1                                                                                                                                                                                                                                                                                                                           1
 0  0  0  0  0  0  0 20  0         1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8                                                                          2
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
                   3                                                                                                                                                                                                                                                                                                                           3
                   4                                 Vermont Department of Taxes                                                                                                                                                                                                                                                               4
                   5                                                                                                                                                                                                                                                                                                                           5
                   6                                                Schedule K-1VT                                                                                                                                                                                                               *23K1V1100*                                   6
                   7                                                                                                                                                                                                                                                                                                                           7
                                   Vermont Shareholder, Partner, or                                                                                                                                                                                                                              *23K1V1100*
                   8                                                                                                                                                                                                                                                                                                                           8  Page 7
                   9                                             Member Information                                                                                                                                                                                                              This schedule is REQUIRED.                    9
                   10                                                                                                                                                                                                                                                                            Include with Form BI-471                      10
                   11                                                                                                                                                                                                                                                                                                                          11
                   12                                                                 Entity Name (same as on Form BI-471)                                                                                                                                                      Fiscal Year Ending (YYYYMMDD)              FEIN                12
                   13                                                                                                                                                                                                                                                                                                                          13
                              12345678901234567890123456789012(36)       20231231        123456789
                   14                                                                                                                                                                                                                                                                                                                          14
                   15                                                                                                                                                                                                                                                                                                                          15
                   16                                                                                                                    HEADER INFORMATION - REQUIRED ENTRIES                                                                                                                                                                 16
                   17                                                                                                                 Entity Name (Shareholder, Partner, or Member)                                                                                                                                        FEIN                17
                   18                                                                                                                                                                                                                                                                                                                          18
                                12345678901234567890123456789012(36)                  123456789
                   19        OR    Individual Last Name (Shareholder, Partner, or Member)                                                                                                                                                                            First Name          Initial OR            Social Security Number          19
                   20                                                                                                                                                                                                                                                                                                                          20
                                12345678901234567       12345678901234567     1       123456789
                   21                                                                                                                                                                 Address                                                                                                    Recipient Type                                21
                   22         12345678901234567890123456789012(36)                             (I, C, S, L, P, X, or T)                                                                                                                                                                                                         1              22
                   23                                                                                                                                   Address, Line 2 (if needed)                                                                                                              Residency Status                              23
                   24                                                                                                                                                                                                                                                                                                                          24
                              12345678901234567890123456789012(36)
                   25                                                                                               City                                                                                                                                         State          ZIP Code                       Vermont Resident                25 FORM  (Place at FIRST page)
                                                                                     X
                   26         12345678901234567(21)            12   1234567890                                                                                                                                                                                                                                                                 26 Form pages 
                   27                                                                                                                    Foreign Country (if not United States)                                                                                                                                Nonresident                     27
                                                                                     X
                   28                                                                                                                                                                                                                                                                                                                          28
                              1234567890123456789012345678(32)
                   29                                                                                                                                                                                                                                                                                                                          29
                   30       PART I                PASS-THROUGH ENTITY INFORMATION                                                                                                                                                                                                                                                              30
                   31                                                                   1. Ownership percentage  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. .                                                                       _______123.123456______________% 31
                                                                                                                                                                                                                                                                                                                                                  7 - 8
                   32                                                                                                                                                                                                                                                                                                                          32
                   33                                                                   2. Profit  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. .                                                                             _______123.123456______________% 33                            percentage 
                   34                                                                                                                                                                                                                                                                                                                          34
                   35                                                                   3. Loss percentage  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. .                                                                  _______123.123456______________% 35
                   36                                                                                                                                                                                                                                                                                                                          36
                   37                                                                  4. Disregarded  . . . . . . . . . . . 4..                                                                                                                                                                               X      Yes  X    No             37                            entity (single-member LLC or Qualified Subchapter S subsidiary)?
                   38                                                                                                                                                                                                                                                                                                                          38
                   39                                                                  5. Is  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5..                                                                                                                  X      Yes  X    No             39                            this entity a unit of a Series LLC?
                   40                                                                                                                                                                                                                                                                                                                          40
                   41                                                                  6. Did  . . . . . . . . . . . . . . . . . . . . . 6..                                                                                                                                                                   X      Yes  X    No             41                            this entity pay tax on this income as part of a composite return?
