Exempt Organization Business nome Tax Return OMB No. 1545-0687 Form 990-T (and proxy tax under setion 6033(e)) Department of the Treasury nternal Revenue Servie Open A Chek ox if address hanged For alendar year 2017 or other tax year eginning, 2017, and ending, 20. À¾µ» Go to www.irs.gov/form990t for instrutions and the latest information. to Puli nspetion for Do not enter SSN numers on this form as it may e made puli if your organization is a 501()(3). 501()(3) Organizations Only Name of organization ( Chek ox if name hanged and see instrutions.) D Employer identifiation numer (Employees' trust, see instrutions.) B Exempt under setion COMMUNTY FOUNDATON OF GREATER FLNT 501( C )( 3 ) Print Numer, street, and room or suite no. f a P.O. ox, see instrutions. 38-2190667 or 408(e) 220(e) E Type 408A 530(a) 500 S SAGNAW STREET 200 529(a) C Book value of all assets at end of year F City or town, state or provine, ountry, and ZP or foreign postal ode Group exemption numer (See instrutions.) Unrelated usiness ativity odes (See instrutions.) G Chek organization type 501() orporation 501() trust 401(a) trust Other trust H Desrie the organization's primary unrelated usiness ativity. m m m m m m m During the tax year, was the orporation a susidiary in an affiliated group or a parent-susidiary ontrolled group? Yes No f "Yes," enter the name and identifying numer of the parent orporation. J The ooks are in are of Telephone numer Part Unrelated Trade or Business nome (A) nome (B) Expenses (C) Net 1a Gross reeipts or sales Less returns and allowanes Balane 1 2 Cost of goods sold (Shedule A, line 7) 2 3 4a 5 6 7 8 9 10 11 12 Gross profit. Sutrat line 2 from line 1 Capital gain net inome (attah Shedule D) Net gain (loss) (Form 4797, Part, line 17) (attah Form 4797) Capital loss dedution for trusts nome (loss) from partnerships and S orporations (attah statement) Rent inome (Shedule C) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Unrelated det-finaned inome (Shedule E) nterest, annuities, royalties, and rents from ontrolled organizations (Shedule F) nvestment inome of a setion 501()(7), (9), or (17) organization (Shedule G) Exploited exempt ativity inome (Shedule ) Advertising inome (Shedule J) Other inome (See instrutions; attah shedule) 13 Total. Comine lines 3 through 12 Part 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 191,859,363. FLNT, M 48502 211110 900099 m m m m m m m m m m m m m m m m m m m m m 3 4a 4 4 5 6 7 8 9 10 11 12 ATTACHMENT 1 BRETT HUNKNS 810-767-8270 13-277,160. -277,160. Dedutions Not Taken Elsewhere (See instrutions for limitations on dedutions.) (Exept for ontriutions, dedutions must e diretly onneted with the unrelated usiness inome.) Compensation of offiers, diretors, and trustees (Shedule K) Salaries and wages m m m Repairs and maintenane Bad dets m m m m m m m m nterest (attah shedule) Taxes and lienses m m m m m m m m m m m m m m m m m m m m Charitale ontriutions (See instrutions for limitation rules) m m m m m m m m m m m m m m m m Depreiation (attah Form 4562) m m m m m m m m m m m m m m m m m 21 Less depreiation laimed on Shedule A and elsewhere on return 22a Depletion m m m m m m m m m m m m m m m m m m Contriutions to deferred ompensation plans Employee enefit programs m m m m Exess exempt expenses (Shedule ) Exess readership osts (Shedule J) Other dedutions (attah shedule) m m m Total dedutions. Add lines 14 through 28 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Unrelated usiness taxale inome efore net operating loss dedution. Sutrat line 29 from line 13 Net operating loss dedution (limited to the amount on line 30) m m m m m m m m m m m m m m Unrelated usiness taxale inome efore speifi dedution. Sutrat line 31 from line 30 Speifi dedution (Generally $1,000, ut see line 33 instrutions for exeptions) m m m m m m m m m m m m m m m m Unrelated usiness taxale inome. Sutrat line 33 from line 32. f line 33 is greater than line 32, enter the smaller of zero or line 32 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m -277,160. ATCH 2-277,160. 14 15 16 17 18 19 20 22 27 ATTACHMENT 3 28 49,648. For Paperwork Redution At Notie, see instrutions. Form 990-T (2017) 72740 2.000 23 24 25 26 29 30 31 32 33 34 49,648. -326,808. -326,808. 1,000. -326,808. 0345CH 701U 10/30/2018 6:26:01 AM V 17-7.2F 0190548 PAGE 55
Form 990-T(2017) COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 Page 2 1FTh1111 Tax Computation 35 Organizatons Taxale as Corporations See instrutions for tax omputation. Controlled group memers (setions 1561 and 1563) hek here See nstrutions and: a Enter your share of the $50000. $25000, and $9925000 taxale inome rakets (in that order): (1)$ j (2)$ (3)$ Ente organization's shareof: (1) Additional 5% tax (not more than $11,750)...$ (2) Additonal 3% tax (not more than $100,000)...$ nometaxontheamountonllne34... 36 Trusts Taxale at Trust Rates. See nstrutions for tax omputation nome tax on the amount on line 34 from: Tax rate shedule or Shedule D (Form 1041)... 