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4          State of Rhode Island Division of Taxation                                                                                                                                                       4
5          2023 RI-1065                                                                                                                                                                                     5
6          Partnership Income Return                                                                           23110599990101                                                                               6
7                                                                                                                                                                                                           7
8  Federal employer identification number       RI Secretary of State ID number                                Reserved for 2D barcode                                                                      8
9                                                                                                                                                                                                           9
                                                                                                                                                                              
10 999999999                                    999999999999999                                                                                                                                             10
11 For the taxable year from                                                                                                                                                                                11
12                           MM/DD01/01/2023     through      MM/DD/YYYY12/31/2023                                                                                        x: 5.25 in                        12
13 Name                                                                                                                                                                                                     13
                                                                                                                                                                          y: 1.25 in 
14 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXAddress 1                                                                                                                       w: 2.50 in                        14
15                                                                                                                                                                                                          15
                                                                                                                                                                          h: 2.75 in
16 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                                                                  16
17 Address 2                                                                                                                                                                                                17
18 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                                                                  18
19 City, town or post office                                  State                             ZIP code                                                                                                    19
20 XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                              XX                                   99999                                                                                                    20
21 E-mail address                                             NAICS code                                                                                                                                    21
22 XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                              99999999999                                                                                                                                   22
23    Initial                Short        Pro-  Final                                              Amended                                                                                                  23
24    Return                 Year         Forma Return                                             Return                                                                                                   24
25                                                                                                                                                                                 Address                  25
26 Entity type:   LLC                     LLP   LP                                                 Partnership SMLLC                                                               Change                   26
27                                                                                                                                                                                                          27
28                                                                                                                                                                                                          28
29                                                                                                                                                                                                          29
30 A Gross Receipts...............................................................................................................................................     A   9999999999999 99                 30
31                                                                                                                                                                                                          31
32 B Depreciable Assets.........................................................................................................................................       B   9999999999999 99                 32
33                                                                                                                                                                                                          33
34 C Total Assets..................................................................................................................................................... C   9999999999999 99                 34
35                                                                                                                                                                                                          35
36                                                                                                                                                                                                          36
   Schedule A - Computation of Tax              Attach a complete copy of all pages and schedules of the federal return including all K-1’s
37                                                                                                                                                                                                          37
38                                                                                                                                                                                                          38
39 1 Federal taxable income .................................................................................................................................          1   9999999999999 99                 39
40                                                                                                                                                                                                          40
   2 Total Deductions from page 2, Schedule B, line 1e ........................................................................................                        2
41                                                                                                                                                                         9999999999999 99                 41
42                                              DRAFT                                                                                                                                                       42
   3 Total Additions from page 2, Schedule C, line 1f ............................................................................................                     3
43                                                                                                                                                                         9999999999999 99                 43
44                                                                                                                                                                                                          44
   4 Adjusted taxable income.  Line 1 less line 2 plus line 3..................................................................................                        4
45                                                                                                                                                                         9999999999999 99                 45
46                                                                                                                                                                                                          46
   5 Rhode Island Apportionment Ratio from page 4, Schedule I, line 5 ...............................................................                                  5
47                                                                                                                                                                           _  .  _ 0.999999_  _  _  _  _  47
48                                                                                                                                                                                                          48
   6 Apportioned Rhode Island taxable income.  Multiply line 4 times line 5 .........................................................                                  6
49                                                                                                                                                                         9999999999999 99                 49
50                                                                                                                                                                                                          50
   7a Rhode Island Annual Fee - $400.00...............................................          7a                                                                     IMPORTANT: If entity is a general 
51                                                                                                 9999999999999 99                                                    partnership, enter 0 on lines 7a and 51
52                                                                                                                                                                     7b. No annual fee is due.            52
    bJobs Growth Tax............................................................................09/26/20237b                                                           All others continue to line 7a.
53                                                                                                 9999999999999 99                                                                                         53
54                                                                                                                                                                                                          54
                                                                                                                                                                           being reported on line 7b.
