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                                                                                                                                         Rev. 11/14 
                                                                                                                              IT 1140 
        Check here if amended return                                                                  2014                    Pass-Through Entity
                                                                14170102                                                      and Trust Withholding
        Check here if fi nal return                                                      Use only black ink.                   Tax Return 
  Federal employer I.D. no. (FEIN)                                                                                                 For taxable year beginning in 
                                                  Entity Type:                          S corporation                   Partnership
                                                  Check only one                                                                     MM /               2 0 14
                                                                                        Limited liability corporation   Trust 
  Use UPPERCASE letters. 
  Name of pass-through entity 

  Address (if address change, check box) 

  City                                                                                      State              ZIP code 

  E-mail address 

  Number of investors         Apportionment ratio, page 3, line 8 
                                                                                            1.  File this form with the Ohio Department of Taxation by the 15th 
                                   .                                                                  day of the fourth month following the last day of the entity’s tax-
  Schedule B, line 1 – total of columns A and B                                                       able year. See general instructions for automatic extensions of 
                                                  00                                                  time to fi le this return. The due date for payment of tax cannot 
                 ,            ,                .                                                      be extended. 
      Do not staple or otherwise attach. Place any supporting 
  documents, including K-1’s, after the last page of this return.                           2.  Attach (i) Ohio Schedules B and C or Schedules D and E and 
                                                                                                      (ii) the investor information as indicated in the instructions and 
                                   Mail to:                                                           (iii) Ohio form IT/SD 2210. 
                           Ohio Dept. of Taxation
                             P.O. Box 181140                                                          Instructions for this form are on our Web site at tax.ohio.gov. 
                        Columbus, OH 43218-1140
  SCHEDULE A – RECONCILIATION TAX AND PAYMENTS 
                                                                                        Column (I) – Withholding Tax               Column (II) – Entity Tax 
  1.  Tax for each column (from Schedule B, line 
      11, columns A and B or from Schedule D, line                                                                    00                                    00 
      5)............................................................................ 1.   ,           ,               .            ,                    ,   . 
  2. Interest	  penalty on underpayment of tax if the 
      sum of columns A and B on line 9 on page 
      3 exceeds $10,000 (attach Ohio form IT/SD                                                                       00                                    00 
  2210)...................................................................... 2.          ,           ,               .            ,                    ,   . 
                                                                                                                      00                                    00 
  2a.  Add lines 1 and 2 ................................................. 2a.            ,           ,               .            ,                    ,   . 
  3. Ohio	  IT 1140ES and IT 1140P payments the    
      entity or trust made and/or 2013 overpayment                                                                    00                                    00 
  credited to 2014 (see Note 1 on page 7)         ........... 3.                          ,           ,               .            ,                    ,   . 
  
 3a.  Payments transferred from Ohio forms IT      
      4708ES and IT 4708P (attach schedule if 
      required; see instructions) and other pay-                                                                      00 
      ments previously made for this taxable year ........ 3a.                            ,           ,               . 
 3b.  Payments transferred to Ohio form IT 4708 
      and refunds, if any, previously claimed for this                                                                00 
      taxable year.......................................................... 3b.          ,           ,               . 

  3c.  Net payments (sum of lines 3 and 3a minus                                                                      00                                    00 
      line 3b) not less than zero.....................................3c.                 ,           ,               .            ,                    ,   . 
  4.  For each column, subtract line 3c from line 
    2a (shade the boxes to show negative                                                                              00                                    00 
      amounts if needed) ...................................... ... 4.                    ,           ,               .            ,                    ,   . 