37 Proxy tax. See nstrutions...l. 38 Alternative minimum tax... 38 39 Tax on Non-Compliant Failty nome. See nstrutions...39 40 Total. Add lines 37, 38 and 39 to line 35 or 36, whihever applies 40 n1l Tax and Payments - 41 a Foreign tax redit (orporations attah Form 1118; trustsattah Form 1118)...41a Other redits (see nstrutions).... General usiness redit. Attath Form 3800 (see nstrutions).... d Credit for pror year minimum tax (attah Form 8801 or 8827 ).... 0 Total redits. Add lines 41a through 41d... 42 Sutrat line 418 from line 40... 43 Othertaxes. Cheki1frorn: Form 4255 Form 6611 Form 8697 Form8865 Other(attah shedule). 44 Total tax. Add lines 42 and 43.... 45 a Payments: A 2016 overpayment redited to 2017.... 2017 estimated tax payments............................451 C Tax deposited with Form 8868.... d Foreign organizations: Tax paid or withheld at soure (see instrutions)........45d e Bakup withholding (see instrutons).... f Credit for small employer health insurane p ernlums (Attah Form 8941).... g Other redits and payments: U Form 2439 [11 Form 4136 U Other Total - 46 Total payments. Add lnes 45a through 45g... 47 Estimated tax penalty (see instrutions). Chek if Form 2220 is attathed...[] 48 Tax due. f line 46 is less than the total of lines 44 and 47, enter amount owed... 49 Overpayment. if line 46 s larger than the total of lines 44 and 47, enter amount overpaid... 50 Enter the amount of line 49 you want. Credited to 2018 estmated tax Refunded 51 52 53 Statements Regarding Certain Ativities and Other nformation (see instrutions) At any time during the 2017 alendar year, dd the organzation have an nterest n or a signature or other authority Yes No over a finanial aount (ank, seurities, or other) in a foreign ountry? f YES, the organization may have to file FrCEN Form 114, Report of Foregn Bank and Finanial Aounts. YES, enter the name of the foregn ountry here During the tax year, dd the organzation reeve a distriution from, or was it the grantor of, or transferor to, a foreign trust?... f YES, see nstrutions for other forms the organization may have to file. Enter the amount of tax-exempt interest reeived or arued during the tax year $ Under periniu 01 peury, decwe thu hs'e exarnnod thu return injudma eompanyin stheduleu end itaternent*, end to the est ol my knowledqe end ehel it is true, orret,snd omplejo. DetaisK, o#-jreperer iother than taxpayer) is ased on all inlormition ol wh h preparer has any knowleda, Here /? ' 2t L4 t.eo p : Paid Preparer UseOnly Tnature of offer Date Title (see unxtntlons)?[j Yes 1 ] No Print/Type preparers name Preparer's signature p Date PTN [_j 11-7-2018 RCHARD NOREEN u to i P00059529 Firms name. BDO USA, LLP F'm's ElN 13538159 Fin saddre 2OO OTTAWA AVE NW STE 300, GRAND RAPDS, M 49503 oneno. 616-774 - 7000 Form 990-T (2017) 41 e 46 2 72741 2000 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 56
Form 8868 Appliation for Automati Extension of Time To File an (Rev. January 2017) Exempt Organization Return OMB No. 1545-1709 Department of the Treasury File a separate appliation for eah return. nternal Revenue Servie nformation aout Form 8868 and its instrutions is at www.irs.gov/form8868. Eletroni filing (e-file). You an eletronially file Form 8868 to request a 6-month automati extension of time to file any of the forms listed elow with the exeption of Form 8870, nformation Return for Transfers Assoiated With Certain Personal Benefit Contrats, for whih an extension request must e sent to the RS in paper format (see instrutions). For more details on the eletroni filing of this form, visit www.irs.gov/efile, lik on Charities & Non-Profits, and lik on e-file for Charities and Non-Profits. Automati 6-Month Extension of Time. Only sumit original (no opies needed). All orporations required to file an inome tax return other than Form 990-T (inluding 1120-C filers), partnerships, REMCs, and trusts must use Form 7004 to request an extension of time to file inome tax returns. Type or print File y the due date for filing your return. See instrutions. Name of exempt organization or other filer, see instrutions. Numer, street, and room or suite no. f a P.O. ox, see instrutions. City, town or post offie, state, and ZP ode. For a foreign address, see instrutions. Enter the Return Code for the return that this appliation is for (file a separate appliation for eah return) Appliation s For Form 990 or Form 990-EZ Form 990-BL Form 4720 (individual) Form 990-PF Form 990-T (se. 401(a) or 408(a) trust) Form 990-T (trust other than aove) % The ooks are in the are of Telephone No. Return Code 01 02 03 04 05 06 Appliation s For Form 990-T (orporation) Form 1041-A Form 4720 (other than individual) Form 5227 Form 6069 Form 8870 Enter filer's identifying numer, see instrutions Employer identifiation numer (EN) or Soial seurity numer (SSN) m m m m m m m m m m m m m m m m m m m m m m m m m m m Return Code 810 767-8270 Fax No. f the organization does not have an offie or plae of usiness in the United States, hek this ox % f this is for a Group Return, enter the organization's four digit Group Exemption Numer (GEN). f this is m m m m m m m m m m m m m for the whole group, hek this ox. f it is for part of the group, hek this ox and attah a list with the names and ENs of all memers the extension is for. 1 request an automati 6-month extension of time until 11/15, 20 18, to file the exempt organization return for the organization named aove. The extension is for the organization s return for: alendar year 20 17 or tax year eginning, 20, and ending, 20. 