55  c RI Pass-through Withholding from RI Schedule PTW, line 13.....                            7c 9999999999999 99                                                        Check if a Jobs Growth Tax is    55
56                                                                                                                                                                                                          56
57  d RESERVED FOR FUTURE USE...................................................                7d                                                                                                          57
58                                                                                                                                                                                                          58
59 8a TOTAL TAX AND WITHHOLDING. Add lines 7a through 7d..........................................................................                                     8a  9999999999999 99                 59
60                                                                                                                                                                                                          60
61                                 Due on or before the 15th day of the 3rd month following the close of the taxable year                                                                                   61
62                                 SMLLC entities please see instructions for information on the due date of your return                                                                                    62
        1111111111222222222233333333334444444444555555555566666666667777777777888
34567890123456789012345678901234567890123456789012345678901234567890123456789012Mail to RI Division of Taxation - One Capitol Hill - Providence, RI 02908

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4          State of Rhode Island Division of Taxation                                                                                                                                                          4
5          2023 RI-1065                                                                                                                                                                                        5
6          Partnership Income Return                                                                                  23110599990102                                                                           6
7                                                                                                                                                                                                              7
8                                                                                                                                                                                                              8
   Name                                                                                                                                                                  Federal employer identification number
9                                                                                                                                                                                                              9
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                               99-9999999                            10
11                                                                                                                                                                                                             11
12                                                                                                                                                                                                             12
13 8 b Total tax and withholding from page 1, Schedule A, line 8a............................................................................                         8b 9999999999999 99                      13
14                                                                                                                                                                                                             14
15 9 a Payments made on 2023 declaration of estimated tax..................                       9a 9999999999999 99                                                                                          15
16                                                                                                                                                                                                             16
17 b Rhode Island pass-through withholding paid on entity’s behalf.....                           9b 9999999999999 99                                                                                          17
18                                                                                                                                                                                                             18
19 c Nonresident withholding on real estate sales in 2023........................                 9c 9999999999999 99                                                                                          19
20                                                                                                                                                                                                             20
21 d Other payments.............................................................................. 9d 9999999999999 99                                                                                          21
22                                                                                                                                                                                                             22
23 10  TOTAL PAYMENTS.  Add lines 9a through 9d................................................................................................                       10 9999999999999 99                      23
24                                                                                                                                                                                                             24
25 11  Net tax due.  Subtract line 10 from line 8b......................................................................................................              11 9999999999999 99                      25
26                                                                                                                                                                                                             26
27 12  (a) Interest _______________999999. (b) Penalty________________999999.(c) Form 2220 Interest _______________999999.                                            12 9999999999999 9927
28                                                                                                                                                                                                             28
29 13  Total due with return.  Add lines 11 and 12. (Use Form BUS-V).....................................................................                             13 9999999999999 99                      29
30                                                                                                                                                                                                             30
31 14  Overpayment.  Subtract lines 8b and 12 from line 10.....................................................................................                       14 9999999999999 99                      31
32                                                                                                                                                                                                             32
33 15  Amount of overpayment to be credited to 2024 estimated tax........................................................................                             15 9999999999999 99                      33
34                                                                                                                                                                                                             34
35 16  Amount to be refunded.  Subtract line 15 from line 14....................................................................................                      16 9999999999999 99                      35
36                                                                                                                                                                                                             36
37 Schedule B - Deductions to Federal Taxable Income                                                                                                                                                           37
38                                                                                                                                                                                                             38
   1 a Exempt interest............................................................................................................................................... 1a
39                                                                                                                                                                       9999999999999 99                      39
40                                                                                                                                                                                                             40
   b Bonus depreciation and Section 179 expense adjustment.............................................................................                               1b
41                                                                                                                                                                       9999999999999 99                      41
42 c   Modification for Tax Incentives for EmployersDRAFTunderR.I. Gen. Laws §44-55. Attach Form RI-107...............                                                1c                                       42
43                                                                                                                                                                       9999999999999 99                      43
44                                                                                                                                                                                                             44
   d Cash Basis Only - Deductions for Pass-Through Entity Tax Claimed in prior year (see instructions)...............                                                 1d
45                                                                                                                                                                       9999999999999 99                      45
46 e TOTAL DEDUCTIONS.  Add lines 1a, 1b, 1c, and 1d.  Enter here and on page 1, Schedule A, line 2..........                                                         1e                                       46
47                                                                                                                                                                       9999999999999 9947
48                                                                                                                                                                                                             48
49 Schedule C - Additions to Federal Taxable Income                                                                                                                                                            49
50                                                                                                                                                                                                             50
   1 a Interest (see instructions)................................................................................................................................    1a
51                                                                                                                                                                       9999999999999 99                      51
52                                                                                                                                                                                                             52
   b Bonus depreciation adjustment.......................................................................................................................09/26/20231b
53                                                                                                                                                                       9999999999999 99                      53
54                                                                                                                                                                                                             54
   c Intangible addback..........................................................................................................................................     1c
55                                                                                                                                                                       9999999999999 99                      55
56                                                                                                                                                                                                             56
   d Pass-through Entity Tax Elected to be Paid under R.I. Gen. Laws §44-11-2.3..............................................                                         1d
57                                                                                                                                                                       9999999999999 99                      57
58                                                                                                                                                                                                             58