                                                                                          pg. 1 of 6 
        2014 IT 1140	                                                                                                         2014 IT 1140



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                                                                                                                                                                     Rev. 11/14 
                                                                                                                                                          IT 1140 
                                                                                                         2014                                             Pass-Through Entity
                                                                  14170202                                                                                and Trust Withholding
  FEIN 
                                                                                                                                                          Tax Return 
  SCHEDULE A – RECONCILIATION TAX AND PAYMENTS...cont. 
                                                                                                                                                                                        00 
  5.   If the sum of line 4, columns (I) and (II) is an overpayment, enter that sum here ....OVERPAYMENT5.                                                 ,        ,                 .
                                                                                                                                                                                        00 
  6.  Amount of line 5 to be CREDITED to year 2015 ................................................. CREDIT TO 20156.                                      ,        ,                 .
                                                                                                                                                                                        00 
  7.  Amount of line 5 to be REFUNDED (line 5 minus line 6) ...................................... YOUR REFUND7.                                           ,        ,                 .
                                                                                                                                                                                        00 
  8.  If the sum of line 4, columns (I) and (II) is a balance due or zero, enter here the amount due ............ 8.                                        ,        ,                 .
                                                                                                                                                                                        00 
  9.  Interest and penalty due on late-paid tax and/or late-filed                      return, if any .................................................. 9.  ,        ,                 .
  10.  Total amount due (sum of 	 lines 8 and 9). Make check payable to Ohio Treasurer of State, include                                                                                00 
    Ohio form IT 1140P and place FEIN on check ...........................................TOTAL AMOUNT DUE10.                                              ,        ,                 . 
                     If your refund is $1.00 or less, no refund will be issued. If you owe $1.00 or less, no payment is necessary. 
  SIGN HERE (required) 
  I declare under penalties of perjury that this report, including any accompanying schedules and 
  statements, has been examined by me and to the best of my knowledge and belief is a true, cor-                                                          For Department Use Only
  rect and complete return and report. 

  Pass-through entity offi cer or agent (please print) 

  Title of offi cer or agent (please print)                                            Phone number                                                        ,    ,                
  Signature of pass-through entity offi cer or agent                                   Date 
  Preparer’s name (please print)                                                      Phone number 
                                                                                                                                                                                     Code
  Do you authorize your preparer to contact us regarding this return?  Yes                           No 
  SCHEDULE B – QUALIFYING PASS-THROUGH ENTITIES – TAX DUE 
  Use this schedule to calculate the adjusted qualifying amounts and tax due for all qualifying investors in qualifying pass-through entities. Attach federal 
  K-1s and a listing of pass-through credits of participating investors. See “Special Notes” in the instructions, which are available on our Web site at tax.
  ohio.gov. If the amount below is negative, shade the negative sign (“–”) in the box provided. 
                                                                                                     (A)                                                      (B) 
                                                                                      Qualifying Investors Who Are                                        Qualifying Investors Other 
                                                                                      Nonresident Individuals                                             Than Nonresident Individuals 
    1. Sum of all qualifying investors’ distributive                                                               00                                                                   00 
       shares of income, gain, expenses and losses...             ...1.                          ,       ,         .                                        ,        ,                 . 
   2a. Add 2/3,     5/6 or 6/6 (check ap-
       plicable box) of the qualifying investors’ 
       distributive shares of Internal Revenue        
       Code (I.R.C.) sections 168(k) and 179 
       depreciation expense and miscellaneous
       federal income tax adjustments, if any.  At-
       tach a separate schedule showing calcula-                                                                   00                                                                   00 
       tions .................................................................... 2a.            ,       ,         .                                        ,        ,                 . 
    2b. Subtract qualifying investors’ distributive 
       shares of other statutory adjustments and 
       miscellaneous federal income tax adjust-                                                                    00                                                                   00 
       ments, if any ........................................................ 2b.                ,       ,         .                                        ,        ,                 . 
    3. Qualifying investors’ distributive shares of 
       adjusted qualifying amount: Sum of lines 1                                                                  00                                                                   00 
       and 2a minus line 2b...................................... ...3.                          ,       ,         .                                        ,        ,                 .
    4.  	 Add all qualifying investors’ distributive  
       shares of expenses and losses incurred in 
       connection with all direct and indirect trans-
       actions between the qualifying pass-through 
       entity and its related members, including
       certain investors’ family members (see Note 
       2 on page 7). However, do not add expenses 
       or losses incurred in connection with sales 
       of inventory to the extent that the cost of 
       the inventory and the loss incurred were
       calculated in accordance with I.R.C. sections                                                               00                                                                   00 
       263A and 482 (see Note 3 on page 7)  ...........           ...4.                          ,       ,         .                                        ,        ,                 . 