2 f the tax year entered in line 1 is for less than 12 months, hek reason: nitial return Final return Change in aounting period 3a f this appliation is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundale redits. See instrutions. 3a $ 0. f this appliation is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundale redits and estimated tax payments made. nlude any prior year overpayment allowed as a redit. 3 $ 0. Balane due. Sutrat line 3 from line 3a. nlude your payment with this form, if required, y using EFTPS (Eletroni Federal Tax Payment System). See instrutions. 3 $ 0. Caution. f you are going to make an eletroni funds withdrawal (diret deit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instrutions. COMMUNTY FOUNDATON OF GREATER FLNT 500 S SAGNAW STREET 200 FLNT, M 48502 MARY TTGSON BAEHR 500 S SAGNAW STREET, STE 200 FLNT M 48502 38-2190667 For Privay At and Paperwork Redution At Notie, see instrutions. Form 8868 (Rev. 1-2017) 0 7 07 08 09 10 11 12 7F8054 1.000 4/30/2018 9:33:22 AM V 17-4.5F 0190548 PAGE 2
1 nventory at eginning of year 1 6 nventory at end of year m m m m m m m m m 6 2 Purhases m 2 7 Cost of goods sold. Sutrat line 3 Cost of laor m m m m m m m m m 3 6 from line 5. Enter here and in 4 a Additional setion 263A osts Part, line 2 m m m m m m m m m m m m m m m 7 (attah shedule) m m m m m m 4a 8 Do the rules of setion 263A (with respet to Other osts (attah shedule) m 4 property produed or aquired for resale) apply 5 Total. Add lines 1 through 4 5 to the organization? m m m m m m m m m m m m m m m m m m m m Form 990-T (2017) Page 3 Shedule A - Cost of Goods Sold. Enter method of inventory valuation Shedule C - Rent nome (From Real Property and Personal Property Leased With Real Property) (see instrutions) 1. Desription of property COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 Yes No (1) (2) (3) (4) (a) From personal property (if the perentage of rent for personal property is more than 10% ut not more than 50%) 2. Rent reeived or arued () From real and personal property (if the perentage of rent for personal property exeeds 50% or if the rent is ased on profit or inome) 3(a) Dedutions diretly onneted with the inome in olumns 2(a) and 2() (attah shedule) (1) (2) (3) (4) Total Total () Total dedutions. () Total inome. Add totals of olumns 2(a) and 2(). Enter Enter here and on page 1, here and on page 1, Part, line 6, olumn (A) m m m m m Part, line 6, olumn (B) Shedule E - Unrelated Det-Finaned nome (see instrutions) (1) (2) (3) (4) (1) (2) (3) (4) 1. Desription of det-finaned property 4. Amount of average aquisition det on or alloale to det-finaned property (attah shedule) 5. Average adjusted asis of or alloale to det-finaned property (attah shedule) 2. Gross inome from or alloale to det-finaned property 6. Column 4 divided y olumn 5 % % % % 3. Dedutions diretly onneted with or alloale to det-finaned property (a) Straight line depreiation (attah shedule) 7. Gross inome reportale (olumn 2 x olumn 6) Enter here and on page 1, Part, line 7, olumn (A). Totals m m m m m m m m m m m m m m m m m m m m m m m m m Total dividends-reeived dedutions inluded in olumn 8 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m () Other dedutions (attah shedule) 8. Alloale dedutions (olumn 6 x total of olumns 3(a) and 3()) Enter here and on page 1, Part, line 7, olumn (B). Form 990-T (2017) 72742 3.000 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 57
Form 990-T (2017) Page 4 Shedule F - nterest, Annuities, Royalties, and Rents From Controlled Organizations (see instrutions) Exempt Controlled Organizations (1) (2) (3) 1. Name of ontrolled organization (4) Nonexempt Controlled Organizations (1) (2) (3) (4) 7. Taxale nome 2. Employer identifiation numer 8. Net unrelated inome (loss) (see instrutions) 3. Net unrelated inome (loss) (see instrutions) 9. Total of speified payments made 4. Total of speified payments made 5. Part of olumn 4 that is inluded in the ontrolling organization's gross inome 10. Part of olumn 9 that is inluded in the ontrolling organization's gross inome Add olumns 5 and 10. Enter here and on page 1, Part, line 8, olumn (A). Totals m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Shedule G - nvestment nome of a Setion 501()(7), (9), or (17) Organization (see instrutions) (1) (2) (3) (4) 1. Desription of inome 2. Amount of inome Totals m m m m m m m m m m m m Enter here and on page 1, Part, line 9, olumn (A). 3. Dedutions diretly onneted (attah shedule) 4. Set-asides (attah shedule) Shedule - Exploited Exempt Ativity nome, Other Than Advertising nome (see instrutions) 1. Desription of exploited ativity COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 2. Gross unrelated usiness inome from trade or usiness 3. Expenses diretly onneted with prodution of unrelated usiness inome 4. Net inome (loss) from unrelated trade or usiness (olumn 2 minus olumn 3). f a gain, ompute ols. 5 through 7. 