   e Taxable portion of Paycheck Protection Program loan amount underR.I. Gen.                           Laws§44-11-11(see instructions)..                            1e
59                                                                                                                                                                       9999999999999 99                      59
60                                                                                                                                                                                                             60
   f   TOTAL ADDITIONS.  Add lines 1a,1b, 1c, 1d, and 1e.  Enter here and on page 1, Schedule A,  line 3........                                                      1f
61                                                                                                                                                                       9999999999999 99                      61
62                                                                                                page 2                                                                                                       62
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4        State of Rhode Island Division of Taxation                                                                                                                                                              4
5        2023 RI-1065                                                                                                                                                                                            5
6        Partnership Income Return                                                                                                                23110599990103                                                 6
7                                                                                                                                                                                                                7
8                                                                                                                                                                                                                8
    Name                                                                                                                                                                   Federal employer identification number
9                                                                                                                                                                                                                9
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                                 99-9999999                            10
11                                                                                                                                                                                                               11
12                                                                                                                                                                                                               12
13 Schedule D - Rhode Island Credits                                                                                                                                                                             13
14                                                                                                                                                                                                               14
15 Complete RI Schedule CR-PT, Other RI Credits for RI-1065 and RI-1120S filers, if the entity has credits passing through to its members.                                                                       15
16                                                                                                                                                                                                               16
17                                                                                                                                                                                                               17
18                                                                                                                                                                                                               18
19 Schedule E - Other Deductions to Federal Taxable Income                                                                                                                                                       19
20                                                                                                                                                                                                               20
21  1 Elective Deduction for New Research and Development Facilities under R.I. Gen.                                                        Laws §44-32-1..............  1 9999999999999 99                      21
22                                                                                                                                                                                                               22
23  2 Qualifying Investment in a Certified Venture Capital Partnership underR.I. Gen.                                                       Laws§44-43-2................ 2 9999999999999 99                      23
24                                                                                                                                                                                                               24
25                                                                                                                                                                                                               25
26 Schedule F - Final Determination of Net Income by Federal Government                                                                                                                                          26
27                                                                                                                                                                                                               27
28 Has the Federal Government changed your taxable income for any prior year which has not yet been reported to The Tax Administrator?...................                                   Yes  No 28
29 If yes, complete an amended Form RI-1065 immediately (see instructions) and submit to the Tax Administrator with any remittance that may be due.                                                              29
30 Changes made by the Federal Government in the income of any prior year must be reported to the Tax Administrator within 60 days after a final determination.                                                  30
31                                                                                                                                                                                                               31
32                                                                                                                                                                                                               32
   Schedule G - General Information
33                                                                                                                                                                                                               33
34 Location of principal place of business in Rhode Island XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 34
35 Location of corporation’s books and records XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                            35
36 List states to which you are liable for income or excise taxes for the taxable year XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                     36
37                                                                                                                                                                                                               37
   President                                                                                                                      Treasurer 
38       XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                    XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                      38
39 State and date of incorporation                                                                                   XXXXXXXXXXXXXXXXXXXXX                                                                       39
40                                                                                                                                                                                                               40
41                                                                                                                                                                                                               41
42 Schedule H - Federal Taxable IncomeDRAFT                                                                                                                                                                      42
43                                                                                                                                                                                                               43
44 Enter amount for         2023                           2022                        2021                                                                        2020                     2019                 44
45 year that ended:    999999999.              999999999.                              999999999.                                                 999999999.               999999999.                            45
46                                                                                                                                                                                                               46
47                                                                                                                                                                                                               47
48                                                                                                                                                                                                               48
49                                                                                                                                                                                                               49
50                                                                                                                                                                                                               50
51  Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and                                                        51
52  belief, it is true, accurate and complete.  Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.                                                   52
    Authorized officer signature                           09/26/2023Print name                                                                              Date          Telephone number
53                                                                                                                                                                                                               53
54                                             XXXXXXXXXXXXXXXXXXXXX                                                                        10/08/2023                   (999) 999-9999                          54
55  Paid preparer signature                                     Print name                                                                                   Date          Telephone number                      55
56                                             XXXXXXXXXXXXXXXXXXXXX                                                                        10/08/2023                   (999) 999-9999                          56
57  Paid preparer address                                  City, town or post office   State                                                              ZIP Code                     PTIN                      57
58 XXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXX                                               XX                                                   99999                        P99999999                               58
59                                                                                                                                                                                                               59
60                                             May the Division of Taxation contact your preparer?   YES                                                                                                         60
61                                                                                                                                                                                                               61
62                                                                     page 3                                                                                                                                    62
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4                                    State of Rhode Island Division of Taxation                                                                                                                                                                      4
5                                    2023 RI-1065                                                                                                                                                                                                    5
6                                    Partnership Income Return                                                                                  23110599990104                                                                                       6
