Preview
FILED: SUFFOLK COUNTY CLERK 04/12/2024
12/17/2021 11:02
06:34 AM
PM INDEX NO. 623377/2021
NYSCEF DOC. NO. 69
5 RECEIVED NYSCEF: 04/12/2024
12/17/2021
EXHIBIT 3
FILED: SUFFOLK COUNTY CLERK 04/12/2024
12/17/2021 11:02
06:34 AM
PM INDEX NO. 623377/2021
NYSCEF DOC. NO. 69
5 RECEIVED NYSCEF: 04/12/2024
12/17/2021
SCHEDULE B-1 Information on Partners Owning 50% or
(Fonn 1065) More of the Partnership
**®"'"a"²°") OMBNo.15454123
Þ Agach to Fonn 1065
Department oftheTreasury
InkmalRevenueService Þ GOto WWW.irs.gov/Form1065for the latest information.
Namear partnership Employer
idenliticacon
number(EIN)
130 REAL ESTATE NY LLC
|Part I | Entities Owning 50% or More of the Partnership (Form 1065, Schedule B, Question 2a)
Complete colurnns (i) through (v) below for any foreign or domestic corporation, partnersNp (including any ently treated as a
partnersNp), trust, tax-exempt organization, or any foreign government that owns, directly or indirectly, an Interest of 50% or more in
the profit, loss, or capits of the partnersNp (see instructions).
(ii)urnployer
(1)Nameor Entity (iii)Typeor Enay Country Percentage
Owned
oforg. InPro11t,
Lose,
0Fany)
orCapital
| Part II | :iid:.‡‡ale or Estates Owning 50% More o Partne ip orm 106 , Schedule B, Quas§on 2b)
Complete colunns (1)through (iv) below for any Individual or e that own directly, an Interest of 50% or more in the
profit, loss, or capital of the partnersNp (see instructio
ov)Maxirnum
OwnedIn
Percentage
0) Nameof Individual e denlifyingNumber
cr any) orCapital
XIAOHE LIU US 100
CHUANGXIA C CH 85
Paperwork Reduct,cr; Act Notice, see the Instructions for Forrn 1065. ScheduleB-1(Form1085)(Rev.9-2017)
FILED: SUFFOLK COUNTY CLERK 04/12/2024
12/17/2021 11:02
06:34 AM
PM INDEX NO. 623377/2021
NYSCEF DOC. NO. 69
5 RECEIVED NYSCEF: 04/12/2024
12/17/2021
651118
""ª'"' ^"°"** ' °"S"°'"™ªª
2018
Schedule K-1 Part lil Partner's
| Share of Current YearIncome,
(Form 1065 na,hietirms, Credits, and Otheritems
Departmentofthe reasury
IntemalRevenue Service year2018,ortaxyear
Forcalendar 1 Ordinarybusiness
income(loss) 15 credits
beginnma05-22 , 2018 endmg12-31 .20 18
Partner's Share of Income, Deductions,
2 Netsedalnudmtateince h
Credits, etc. > seepage2orvormand m. 3 othernetrentalIncome(loss) 16 ForeigntransacGons
IPat I I lñfamatian Aboutthe Partnership
A employer
Pennership's number
identificaUon 4 Guanmtead
payments
B name,address.clly.state.andZIPcode
Partnership's 5 Enterest
income
130 REAL ESTATE NY LLC
68 Ordinarydividends
130 WEST 10TH STREET
Huntington Station, NY 11746 6b dMdends
C tiledreturn
IRSCenterwherepartnership equivalents
6C Dividend
efile
D CheckIthis is a publiclytmdedpartnership
(PTP) 7 Royalties
Part II | Information About the Partner 8 Netshort-term
cap n lo 17 Altemative
minimumtax(AMT)tems
E Partner'sidentifying
number
9a Netlong- o
F city,state,andZIPcode
Padnefsname,address,
XIAOHE LIU 9b a n 0oss
11 CLINTON COURT
Staten Island, NY 10301 9c u tured 1 incorneand
18 Tax-exempt
nondedu b expen
G GeneralpartnerorLLC Limitedpartneror r LLc 10 Net (oss)
H Domestic
parlner Foreignpartner (loss)
11 Whattyped agmyb thh INDI) IbL1
12 If this partneris a retirementplan (IRA/SEP."-wa ), her 19 Distnbutions
J PannersshareWpnR, kma,andca I nstru
Beginning . g
Prdit 100.000naan % 0 0 12 Sec6on179deduction
Loss 100.000R 1f$Q B0 20 oinari,e-anon
C.pnal 15.00 00 % 1500 0 % 13 Otherdeductions
K Partner's
shareofliabAWes:
ing Ending
Nonrecourse. . . .
f‡nT,"°""°°"""
s 2,252,000 - 14 Golf-employment
eamings(loss)
Reco- ..... s $ *
Z STMT
L Partner's
capitalaccountanalysle:
Beginningcapitalaccount . . . .. . $
Capitalcontributed
duringtheyear .. s 83,295 *See attached statement for addmonal it formation.
Cur,antyearacrease(dec,.ase) ... $ (24,804)
-
& distribullons . . . . .
