Form DR 1366 Enterprise Zone Credits - to be used in completing Form DR 1366 for non -composite fliers 1 Investment Tax Credit . ... I ... . .... - • , F i 2 Commercial Vehicle Investment Tax Credit ... b a 3 Renewable Energy Investment Tax Credit.... 4 New Business Facility Employee Credit .. 5 Enhanced Rural New Business Facility Employee Credit 6 Ag Processing Employee Credit • • I I 66•I•• i is I. F 0 .f 4 I. I I I I s I r e I Ira I ai F, O Ir. • j. II ,I F F 4 I F .I I a I. ■ Lila I. i a I 1 1 2 3 4 6 Sc� d��ule Form 106 Colorado S Corporation/Partnership Schedule4Equivalent For calendar year ar Fiscal year 2015 Partnership S -Corporation General Information Beginning 120151 and ending LLC LP Shareholder/Partner Identification No. 653-18-7696 Shareholder/Partner Name, Address and ZIP Code MINA AMIN 4720 w 105111 'RIVE LLP LLLP WESTMIFISTIP. CO ,80011 Final K-1 Amended K-1 sporattorfrartnssr!hie Identification No. 45-4460067 S-Casporetixnie>*tier Name, Address and ZIP Code SHAM I, t.f1C 172 W. 105nr DRIVE WESTMiNSTER Profit/Loss or Stock Ownership Percentage . . I CO 80031 « 1 • - 1 1 r . 1 50.00000 Check box If Colorado nonresident I I I I 1 ,• - !.•. 4•. 4 4 4 1 4 1 1 • Ci NonResident Information 1 Shareholderl+Pr rtnor is included in composes non-resident tax return Amount of Colorado composite payment made on behalf of shareholder/partner . - : ,. 2 Colorado tax withheld from shareholder/partner and remitted with Form DR 0108. - . 3 Form DR 0107 was filed by taxpayer Shareholder/Partner Share of Colorado Income and Credits Income Amounts A Coioredo source Income (loss) B Guaranteed payments - Addition to Colorado source income . . C Guaranteed payments - Deduction from Colorado source income D Adjusted Colorado source income (loss) (A + B - C) . . . 1 a 4 j. .. . - • 1 r• -! 1 e r u■• f! y - 288573 - 288573 Credits from Form 106CR 1 The old investment credit (can only be claimed by C Corporations) . . , , , , 2 The new investment credit (can only be claimed by C Corporations) .. . 1 2 3 Historic property preservation credit 4 Child care contribution credit . 5 Child care center family care home investment credit 6 Employer child care investment credit 7 School to career Investment credit .. ...... . ........ . 1 1 1 . a tin 8 Colorado works program credit 9 Fyy#�em�n�ey dIa1Ionn offcontaramirnate contaminated land credit credit I. - 4 :. 1 a r 10 Aircraft manufactures empt a it r al . a r., T s■ d 11 Colorado Job advanced Incentive edit - 12 Credit for •advanced us s. , . . - j r. 1 • ■ • .1 « • 4 e ■ r 13 Aliernallve fuel refueling Bitty aedll . , .. , . i I 8118 14 Nonrefundable alternative fuel vehicle eredl:lt c*rryfonveed , , t • 1 1 i a « • I P 15 Gross conservation easement credit ,. 1 , . • 1 I. - 1 16 innovative rector vehicle credit t e M , , , - ■ 4 , e • a . c . u u r } 17 Certifled aucEton group license Fee erode ... c a I. , , r . r 4, 18 Non-refundable enterprise zone Alta (Fib DR 1366, line en 19 Low-income housing credit • 20 Credit for food- oonir7ibuted 10 hunger -relief charitable organizations. 21 Refundable renewable energy lax credit (Forrn DR 1360, line 88) . 22 Business Personal Pr erty Credit. • • 1 e • . 1 1' r peal • ■ i1 Ilia .j 1 e 1 1 1 6 4 I . .. 1 • III+ 4. r e.. u. 44 / e 1 1 • 1 . ■ I L 4 j • t 1 1 . .4 • 1 1 • 1 1 1 a 3 5 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Form DR 1366 Enterprise Zone Credits - to be used in completing Form DR 1366 for non -composite filers 1 kavesi11'1ent Tax Credit . u Commercial ,l Vehicle Investrnont Tax goat , ... , 3 Renewable Energy investment Tex Credit, .. - - , 4 New Business Facility Employee Credit .. , . r • 1 1 a 5 Eth aced Rural New Susinoss Facility Employee Credit 0 Ay Processing Employ Credit - . .1 It et r a 1 1 • 1ft re is 1 • 4 •41 12 1 u■ 1 e• 6 1 P. a$ e tl 4 1 1 9. 4 ■• al a 4 ■ 1 1. 4 h e t . ▪ •. 4. r e r• I 4• 4 2 3 4 5 6 July 22, 2016 Petitioner: SHAN I LLC 4720 W 105TH DR WESTMINSTER, CO 80031-1974 CLERK TO THE BOARD PHONE (970) 400-4226 FAX (970) 336-7233 WEBSITE: www.co.weld.co.us 1150 O STREET P.O. BOX 758 GREELEY CO 80632 Agent (if applicable): RE: THE BOARD OF EQUALIZATION 2016, WELD COUNTY, COLORADO NOTIFICATION OF HEARING SCHEDULED Docket #: 2016-2224, AS0094 Appeal #: 2008211167 Hearing Date: 8/4/2016 10:00 AM Account(s) Appealed: R8941979 Dear Petitioner(s): The Weld County Board of Equalization has set a date of AUGUST 4, 2016, at or about the hour of 10:00 AM, to hold a hearing on your valuation for assessment. This hearing will be held at the Weld County Administration Building, Assembly Room, 1150 O Street, Greeley, Colorado. You have a right to attend this hearing and present evidence in support of your petition. The Weld County Assessor or his designee will be present. The Board will make its decision on the basis of the record made at the aforementioned hearing, as well as your petition, so it would be in your interest to have a representative present. If you plan to be represented by an agent or an attorney at your hearing, prior to the hearing you shall provide, in writing to the Clerk to the Board's Office, an authorization for the agent or attorney to represent you. If you do not choose to attend this hearing, a decision will still be made by the Board by the close of business on August 5, 2016, and mailed to you within five (5) business days. Because of the volume of cases before the Board of Equalization, most cases shall be limited to 10 minutes. Also due to volume, cases cannot be rescheduled. It is imperative that you provide evidence to support your position. This may include evidence that similar homes in your area are valued less than yours or you are being assessed on improvements you do not have. Please note: The fact that your valuation has increased cannot be your sole basis of appeal. Without documented evidence as indicated above, the Board will have no choice but to deny your appeal. If you wish to obtain the data supporting the Assessor's valuation of your property, please submit a written request directly to the Assessor's Office by fax (970) 304-6433, or if you have questions, call (970) 353-3845. Upon receipt of your written request, the Assessor will notify you of the estimated cost of providing such information. Payment must be made prior to the Assessor providing such information, at which time the Assessor will make the data available within three (3) working days, subject to any confidentiality requirements. Please advise me if you decide not to keep your appointment as scheduled. If you need any additional information, please call me at your convenience. Very truly yours, BOARD OF EQUALIZATION Esther E. Gesick Clerk to the Board Weld County Board of County Commissioners cc: Christopher Woodruff, Assessor Hello