DR 0078A (11/12/14) 
*140078A=19999*                       COLORADO DEPARTMENT OF REVENUE 
                                      Denver, CO  80261-0005                     Pass-Through Entity Enterprise Zone Credit Distribution Report

Complete this form if enterprise zone credits earned by an entity are being passed-through to partners/investors. Complete all relevant fields, including at least one of the ID numbers in the shaded area. 
List the only the dollar amount of the credit that is being passed through on this form. To calculate and claim the credit, each taxpayer shall complete form DR 1366. Entities must submit this DR 0078A with form 
DR 1366 and all other supporting documentation. Visit www.TaxColorado.com for more information about enterprise zones.
Pass-through entity name                                                                                                            FEIN                      Colorado Account Number

Taxpayer Name            Account      FEIN                   SSN EZ Investment Job Training New Employee/   Enhanced     Ag       Enhanced Rural    Health  Contribution Research and  Vacant  
                         Colorado                                                                                                   Ag            Insurance to EZ Admin  Development   Commercial 
                         Number (CAN)                            Tax Credit      Credit       NBF Credit  Rural Credit Processing   Processing      Credit    Credit       Credit      Building  
                                                                                                                         Credit     Credit                                            Rehab Credit

Total                                                            $             $            $             $            $          $               $         $            $            $