Withdrawale s (
snanguapna ....... s 58,491
Taxbasis GAAP Section704(b)book
Other(explain)
M Didthepartnercontribute
propertywitha buit-Ingainor loss? . O
Yes No
If "Yes,"attachstatement
(seeInstructions)
For PaperworkReductionAct Notice, see Instructionsfor Form 1065. www.irs.gov,"-=1CSS ScheduleK-1 (Form 1065) 2018
EEA
Preview
FILED: SUFFOLK COUNTY CLERK 04/12/2024 12/17/2021 11:02 06:34 AM PM INDEX NO. 623377/2021 NYSCEF DOC. NO. 69 5 RECEIVED NYSCEF: 04/12/2024 12/17/2021 EXHIBIT 3 FILED: SUFFOLK COUNTY CLERK 04/12/2024 12/17/2021 11:02 06:34 AM PM INDEX NO. 623377/2021 NYSCEF DOC. NO. 69 5 RECEIVED NYSCEF: 04/12/2024 12/17/2021 SCHEDULE B-1 Information on Partners Owning 50% or (Fonn 1065) More of the Partnership **®"'"a"²°") OMBNo.15454123 Þ Agach to Fonn 1065 Department oftheTreasury InkmalRevenueService Þ GOto WWW.irs.gov/Form1065for the latest information. Namear partnership Employer idenliticacon number(EIN) 130 REAL ESTATE NY LLC |Part I | Entities Owning 50% or More of the Partnership (Form 1065, Schedule B, Question 2a) Complete colurnns (i) through (v) below for any foreign or domestic corporation, partnersNp (including any ently treated as a partnersNp), trust, tax-exempt organization, or any foreign government that owns, directly or indirectly, an Interest of 50% or more in the profit, loss, or capits of the partnersNp (see instructions). (ii)urnployer (1)Nameor Entity (iii)Typeor Enay Country Percentage Owned oforg. InPro11t, Lose, 0Fany) orCapital | Part II | :iid:.‡‡ale or Estates Owning 50% More o Partne ip orm 106 , Schedule B, Quas§on 2b) Complete colunns (1)through (iv) below for any Individual or e that own directly, an Interest of 50% or more in the profit, loss, or capital of the partnersNp (see instructio ov)Maxirnum OwnedIn Percentage 0) Nameof Individual e denlifyingNumber cr any) orCapital XIAOHE LIU US 100 CHUANGXIA C CH 85 Paperwork Reduct,cr; Act Notice, see the Instructions for Forrn 1065. ScheduleB-1(Form1085)(Rev.9-2017) FILED: SUFFOLK COUNTY CLERK 04/12/2024 12/17/2021 11:02 06:34 AM PM INDEX NO. 623377/2021 NYSCEF DOC. NO. 69 5 RECEIVED NYSCEF: 04/12/2024 12/17/2021 651118 ""ª'"' ^"°"** ' °"S"°'"™ªª 2018 Schedule K-1 Part lil Partner's | Share of Current YearIncome, (Form 1065 na,hietirms, Credits, and Otheritems Departmentofthe reasury IntemalRevenue Service year2018,ortaxyear Forcalendar 1 Ordinarybusiness income(loss) 15 credits beginnma05-22 , 2018 endmg12-31 .20 18 Partner's Share of Income, Deductions, 2 Netsedalnudmtateince h Credits, etc. > seepage2orvormand m. 3 othernetrentalIncome(loss) 16 ForeigntransacGons IPat I I lñfamatian Aboutthe Partnership A employer Pennership's number identificaUon 4 Guanmtead payments B name,address.clly.state.andZIPcode Partnership's 5 Enterest income 130 REAL ESTATE NY LLC 68 Ordinarydividends 130 WEST 10TH STREET Huntington Station, NY 11746 6b dMdends C tiledreturn IRSCenterwherepartnership equivalents 6C Dividend efile D CheckIthis is a publiclytmdedpartnership (PTP) 7 Royalties Part II | Information About the Partner 8 Netshort-term cap n lo 17 Altemative minimumtax(AMT)tems E Partner'sidentifying number 9a Netlong- o F city,state,andZIPcode Padnefsname,address, XIAOHE LIU 9b a n 0oss 11 CLINTON COURT Staten Island, NY 10301 9c u tured 1 incorneand 18 Tax-exempt nondedu b expen G GeneralpartnerorLLC Limitedpartneror r LLc 10 Net (oss) H Domestic parlner Foreignpartner (loss) 11 Whattyped agmyb thh INDI) IbL1 12 If this partneris a retirementplan (IRA/SEP."-wa ), her 19 Distnbutions J PannersshareWpnR, kma,andca I nstru Beginning . g Prdit 100.000naan % 0 0 12 Sec6on179deduction Loss 100.000R 1f$Q B0 20 oinari,e-anon C.pnal 15.00 00 % 1500 0 % 13 Otherdeductions K Partner's shareofliabAWes: ing Ending Nonrecourse. . . . f‡nT,"°""°°""" s 2,252,000 - 14 Golf-employment eamings(loss) Reco- ..... s $ * Z STMT L Partner's capitalaccountanalysle: Beginningcapitalaccount . . . .. . $ Capitalcontributed duringtheyear .. s 83,295 *See attached statement for addmonal it formation. Cur,antyearacrease(dec,.ase) ... $ (24,804) - & distribullons . . . . . Withdrawale s ( snanguapna ....... s 58,491 Taxbasis GAAP Section704(b)book Other(explain) M Didthepartnercontribute propertywitha buit-Ingainor loss? . O Yes No If "Yes,"attachstatement (seeInstructions) For PaperworkReductionAct Notice, see Instructionsfor Form 1065. www.irs.gov,"-=1CSS ScheduleK-1 (Form 1065) 2018 EEA