                                                                                                 pg. 2 of 6 
          2014 IT 1140	                                                                                                                                   2014 IT 1140 



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                                                                                                                                                 Rev. 11/14 
                                                                                                                            IT 1140 
                                                                                              2014                          Pass-Through Entity
                                                                            14170302                                        and Trust Withholding
 FEIN 
                                                                                                                            Tax Return 
 SCHEDULE B – QUALIFYING PASS-THROUGH ENTITIES – TAX DUE...cont. 
                                                                                          (A)                                                   (B) 
                                                                            Qualifying Investors Who Are                     Qualifying Investors Other 
   5. If the qualifying pass-through entity is either                         Nonresident Individuals                        Than Nonresident Individuals 
      a partnership or a limited liability company 
      treated as a partnership, add all qualifying 
      investors’ distributive shares of guaranteed 
      payments that the qualifying pass-through 
      entity made to any qualifying investor di-
      rectly or indirectly owning at least 20% of                                                                   00                                              00 
      the qualifying pass-through entity...................5.                        ,        ,                  .                    ,                ,           . 
   6.  If the qualifying pass-through entity is an 
      S corporation, add all qualifying investors’  
      distributive shares of compensation that the  
      qualifying pass-through entity S corporation  
      made to any qualifying investor directly or in-
      directly owning at least 20% of the qualifying  
      pass-through entity. Reciprocity agreements  
                                                                                                                    00                                              00 
      do not apply ....................................................6.            ,        ,                  .                    ,                ,           . 
   7. Qualifying investors’ adjusted distributive   
      shares. Sum of lines 3, 4, 5 and 6, but not 
                                                                                                                    00                                              00 
      less than -0-....................................................7.            ,        ,                  .                    ,                ,           . 
   8.  Apportionment ratio from Schedule C, line 
      4 on page 4.....................................................8.                  .                                                     .
   9. Qualifying investors’ adjusted qualifying 
      amount: Line 7 times line 8. Complete 
      the remainder of this worksheet only if the 
      sum of columns A and B on line 9 exceeds 
                                                                                                                    00                                              00 
      $1,000.............................................................9.          ,        ,                  .                    ,                ,           . 

   10. Tax rate (see Note 4 on page 7)  ...................10.                                             X .05                                                 X .085

   11. Tax due: Line 9 times line 10. Round tax to the  
      nearest dollar. Enter the column A amount on  
      page 1, line 1, column I; enter the column B                                                                  00                                              00 
      amount on page 1, line 1, column II ............... 11.                        ,        ,                  .                    ,                ,           . 

 SCHEDULE C – QUALIFYING PASS-THROUGH ENTITIES – APPORTIONMENT WORKSHEET
 Use this schedule to calculate the apportionment ratio for a qualifying pass-through entity that is not a                 nancial institution as defined  in Ohio Re-
 vised Code section (R.C.) 5725.01. If the pass-through entity is a                  nancial institution, refer to the instructions. Note: All ratios are to be carried to  
 six decimal places. 

 1. Property                                                                Within Ohio                                               Total Everywhere 
                                                                                                00                                                                  00 
    a) Owned (average cost)                ,                                ,           ,       .                          ,          ,                ,           . 
 
                                                                            Within Ohio                                               Total Everywhere 
    b) Rented (annual rental X 8)                                                               00                                                                  00 
                                           ,                                ,           ,       .                          ,          ,                ,           .
                                                                            Within Ohio                                               Total Everywhere 
                                                                                                00                                                                  00 
    c) Total (lines 1a and 1b)             ,                                ,           ,       .          ÷               ,          ,                ,           .