5. Gross inome from ativity that is not unrelated usiness inome 6. Expenses attriutale to olumn 5 6. Dedutions diretly onneted with inome in olumn 5 11. Dedutions diretly onneted with inome in olumn 10 Add olumns 6 and 11. Enter here and on page 1, Part, line 8, olumn (B). 5. Total dedutions and set-asides (ol. 3 plus ol. 4) Enter here and on page 1, Part, line 9, olumn (B). 7. Exess exempt expenses (olumn 6 minus olumn 5, ut not more than olumn 4). (1) (2) (3) (4) Totals m m m m m m m m m m m m Enter here and on page 1, Part, line 10, ol. (A). Enter here and on page 1, Part, line 10, ol. (B). Shedule J - Advertising nome (see instrutions) nome From Periodials Reported on a Consolidated Basis Part Enter here and on page 1, Part, line 26. 1. Name of periodial 2. Gross advertising inome 3. Diret advertising osts 4. Advertising gain or (loss) (ol. 2 minus ol. 3). f a gain, ompute ols. 5 through 7. 5. Cirulation inome 6. Readership osts 7. Exess readership osts (olumn 6 minus olumn 5, ut not more than olumn 4). (1) (2) (3) (4) Totals (arry to Part, line (5)) m m Form 990-T (2017) 72743 3.000 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 58
COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 nome From Periodials Reported on a Separate Basis (For eah periodial listed in Part, fill in olumns 2 through 7 on a line-y-line asis.) Form 990-T (2017) Page 5 Part (1) (2) (3) (4) 1. Name of periodial Totals from Part Totals, Part (lines 1-5) m m m m m m m m m m m 2. Gross advertising inome Enter here and on page 1, Part, line 11, ol (A). 3. Diret advertising osts Enter here and on page 1, Part, line 11, ol (B). 4. Advertising gain or (loss) (ol. 2 minus ol. 3). f a gain, ompute ols. 5 through 7. Shedule K - Compensation of Offiers, Diretors, and Trustees (see instrutions) (1) (2) (3) 1. Name 2. Title 5. Cirulation inome 3. Perent of time devoted to usiness (4) % Total. Enter here and on page 1, Part, line 14 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m % % % 6. Readership osts 7. Exess readership osts (olumn 6 minus olumn 5, ut not more than olumn 4). Enter here and on page 1, Part, line 27. 4. Compensation attriutale to unrelated usiness Form 990-T (2017) 72744 2.000 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 59
COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 ATTACHMENT 1 ORGANZATON'S PRMARY UNRELATED BUSNESS ACTVTY. RECEVNG UBT NCOME FROM PASS-THROUGH NVESTMENT ENTTES. ATTACHMENT 1 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 60
COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 ATTACHMENT 2 FORM 990T - LNE 5 -NCOME (LOSS) FROM PARTNERSHPS AETHER REAL ASSETS, L.P. -3,685. COMMUNTY FRST, LLC HGGC FUND LP -95,499. -10,164. JUNPER CAPTAL, LP MONTAUK TRGUARD FUND V LP -125,645. -41,621. PARK STREET CAPTAL NATURAL RESOURCE FUND V, LP 14,469. PARK STREET CAPTAL NATURAL RESOURCE FUND V, LP -15,015. NCOME (LOSS) FROM PARTNERSHPS -277,160. ATTACHMENT 2 0345CH 701U 10/30/2018 6:26:01 AM V 17-7.2F 0190548 PAGE 61
COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 ATTACHMENT 3 FORM 990T - PART - LNE 28 - TOTAL OTHER DEDUCTONS PASS-THROUGH SECTON 59(E)(2) EPENSES 17,853. OTHER PASS-THROUGH EPENSES 27,906. TA PREPARATON FEE 3,889. PART - LNE 28 - OTHER DEDUCTONS 49,648. ATTACHMENT 3 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 62
Community Foundation of Greater Flint 12/31/2017 990 T UBT NOL Carryforward Year Loss amount Losses Used Loss Remaining 2010 2011 (2,452) (2,452) 2012 (753) (3,205) 2013 (67,583) (70,788) 2014 (42,827) (113,615) 2015 (65,698) (179,313) 2016 (164,149) (343,462) 2017 (326,808) (670,270)
Return of U.S. Persons With Respet to Form 8865 Certain Foreign Partnerships Attah to your tax return. Go to www.irs.gov/form8865 for instrutions and the latest information. Department of the Treasury nformation furnished for the foreign partnership's tax year nternal Revenue Servie eginning 01/01/2017, and ending 12/31/2017 Name of person filing this return Filer's identifying numer COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 Filer's address (if you are not filing this form with your tax return) C D E F OMB No. 1545-1668 À¾µ» Attahment Sequene No. 118 A Category of filer (see Categories of Filers in the instrutions and hek appliale ox(es)): 1 2 3 4 B Filer's tax year eginning, and ending Filer's share of liailities: Nonreourse $ Qualified nonreourse finaning $ Other $ f filer is a memer of a onsolidated group ut not the parent, enter the following information aout the parent: Name Address Chek if any exepted speified foreign finanial assets are reported on this form (see instrutions) m m m m m m m m m m m m m m m m m m m m m m nformation aout ertain other partners (see instrutions) (4) Chek appliale ox(es) (1) Name (2) Address (3) dentifying numer Category 1 Category 2 Construtive owner EN 01/01/2017 12/31/2017 G1 Name and address of foreign partnership H 4 Date of organization 5 Prinipal plae of usiness 6 Prinipal usiness ativity ode numer Provide the following information for the foreign partnership's tax year: 1 Name, address, and identifying numer of agent (if any) in the United States HGGC FUND, L.P. 1950 UNVERSTY AVENUE, SUTE 350 PALO ALTO, CA 94303 98-1137064 3 Name and address of foreign partnership's agent in ountry of organization, if any WALKERS WALKER HOUSE, 87 MARY STREET 7 Prinipal usiness ativity 2(a) EN (if any) HGGC FUND, L.P. 98-1137064 1950 UNVERSTY AVENUE, SUTE 350 PALO ALTO, CA 94303 09/12/2013 US 523900 GEORGE TOWN, GRAND CAYMAN 2() Referene D numer (see instr.) 