Schedule K-1 (Form GR-1065)                                               2022           Part III   Partner's Share of Current Year Income  
City of Grand Rapids,                                              Final K-1                        Exclusions/Adjustments and Grand Rapids Income
Income Tax Department                                              Amended K-1         L            Column A                         Column B             Column C
                                                                                       i N
                                                                                       n o Federal Partnership                       Exclusions and       Grand Rapids   
For calendar year 2021, or tax year beginning                                , 2021    e                                                                  Taxable Income
                                                                                                    Return Data                      Adjustments
ending                    , 20                                                          1  Ordinary business income (loss)
                                                                                        
Partner's Share of Income, Exclusions, Deductions,                                      
                                                                                       1a  Ordinary inc. from other partnerships 
Credits and Tax Paid                                                                       (Included col A, ln 1, not in col C, ln 1)
  Part I   Information about the Partnership
A  Partnership's employer identification number                                         2  Net rental real estate income (loss)

B  Partnership's name, address, city, state and ZIP code                                3  Other rental income (loss)

                                                                                        4  Guaranteed payments

                                                                                        5  Interest income

C  Partnership's Business Allocation Percentage (enter                                  6  Dividend income
   percentage from Form GR-1065, Schedule D, line 5) 
                                                                                      %
Part II    Information about the Partner                                                7  Royalties
D         Mark box if this is a partnership partner and 
          enter partnership identifying number                                          8  Net short-term capital gain (loss)
E  Partner's identifying number
                                                                                        9  Net long-term capital gain (loss)
F  Partner's name, address, city, state and ZIP code
                                                                                       10  Net 1231 gain (loss)

                                                                                       11  Other income

G         General partner or LLC                          Limited partner or 
          member manager                                  other LLC member             12  Section 179 deduction (Included in 
                                                                                           column C, line 1, not in Column A, ln 1)
H         Domestic partner                                Foreign partner
                                                                                       13  Other Deductions
I1 What type of entity is this partner? (see instructions)
I2 Is the partner an individual resident, nonresident or           
   part-year resident of {City Name}? (see instructions)
I3 If this partner Is a retirement plan (IRA/SEP/Keogh/etc.), check here
J  Partner's share of profit, loss, and capital (see instructions):
               Beginning                                           Ending                  Other information
   Profit                                     %                              %         20
   Loss                                       %                              %
   Capital                                    %                              %
K  Partner's share of liabilities at year end:
   Nonrecourse                                  $
   Qualified nonrecourse financing              $
   Recourse                                     $                                        Part IV    Partner's Share of Current Year Grand Rapids 
L  Partner's capital account analysis:                                                              Deductions, Credits and Tax Paid 
   Beginning capital account                    $                                       D Partner’s deductions for items paid by the partnership
   Capital contributed during year              $
   Current year increase(decrease)              $
   Withdrawals and distributions                $(                                    )
   Ending capital account                       $
          Tax basis                    GAAP                        Section 704(b) book
          Other basis (explain)
M  Did the partner contribute any property with a built-in gain or loss?
          Yes                          No                                               C Credit for tax paid by partnership to another city (Report only 
          If "Yes," attach statement (see instructions)                                    the tax paid on behalf of a resident partner)
N  Partner number (as reoprted on Form GR-1065,                                         T Grand Rapids income tax paid by the partnership   
   Schedule 1, Partner Information Schedule)                                               (If partnership elects to pay tax for partners)
                                                                                                                                                          Revised 11/23/2015