                                                                                              Ratio                     Weight              Weighted Ratio 

                                                                                   =      .                             x  .20   =    . 

        2014 IT 1140                                                                 pg. 3 of 6                              2014 IT 1140 



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                                                                                                                                                                                Rev. 11/14 
                                                                                                                                                                     IT 1140 
                                                                                       2014                                                                          Pass-Through Entity
  FEIN                                                    14170402                                                                                                   and Trust Withholding
                                                                                                                                                                     Tax Return 
  SCHEDULE C – QUALIFYING PASS-THROUGH ENTITIES – APPORTIONMENT WORKSHEET...cont. 
                                                           Within Ohio                                                                                               Total Everywhere 
                                                                                          00 
  2.  Payroll                                  ,           ,                ,          .       ÷                                                               ,       ,          ,          . 00 

                                                                                   Ratio                                                          Weight                 Weighted Ratio 

                                                                  =             .                                                                 x  .20  =            . 
                                                           Within Ohio                                                                                               Total Everywhere 
                                                                                          00                                                                                                  00 
  3.  Sales                                    ,           ,                ,          .       ÷                                                               ,       ,          ,          .
 
                                                                                   Ratio                                                          Weight                 Weighted Ratio 

                                                                  =             .                                                                 x  .60  =            . 
                                                                                                                                                                         Weighted Ratio 

  4.  Total weighted apportionment ratio (add lines 1c, 2 and 3). Enter ratio here and on page 3, line 8 (both columns).                                               .
  Note: If the denominator of any factor is zero, the weight given to the other factors must be proportionately increased so that the total weight given to 
  the combined number of factors used is 100%, i.e., if no property/payroll, use 25% and 75%; if no sales, use 50% property/payroll. 
 SCHEDULE D – TRUSTS – TAX DUE 
  Use this schedule to calculate the adjusted qualifying amounts and withholding tax due for nonresident individuals who are benefi ciaries of trusts that 
  made distributions of either income or gain attributable to the trust’s ownership of or disposition of either tangible personal property located in Ohio or 
  real property located in Ohio. If the amount below is negative, shade the negative sign (“–”) in the box provided. 
  1.  Sum of all distributions to nonresident individuals of income or gain attributable to the trust’s 
      ownership of or disposition of either tangible personal property located in Ohio or real property                                                                                       00
      located in Ohio............................................................................................................................  ... 1.              ,          ,          . 
 2a.  Add 2/3, 5/6 or 6/6 (check applicable box) of the I.R.C. sections 168(k) and 179 
      depreciation expense and miscellaneous federal income tax adjustments attributed to          
      nonresident individuals who are benefi ciaries of trusts. Attach a separate schedule showing                                                                                             00
      calculations......................................................................................................................................... 2a.        ,          ,          . 
 
  2b.  Other statutory adjustments and miscellaneous federal income tax adjustments attributed to                                                                                             00
      nonresident individuals who are benefi ciaries of trusts....................................................................... 2b.                               ,          ,          . 
  3.  Adjusted qualifying amount: sum of lines 1 and 2a minus line 2b. Complete the remainder of                                                                                              00
      the worksheet only if line 3 exceeds $1,000 ...............................................................................                 ... 3.               ,          ,          . 
 4.  Tax rate  .................................................................................................................................................. 4.                         X .05 

    5. Tax due: Line 3 times line 4. Round tax to the nearest dollar. Enter here and on page 1, line                                                                                          00 
      1, column I ............................................................................................................................................ 5.      ,          ,          . 
 SCHEDULE E – INVESTOR INFORMATION 
       Check the box if this year’s investor information either (i) includes names that were not listed on last year’s return or (ii) excludes names that were listed  
       on last year’s return. Provide investor information forall (resident and nonresident) investors in the pass-through entity or trust. List investors by high-
       est to lowest ownership percentage. Use an additional sheet, if necessary. See Note 5 on page 7 for the amount of pass-through entity tax credits. 
  Social Security no.                    FEIN                                     Percent of ownership                                            Amount of PTE tax credit 
                                                                                                                                                                                           00
                                                                                   .                                                                                 ,          ,          . 
  First name/entity                                               M.I.  Last name