3 Country under whose laws organized 8a Funtional urreny 2 Chek if the foreign partnership must file: 8 Exhange rate (see instr.) Form 1042 Form 8804 Form 1065 or 1065-B Servie Center where Form 1065 or 1065-B is filed: 4 Name and address of person(s) with ustody of the ooks and reords of the foreign partnership, and the loation of suh ooks and reords, if different 5 Were any speial alloations made y the foreign partnership? m m m m m m m m m m m m m m m m m m m m m m m m m m Yes No 6 Enter the numer of Forms 8858, nformation Return of U.S. Persons With Respet To Foreign Disregarded Entities, attahed to this return (see instrutions) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 7 How is this partnership lassified under the law of the ountry in whih it is organized?m m m m PARTNERSHP 8a Does the filer have an interest in the foreign partnership, or an interest indiretly through the foreign partnership, that is a separate unit under Reg. 1.1503(d)-1()(4) or part of a omined separate unit under Reg. 1.1503(d)-1()(4)(ii)? f "No," skip question 8. Yes No f "Yes," does the separate unit or omined separate unit have a dual onsolidated loss as defined in Reg. 1.1503(d)-1()(5)(ii)? m m m Yes No 9 Does this partnership meet oth of the following requirements? The partnership's total reeipts for the tax year were less than $250,000 and % The value of the partnership's total assets at the end of the tax year was less than $1 million. & m m m m m m m m m m Yes No CJ, KY1-9001 Sign Here Only f You Are Filing This Form Separately and Not With Your Tax Return. f "Yes," do not omplete Shedules L, M-1, and M-2. Under penalties of perjury, delare that have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is true, orret, and omplete. Delaration of preparer (other than general partner or limited liaility ompany memer) is ased on all information of whih preparer has any knowledge. Paid Preparer Use Only M Signature of general partner or limited liaility ompany memer Print/Type preparer's name Preparer's signature Date Chek if PTN Firm's name Firm's address M Date self-employed Firm's EN Phone no. For Privay At and Paperwork Redution At Notie, see the separate instrutions. Form 8865 (2017) 71910 2.000 NVESTMENTS EFLE 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 63 USD CJ
HGGC FUND, L.P. 98-1137064 Form 8865 (2017) Page 2 Shedule A Construtive Ownership of Partnership nterest. Chek the oxes that apply to the filer. f you hek ox, enter the name, address, and U.S. taxpayer identifying numer (if any) of the person(s) whose interest you onstrutively own. See instrutions. a Owns a diret interest Owns a onstrutive interest Name Address dentifying numer (if any) Chek if foreign person Chek if diret partner Shedule A-1 Certain Partners of Foreign Partnership (see instrutions) Name Address dentifying numer (if any) Chek if foreign person m m m m m m m m m m m m m m m m m m m m m m m Affiliation Shedule. List all partnerships (foreign or domesti) in whih the foreign partnership owns a Does the partnership have any other foreign person as a diret partner? Yes No Shedule A-2 diret interest or indiretly owns a 10% interest. ATTACHMENT 1 Name Address EN (if any) Total ordinary inome or loss Chek if foreign partnership Shedule B nome Statement - Trade or Business nome Caution: nlude only trade or usiness inome and expenses on lines 1a through 22 elow. See the instrutions for more information. nome Dedutions (see instrutions for limitations) 1a Gross reeipts or sales m m m 1a Less returns and allowanes 1 2 Cost of goods sold m m m m m m m m m m m m 3 Gross profit. Sutrat line 2 from line 1 m m m m m m m m m m m m m m m m m m m m m m m m 4 Ordinary inome (loss) from other partnerships, estates, and trusts (attah statement) * 5 Net farm profit (loss) (attah Shedule F (Form 1040)) m m m m m m m m 6 Net gain (loss) from Form 4797, Part, line 17 (attah Form 4797) m m m m m m m m m m m 7 Other inome (loss) (attah statement) m m m m m m m m m m m m m m m m m m m m m m m m m m m m 8 Total inome (loss). Comine lines 3 through 7 m m m m m m m m m m m m 9 Salaries and wages (other than to partners) (less employment redits) 10 Guaranteed payments to partners 11 Repairs and maintenane 12 Bad dets 13 Rent m m m m m m m 14 Taxes and lienses m 15 nterest m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 16 a Depreiation (if required, attah Form 4562) m m 16a Less depreiation reported elsewhere on return 16 17 Depletion (Do not dedut oil and gas depletion.) 18 Retirement plans, et. m m m 19 Employee enefit programs m m m m m 20 Other dedutions (attah statement) m m m m m m m m m m m m m m m m m m m m m m m m m m m m 21 Total dedutions. Add the amounts shown in the far right olumn for lines 9 through 20 m m m m 22 Ordinary usiness inome (loss) from trade or usiness ativities. Sutrat line 21 from line 8 m m 71911 2.000 * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Form 8865 (2017) 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 64