7                                                                                                                                                                                                                                                    7
8                                                                                                                                                                                                                                                    8
   Name                                                                                                                                                                                                        Federal employer identification number
9                                                                                                                                                                                                                                                    9
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                                                                     99-9999999                            10
11 Schedule I - Apportionment                                                                                                                                                                                                                        11
12                                                                                                                                                                                                                                                   12
13                                   Check if utilizing an alternative allocation apportionment                                                                                                                                                      13
14                                   calculation allowed under 44-11-14.1 through 44-11-14.6                                                    Column A                                                       Column B                              14
15                                                                                                                                              Rhode Island                                                   Everywhere                            15
16                                                                                                                                                                                                                                                   16
17 11aa Inventory.........................................................................................                                  9999999999999 99                                                   9999999999999 99                      17
18                                                                                                                                                                                                                                                   18
19                                 b1bDepreciable assets........................................................................            9999999999999 99                                                   9999999999999 99                      19
20                                                                                                                                                                                                                                                   20
21                                 c1cLand...............................................................................................   9999999999999 99                                                   9999999999999 99                      21
22                                                                                                                                                                                                                                                   22
23                                 d Rent (8 times annual net rental rate).............................................                  1d 9999999999999 99                                                   9999999999999 99                      23
24                                                                                                                                                                                                                                                   24
25                                 e Total.  Add lines 1a, 1b, 1c and 1d................................................                 1e 9999999999999 99                                                   9999999999999 99                      25
26          AVERAGE NET BOOK VALUE                                                                                                                                                                                                                   26
                                                                                                                                                                                                               _  .  _  _  _  _  _  _
27                                 f Ratio in Rhode Island. Line 1e, Col. A divided by line 1e, Col. B.  Calculate to six (6) decimal places......                                                          1f 0.999999                              27
28                                                                                                                                                                                                                                                   28
29                                                                   Rhode Island Sales................................                     9999999999999 99                                                   9999999999999 99                      29
30 2                               a Gross receipts.................                                                                     2a                                                                                                          30
31                                   { Sales Under 44-11-14(a)(2)(i)(B)...........                                                          9999999999999 99                                                                                         31
32                                                                                                                                                                                                                                                   32
33                                 b Dividends....................................................................................... 2b    9999999999999 99                                                   9999999999999 99                      33
34                                                                                                                                                                                                                                                   34
35                                 c Interest........................................................................................... 2c 9999999999999 99                                                   9999999999999 99                      35
36                                                                                                                                                                                                                                                   36
37                                 d Rents.............................................................................................. 2d 9999999999999 99                                                   9999999999999 99                      37
38                                                                                                                                                                                                                                                   38
39                                 e Royalties........................................................................................   2e 9999999999999 99                                                   9999999999999 99                      39
40                                                                                                                                                                                                                                                   40
41 RECEIPTS                        f Capital gains..................................................................................     2f 9999999999999 99                                                   9999999999999 99                      41
42                                                                   DRAFT                                                                                                                                                                           42
43                                 g Ordinary income............................................................................         2g 9999999999999 99                                                   9999999999999 99                      43
44                                                                                                                                                                                                                                                   44
45                                 h Other income.................................................................................. 2h      9999999999999 99                                                   9999999999999 99                      45
46                                                                                                                                                                                                                                                   46
47                                 i Income exempt from federal taxation.............................................                    2i 9999999999999 99                                                   9999999999999 99                      47
48                                                                                                                                                                                                                                                   48
49                                 j Total.  Add lines 2a, 2b, 2c, 2d, 2e, 2f, 2g, 2h and 2i.....................                        2j 9999999999999 99                                                   9999999999999 99                      49
50                                                                                                                                                                                                                                                   50
51                                 k Ratio in Rhode Island, line 2j, Col. A divided by line 2j, Col. B. Calculate to six (6) decimal places.......                                                          2k 0.999999_  .  _  _  _  _  _  _        51
52                                                                                                                                                                                                                                                   52
   3 a Salaries and wages paid or incurred.............................................. 3a09/26/2023
53                                                                                                                                          9999999999999 99                                                   9999999999999 99                      53
54                                                                                                                                                                                                                                                   54
                                                                                                                                                                                                               _  .  _  _  _  _  _  _
55 SALARIES                        b Ratio in Rhode Island. Line 3a, Col. A divided by line 3a, Col. B. Calculate to six (6) decimal places..... 3b                                                            0.999999                              55
56                                                                                                                                                                                                                                                   56
57 4                                 Total of Rhode Island ratios shown on lines 1f, 2k and 3b....................................................................                                          4  0.999999_  .  _  _  _  _  _  _        57
58 RATIO 5                           Apportionment Ratio. Divide line 4 by the number 3 or the number of ratios used. Enter here and on pg 1,                                                               5                                        58
59                                   Sch. A, line 5........................................................................................................................................................    0.999999_  .  _  _  _  _  _  _        59
60                                                                                                                                                                                                                                                   60
61                                                                                                                                                                                                                                                   61
62                                                                                                                                       page 4                                                                                                      62
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