  Address 

  City                                                                             State       ZIP code 

         2014 IT 1140                                                   pg. 4 of 6 
                                                                                                                                                                     2014 IT 1140 



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                                                                                                                           Rev. 11/14 
                                                                                    IT 1140 
                                                                     2014           Pass-Through Entity
                                                  14170502 
FEIN                                                                                and Trust Withholding
                                                                                    Tax Return 
SCHEDULE E – INVESTOR INFORMATION...cont. 
Provide investor information for all (resident and nonresident) investors in the pass-through entity or trust. List investors by highest to lowest ownership 
percentage. Use an additional sheet, if necessary. See Note 5 on page 7 for the amount of pass-through entity tax credits. 
Social Security no.                 FEIN                   Percent of ownership     Amount of PTE tax credit 
                                                                                                                                      00 
                                                                     .              ,                                      ,          . 
First name/entity                                 M.I.     Last name 

Address 

City                                                                 State ZIP code 

Social Security no.                 FEIN                   Percent of ownership     Amount of PTE tax credit 
                                                                                                                                      00
                                                                     .              ,                                      ,          . 
First name/entity                                 M.I.     Last name 

Address 

City                                                                 State ZIP code 

Social Security no.                 FEIN                   Percent of ownership     Amount of PTE tax credit 
                                                                                                                                      00
                                                                     .              ,                                      ,          . 
First name/entity                                 M.I.     Last name 

Address 

City                                                                 State ZIP code 

Social Security no.                 FEIN                   Percent of ownership     Amount of PTE tax credit 
                                                                                                                                      00
                                                                     .              ,                                      ,          . 
First name/entity                                 M.I.     Last name 

Address 

City                                                                 State ZIP code 

                                                           pg. 5 of 6 
     2014 IT 1140                                                                   2014 IT 1140 



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                                                                                                                           Rev. 11/14 
                                                                                    IT 1140 
                                                                     2014           Pass-Through Entity
                                                  14170602 
FEIN                                                                                and Trust Withholding
                                                                                    Tax Return 
SCHEDULE E – INVESTOR INFORMATION...cont. 
Provide investor information for all (resident and nonresident) investors in the pass-through entity or trust. List investors by highest to lowest ownership 
percentage. Use an additional sheet, if necessary. See Note 5 on page 7 for the amount of pass-through entity tax credits. 
Social Security no.                 FEIN                   Percent of ownership     Amount of PTE tax credit 
                                                                                                                                      00 
                                                                     .              ,                                      ,          . 
First name/entity                                 M.I.     Last name 

Address 

City                                                                 State ZIP code 

Social Security no.                 FEIN                   Percent of ownership     Amount of PTE tax credit 
                                                                                                                                      00
                                                                     .              ,                                      ,          . 
First name/entity                                 M.I.     Last name 

Address 

City                                                                 State ZIP code 

Social Security no.                 FEIN                   Percent of ownership     Amount of PTE tax credit 
                                                                                                                                      00
                                                                     .              ,                                      ,          . 
First name/entity                                 M.I.     Last name 

Address 

City                                                                 State ZIP code 

Social Security no.                 FEIN                   Percent of ownership     Amount of PTE tax credit 
                                                                                                                                      00
                                                                     .              ,                                      ,          . 
First name/entity                                 M.I.     Last name 

Address 

City                                                                 State ZIP code 

                                                           pg. 6 of 6 
     2014 IT 1140                                                                   2014 IT 1140 



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                            Do not submit this page with your IT 1140 return.