HGGC FUND, L.P. 98-1137064 Form 8865 (2017) Page 3 Total amount Shedule K 1 2 nome (Loss) Dedutions Self- Employment Credits Foreign Transations Alternative Minimum Tax (AMT) tems Other nformation 71913 2.000 3a 4 5 6 7 8 9a 10 11 12 13 a d 14 a 15 a d e f 16 a Partners' Distriutive Share tems Ordinary usiness inome (loss) (page 2, line 22) Net rental real estate inome (loss) (attah Form 8825) Other gross rental inome (loss) m m m m m m m m m m m m m 3a Expenses from other rental ativities (attah statement) 3 Other net rental inome (loss). Sutrat line 3 from line 3a Guaranteed payments nterest inome Dividends: m m m 1 m m m m m m m m m m m m m m m m m m 2 3 4 m m m m m m m m m m m 5 a Ordinary dividends m m m m m m m m m m m m m m m m m m 6a Qualified dividends 6 Royalties m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 7 Net short-term apital gain (loss) (attah Shedule D (Form 1065)) 8 Net long-term apital gain (loss) (attah Shedule D (Form 1065)) m m m m m m m m m m m m 9a Colletiles (28%) gain (loss) m m m m m m m m m m m m 9 Unreaptured setion 1250 gain (attah statement) 9 Net setion 1231 gain (loss) (attah Form 4797) m m m m m m m m m m m m m m m m m m m m m m 10 Other inome (loss) (see instrutions) Type 11 Setion 179 dedution (attah Form 4562) 12 Contriutions m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 13a nvestment interest expensem m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 13 Setion 59(e)(2) expenditures: (1) Type (2) Amount 13(2) Other dedutions (see instrutions) Type 13d Net earnings (loss) from self-employment 14a Gross farming or fishing inome 14 Gross nonfarm inome m m m m m m m m m m m m 14 Low-inome housing redit (setion 42(j)(5)) 15a Low-inome housing redit (other) m m m m m m m m m m m m m m m m m m m m m m 15 Qualified rehailitation expenditures (rental real estate) (attah Form 3468) m m m m m m m 15 Other rental real estate redits (see instrutions) Type 15d Other rental redits (see instrutions) Type 15e Other redits (see instrutions) Type 15f Name of ountry or U.S. possession Gross inome from all soures m m m m m 16 Gross inome soured at partner level m m m m m m m m m m m m m m m m m m m m m m m m m m m 16 e General ategory f Other (attah statement) 16f 16h Foreign gross inome soured at partnership level d Passive ategory Dedutions alloated and apportioned at partner level g nterest expense h Other m m m m m m m m m m m m m m m m m m m m m Dedutions alloated and apportioned at partnership level to foreign soure inome i Passive ategory j General ategory k Other (attah statement) l Total foreign taxes (hek one): m Redution in taxes availale for redit (attah statement) n Other foreign tax information (attah statement) 17 a Post-1986 depreiation adjustment Adjusted gain or loss Depletion (other than oil and gas) d Oil, gas, and geothermal properties - gross inome e Oil, gas, and geothermal properties - dedutions f Other AMT items (attah statement) 18 a Tax-exempt interest inome Other tax-exempt inome Nondedutile expenses 19 a Distriutions of ash and marketale seurities Distriutions of other property 20 a nvestment inome nvestment expenses Other items and amounts (attah statement) Paid Arued m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 16k 16l 16m 17a 17 17 17d 17e 17f 18a 18 18 19a 19 20a 20 Form 8865 (2017) 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 65
HGGC FUND, L.P. 98-1137064 Form 8865 (2017) Page 4 Shedule L 1 2 a 3 4 5 6 7 a Balane Sheets per Books. (Not required if tem H9, page 1, is answered "Yes.") Assets Cash m m m m m m m m m m m m m m m m Trade notes and aounts reeivale Less allowane for ad dets nventories U.S. government oligations Tax-exempt seurities m m m m m m m m m m m m m m m m Other urrent assets (attah statement) m m m m m m m m m m m m m m Loans to partners (or persons related to partners) Mortgage and real estate loans 8 Other investments (attah statement) 9 a Buildings and other depreiale assets Less aumulated depreiation 10 a Depletale assets m m m m m Less aumulated depletion m 11 Land (net of any amortization) m m m m 12 a ntangile assets (amortizale only) Less aumulated amortization 13 14 m m m m m m m m m m m m m m m m m m m m m m m Other assets (attah statement) Total assets Liailities and Capital 15 Aounts payale 16 Mortgages, notes, onds payale in less than 1 year 17 Other urrent liailities (attah statement) 18 All nonreourse loans m m m m m m m m 19 a Loans from partners (or persons related to partners) Mortgages, notes, onds payale in 1 year or more 20 Other liailities (attah statement) 21 Partners' apital aounts 22 Total liailities and apital m m m m m m Beginning of tax year End of tax year (a) () () (d) Form 8865 (2017) 71914 2.000 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 66