                   42                                                                                                                                                                                                                                                                                                                          42
                   43       PART II  DISTRIBUTIONS TO OWNERS                                                                                                                                                                                                                              Enter all amounts in whole dollars.                  43
                   44                                                                                                                                                                                                                                                                                                                          44
                   45                                                                 1234567890123457. Vermont Business Income  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . 7. .                                                        ______________________.00        45
                   46                                                                                                                                                                                                                                                                                                                          46
                   47         8.                                                         123456789012345Capital gains allocated to Vermont  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. .                                                                ______________________.00        47
                   48                                                                                                                                                                                                                                                                                                                          48
                   49         9.                                                         123456789012345Other income allocated to Vermont   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. .                                                                  ______________________.00        49
                   50                                                                                                                                                                                                                                                                                                                          50
                              10.  Exempt Income - Vermont income not characterized as Unrelated 
                   51                                                                123456789012345Business Income (UBI) for federal purposes (tax-exempt entities only)   . . . . . . . . . . . . . . . . . 10. .                                                                                           ______________________.00        51
                   52                                                                                                                                                                                                                                                                                                                          52
                   53         11.                                                         123456789012345  Total annual nonresident estimated payments allocated to this shareholder  . . . . . . . . . . . . . . . 11. .                                                                                     ______________________.00        53
                   54                                                                                                                                                                                                                                                                                                                          54
                   55         12.                                                         123456789012345Total annual real estate withholding payments allocated to this shareholder    . . . . . . . . . . . . . 12. .                                                                                       ______________________.00        55
                   56                                                                                                                                                                                                                                                                                                                          56
                              13.  Share of total federal bonus depreciation difference.   
                   57                                                                123456789012345Enter  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. .                                                                                                                  ______________________.00        57                            on Schedule IN-112, Line 4 or Line 9. 
                   58                                                                                                                                                                                                                                                                                                                          58
                   59         14.                                                         123456789012345    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14. .                                                                                                                                ______________________.00        59                            Share of total state and local taxes deducted difference 
                   60                                                                                                                                                                                                                                                                                                                          60
                   61                                                                                                                                                                                                     (continued on next page)                                                                                             61
                                                                                                                                                                                                                                                                                                               Schedule K-1VT
                   62                                                                                                                                                                                                                                                                                                   Page 1 of 2            62
                   63       5454                                                                                                                                                                                                                                                                                         Rev. 10/23            63
 0  0  0  0  0  0  0 640  0        1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8                                                                          64
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
                   65                                                                                                                                                                                                                                                                                                                          65
                   66                                                                                                                                                                                                                                                                                                                          66

                   1                                                                                                                                                                                                                                                                                                  1
 0  0  0  0  0  0  0 20  0        1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8                                                  2
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
                   3                                                                                                                                                                                                                                                                                                  3
                   4                                            Entity Name (same as on Form Form BI-471)                                                                                                                                                                                                             4
                   5                                                                                                                                                                                                                                                                                                  5
                             12345678901234567890123456789012(36)
                   6                                                     FEIN                                                                                            Fiscal Year Ending (YYYYMMDD)                                                              *23K1V1200*                                       6
                   7                                                                                                                                                                                                                                                                                                  7
                               123456789              20231231                                                                                                                                                                                                      *23K1V1200*
                   8                                                                                                                                                                                                                                                                                                  8  Page 8
                   9                                                                                                                                                                                                                                                                                                  9
                   10                                                                                                                                                                                                                                                                                                 10
                   11       PART III  DISTRIBUTIVE SHARE OF APPORTIONMENT FACTORS                                                                                                                                                                                                                                     11
                   12                                                                                                                                                                                                             A.  Everywhere                          B.  Vermont                                 12
                   13                                                                                                                                                                                                                                                                                                 13
                   14                                     15.  Sales  . . . . . . . . . . . . . . . . . . . . . . . . 15A. .                                                                     _________________________123456789012345            .00            15B.  _________________________123456789012345.00 14
                   15                                                                                                                                                                                                                                                                                                 15
                   16                                     16.  Payroll   . . . . . . . . . . . . . . . . . . . . . . 16A. .                                                                      _________________________123456789012345            .00            16B.  _________________________123456789012345.00 16
                   17                                                                                                                                                                                                                                                                                                 17
                   18                                     17.  Property  . . . . . . . . . . . . . . . . . . . . . 17A. .                                                                        _________________________123456789012345            .00            17B.  _________________________123456789012345.00 18
                   19                                                                                                                                                                                                                                                                                                 19
                   20                                                                                                                                                                                                                                                                                                 20
                   21                                                                                                                                                                                                                                                                                                 21
                   22                                                                                                                                                                                                                                                                                                 22
                   23                                                                                                                                                                                                                                                                                                 23
                   24                                                                                                                                                                                                                                                                                                 24
                   25                                                                                                                                                                                                                                                                                                 25 FORM  (Place at LAST page)
                   26                                                                                                                                                                                                                                                                                                 26 Form pages 
                   27                                                                                                                                                                                                                                                                                                 27
                   28                                                                                                                                                                                                                                                                                                 28
                   29                                                                                                                                                                                                                                                                                                 29
                   30                                                                                                                                                                                                                                                                                                 30
                   31                                                                                                                                                                                                                                                                                                 31
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                   51                                                                                                                                                                                                                                                                                                 51
                   52                                                                                                                                                                                                                                                                                                 52
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                   61                                                                                                                                                                                                                                                                                                 61
                                                                                                                                                                                                                                                                          Schedule K-1VT
                   62                                                                                                                                                                                                                                                     Page 2 of 2                                 62
                   63       5454                                                                                                                                                                                                                                          Rev. 10/23                                  63
 0  0  0  0  0  0  0 640  0       1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8                                                  64
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
                   65                                                                                                                                                                                                                                                                                                 65
                   66                                                                                                                                                                                                                                                                                                 66