Important Notes:                                                              Savings and loan holding companies as defined in the federal 
                                                                                “Home Owners Loan Act” that are engaging only in activities 
Note 1: Instructions for page 1, Schedule A, line 3. If this pass-              permissible under 12 United States Code (U.S.C.) 1843(k). 
through entity or trust has invested in a partnership or limited liability  
companyNOTESthat also  led Ohio form IT 1140, this pass-through entity         Persons, other than persons held pursuant to merchant banking 
or trust is not entitled to any payment or credit for this pass-through         authority under 12 U.S.C. 1843(k)(4)(H) or 12 U.S.C. 1843(k) 
entity’s or this trust’s proportionate share of tax paid by that investee       (4)(I), directly or indirectly “owned” by one or more financial 
partnership or investee limited liability company.                              institutions, fi nancial holding companies, bank holding compa-
                                                                                nies, or savings and loan holding companies, but only if those 
Furthermore, this pass-through entity or trust cannot claim such                persons are engaged in activities permissible for a financial 
payment as an estimated payment for this pass-through entity’s or               holding company under 12 U.S.C. 1843(k). 
trust’s taxable year. However, the pass-through entity or trust can 
“pass through” (via the K-1s it will issue) to its qualifying investors         Persons directly or indirectly “owned” by one or more insurance  
or to its qualifying benefi ciaries the pass-through entity’s or trust’s         companies, but only if those persons are authorized to conduct 
proportionate share of such tax payment that the investee partner-              the business of insurance in this state. 
ship or investee limited liability company paid on behalf of this 
pass-through entity or trust.                                                   Persons that solely facilitate or service one or more “securitiza-
                                                                                tions” or similar transactions for fi nancial institutions, financial 
Note 2: Instructions for page 2, line 4. “Related member” is defined             holding companies, bank holding companies, savings and loan 
in R.C. 5733.042(A)(6) but is modifi ed by R.C. 5733.40(P). For                  holding companies, insurance companies, or persons directly 
purposes of the line 4 adjustment, a related member is any busi-                or indirectly “owned” by such businesses. 
ness entity or person directly or indirectly related to the taxpayer if 
the direct and indirect ownership interests equals or exceeds 40%           Defi nition of “owned” for this purpose: a person “owns” another 
of all ownership interests.                                                 entity if the person: 
Note 3: Instructions for page 2, line 4. Include on this line all               owns at least 50% of the entity’s voting stock (corporations); 
compensation paid to or for family member employees if the pass-
                                                                                owns at least 50% of the entity’s membership interests (LLCs); 
through entity owner who is a member of family directly, indirectly 
                                                                                OR 
and/or by attribution owns at least 40% of the pass-through entity. 
See R.C. 5733.40(A)(3). Do not show on line 6 any amount you                  has a benefi cial interest in the entity’s profits, surpluses, losses 
show on line 4.                                                                 or distributions (partnerships, trusts or other business interests). 
Note 4: Instructions for page 3, line 10, column (B). For those             Defi nition of “securitization” for this purpose: Transferring one or 
qualifying corporate investors that are not listed below, the tax rate      more assets to one or more persons and then issuing securities 
for the taxable year beginning in 2014 is 0%; therefore the pass-           backed by the right to receive payment from the asset or assets 
through entity should pay no tax with respect to these corporations.        so transferred. 
For those qualifying corporate investors that are listed below and 
for qualifying investors that are estates, trusts and pass-through          If you use multiple rates for column B, attach a schedule reflecting 
entities, compute the tax at the rate of 8.5%. See R.C. 5733.41.            the computation of tax for each type of investor. 
  Financial holding companies as defined      in the federal “Bank         Fiscal  lers: Use the rate in effect on the last day of the taxable year. 
    Holding Company Act.” 
                                                                            Note 5: Amount of tax credits that will pass through from the qualify-
  Bank holding companies as defined     in the federal “Bank Hold-         ing pass-through entity or qualifying trust to each qualifying investor 
    ing Company Act.”                                                       or qualifying benefi ciary. 

                                                      Federal Privacy Act Notice 
                        Because we require you to provide us with a Social Security number, the         Federal Privacy 
                        Act of 1974 requires us to inform you that providing us with your Social Security number is 
                        mandatory. Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to 
                        request this information. We need your Social Security number in order to administer this tax. 

                                                                    pg. 7 






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