HGGC FUND, L.P. 98-1137064 Form 8865 (2017) Page 5 Shedule M 1 2 Total U.S. assets Total foreign assets: Passive ategory General ategory Other (attah statement) a Shedule M-1 1 2 3 4 Balane Sheets for nterest Alloation m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m (a) Beginning of tax year () End of tax year Reoniliation of nome (Loss) per Books With nome (Loss) per Return. (Not required if tem H9, page 1, is answered "Yes.") Net inome (loss) per ooks m m nome inluded on Shedule K, lines 1, 2, 3, 5, 6a, 7, 8, 9a, 10, and 11 not reorded on ooks this year (itemize): Guaranteed payments (other than health insurane) m m m m m Expenses reorded on ooks this year not inluded on Shedule K, lines 1 through 13d, and 16 (itemize): 6 7 nome reorded on ooks this year not inluded on Shedule K, lines 1 through 11 (itemize): a Tax-exempt interest $ Dedutions inluded on Shedule K, lines 1 through 13d, and 16 not harged against ook inome this year (itemize): a Depreiation $ m m m m m m m m m m m a Depreiation $ Travel and entertainment $ 8 Add lines 6 and 7m m m m m m m m m 9 nome (loss). Sutrat line 8 5 Add lines 1 through 4 m m m m m m from line 5 m m m m m m m m m m m m Shedule M-2 Analysis of Partners' Capital Aounts. (Not required if tem H9, page 1, is answered "Yes.") 1 Balane at eginning of year 6 Distriutions: a Cash 2 Capital ontriuted: Property a Cash m m 7 Other dereases (itemize): Property m 3 Net inome (loss) per ooks m m 4 Other inreases (itemize): 8 9 5 Add lines 1 through 4 line 8 from line 5 m m m m m m Add lines 6 and 7m m m m m m m m m Balane at end of year. Sutrat m m m m m m m m m m m m m m m Form 8865 (2017) 71915 2.000 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 67
HGGC FUND, L.P. 98-1137064 Form 8865 (2017) Page 6 Shedule N Transations Between Controlled Foreign Partnership and Partners or Other Related Entities mportant: Complete a separate Form 8865 and Shedule N for eah ontrolled foreign partnership. Enter the totals for eah type of transation that ourred etween the foreign partnership and the persons listed in olumns (a) through (d). Transations of foreign partnership 1 Sales of inventory m m m m m m 2 Sales of property rights (patents, trademarks, et.) 3 Compensation reeived for tehnial, managerial, engineering, onstrution, or like servies m m m m m 4 Commissions reeived m m m m 5 Rents, royalties, and liense fees reeived m m m m m 6 Distriutions reeived 7 nterest reeived m m m m m m m 8 Other m m m m m m m m m m m m m 9 Add lines 1 through 8 m m m m 10 Purhases of inventorym m m m (a) U.S. person filing this return () Any domesti orporation or partnership ontrolling or ontrolled y the U.S. person filing this return () Any other foreign orporation or partnership ontrolling or ontrolled y the U.S. person filing this return (d) Any U.S. person with a 10% or more diret interest in the ontrolled foreign partnership (other than the U.S. person filing this return) 11 Purhases of tangile property other than inventory 12 Purhases of property rights (patents, trademarks, et.) m m 13 Compensation paid for tehnial, managerial, engineering, onstrution, or like servies m m m 14 Commissions paid m m m m m m 15 m m m m m 16 Distriutions paid 17 nterest paid m m m m m m m m m 18 Other m m m m m m m m m m m m m 19 Add lines 10 through 18 m m 20 21 Rents, royalties, and liense fees paid Amounts orrowed (enter the maximum loan alane during the year). See instrutions m m m m m m m m m m Amounts loaned (enter the maximum loan alane during the year). See instrutions m m m m m m m m m m Form 8865 (2017) 71916 2.000 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 68
SCHEDULE O (Form 8865) Transfer of Property to a Foreign Partnership (under setion 6038B) Attah to Form 8865. See nstrutions for Form 8865. OMB No. 1545-1668 Department of the Treasury nternal Revenue Servie À¾µ» Go to www.irs.gov/form8865 for instrutions and the latest information. Name of transferor Filer's identifying numer HGGC FUND, L.P. 38-2190667 Name of foreign partnership EN (if any) Referene D numer (see instrutions) HGGC FUND, L.P. 98-1137064 1a s the partnership a setion 721() partnership (as defined in Temporary Regulations setion 1.721()-1T()(14)? See instrutions m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Yes No f "Yes," was the gain deferral method applied to avoid the reognition of gain upon the ontriution of property? m m m m Yes No time thereafter, a platform ontriution as defined in Regulations setion 1.482-7()(1)? m m m m m m m m m m Yes No 2 Was any intangile property transferred onsidered or antiipated to e, at the time of the transfer or at any Part Transfers Reportale Under Setion 6038B Type of property (a) Date of transfer () Numer of items transferred () Fair market value on date of transfer (d) Cost or other asis (e) Setion 704() alloation method (f) Gain reognized on transfer Cash VAR 229,794. Stok, notes reeivale and payale, and other seurities nventory Tangile property used in trade or usiness ntangile property desried in setion 197(f)(9) ntangile property, other than intangile property desried in setion 197(f)(9) Other property Totals 3 Enter the transferor's perentage interest in the partnership: (a) Before the transfer.139 % () After the transfer.133 % Supplemental nformation Required To Be Reported (see instrutions): Part (a) Type of property Dispositions Reportale Under Setion 6038B () Date of original transfer () Date of disposition (d) Manner of disposition (e) Gain reognized y partnership (f) Depreiation reapture reognized y partnership (g) Gain alloated to partner (h) Depreiation reapture alloated to partner Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Yes No s any transfer reported on this shedule sujet to gain reognition under setion 904(f)(3) or setion 904(f)(5)(F)? For Paperwork Redution At Notie, see the nstrutions for Form 8865. Shedule O (Form 8865) 2017 71920 2.000 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 69
COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 HGGC FUND, L.P. ATTACHMENT 1 FORM 8865, PAGE 2 DETAL SCHEDULE A-2 - AFFLATON SCHEDULE TOTAL ORDNARY FOR NAME ADDRESS D NUMBER NCOME OR LOSS PSHP HGGC SABER NVESTMENTS, LLC 1950 UNVERSTY AVENUE 47-2498158 SUTE 350 PALO ALTO CA 94303 HGGC SABER TOPCO, LLC 6 RESEARCH DRVE 47-2424635 SHELTON CT 06484 POLCY SERVCES AGGREGATOR, LLC 1950 UNVERSTY AVENUE 47-1732219 SUTE 350 PALO ALTO CA 94303 POLCY SERVCES HOLDNGS, LLC 1950 UNVERSTY AVENUE 47-1732302 SUTE 350 PALO ALTO CA 94303 FALCON AGGREGATOR, LLC 1950 UNVERSTY AVENUE 81-2336511 SUTE 350 PALO ALTO CA 94303 ATTACHMENT 1 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 70
COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 HGGC FUND, L.P. ATTACHMENT 1 (CONT'D) FORM 8865, PAGE 2 DETAL SCHEDULE A-2 - AFFLATON SCHEDULE TOTAL ORDNARY FOR NAME ADDRESS D NUMBER NCOME OR LOSS PSHP FALCON TOPCO, LLC 2600 DALLAS PARKWAY 38-4026299 SUTE 590 FRSCO T 75034 FOUNTAN AGGREGATOR, LLC 1950 UNVERSTY AVENUE 98-1137064 SUTE 350 PALO ALTO CA 94303 FOUNTAN TOPCO, LLC 5900 SAN FERNANDO ROAD 81-2773913 UNT B GLENDALE CA 91202 DEALER F-LMTED PARTNERSHP 2 LANSNG SQUARE FOREGNUS #1007 TORONTO ONTARO CA M2J 4P8 ANGUS AGGREGATOR, LLC 1950 UNVERSTY AVENUE 81-3092484 SUTE 350 PALO ALTO CA 94303 ATTACHMENT 1 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 71
COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 HGGC FUND, L.P. ATTACHMENT 1 (CONT'D) FORM 8865, PAGE 2 DETAL SCHEDULE A-2 - AFFLATON SCHEDULE TOTAL ORDNARY FOR NAME ADDRESS D NUMBER NCOME OR LOSS PSHP NTEGRTY MARKETNG GROUP, LLC 911 CYPRESS WATERS BLVD, STE 450 81-3098308 FKA ANGUS HOLDNGS LLC DALLAS T 75019 DAVES HOLDNGS (CAYMAN) L.P. 1950 UNVERSTY AVENUE 98-1412590 SUTE 350 PALO ALTO CA 94303 ETOUCHES AGGREGATOR L.P. 1950 UNVERSTY AVENUE 81-1219034 SUTE 350 PALO ALTO CA 94303 RPTDE ACQUSTON 1, L.P. 1950 UNVERSTY AVENUE 82-0900785 SUTE 350 PALO ALTO CA 94303 ATTACHMENT 1 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 72
Return of U.S. Persons With Respet to Form 8865 Certain Foreign Partnerships Attah to your tax return. Go to www.irs.gov/form8865 for instrutions and the latest information. Department of the Treasury nformation furnished for the foreign partnership's tax year nternal Revenue Servie eginning 01/01/2017, and ending 12/31/2017 Name of person filing this return Filer's identifying numer COMMUNTY FOUNDATON OF GREATER FLNT 38-2190667 Filer's address (if you are not filing this form with your tax return) C D E F OMB No. 1545-1668 À¾µ» Attahment Sequene No. 118 A Category of filer (see Categories of Filers in the instrutions and hek appliale ox(es)): 1 2 3 4 B Filer's tax year eginning, and ending Filer's share of liailities: Nonreourse $ Qualified nonreourse finaning $ Other $ f filer is a memer of a onsolidated group ut not the parent, enter the following information aout the parent: Name Address Chek if any exepted speified foreign finanial assets are reported on this form (see instrutions) m m m m m m m m m m m m m m m m m m m m m m nformation aout ertain other partners (see instrutions) (4) Chek appliale ox(es) (1) Name (2) Address (3) dentifying numer Category 1 Category 2 Construtive owner EN 01/01/2017 12/31/2017 G1 Name and address of foreign partnership H 4 Date of organization 5 Prinipal plae of usiness 6 Prinipal usiness ativity ode numer Provide the following information for the foreign partnership's tax year: 1 Name, address, and identifying numer of agent (if any) in the United States HGGC FUND -A, L.P. 1950 UNVERSTY AVENUE, SUTE 350 PALO ALTO, CA 94303 98-1319219 3 Name and address of foreign partnership's agent in ountry of organization, if any WALKER WALKER HOUSE, 87 MARY STREET 7 Prinipal usiness ativity 2(a) EN (if any) HGGC FUND -A, L.P. 98-1319219 1950 UNVERSTY AVENUE, SUTE 350 PALO ALTO, CA 94303 06/16/2016 US 523900 GEORGE TOWN, GRAND CAYMAN 2() Referene D numer (see instr.) 3 Country under whose laws organized 8a Funtional urreny 2 Chek if the foreign partnership must file: 8 Exhange rate (see instr.) Form 1042 Form 8804 Form 1065 or 1065-B Servie Center where Form 1065 or 1065-B is filed: 4 Name and address of person(s) with ustody of the ooks and reords of the foreign partnership, and the loation of suh ooks and reords, if different 5 Were any speial alloations made y the foreign partnership? m m m m m m m m m m m m m m m m m m m m m m m m m m Yes No 6 Enter the numer of Forms 8858, nformation Return of U.S. Persons With Respet To Foreign Disregarded Entities, attahed to this return (see instrutions) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 7 How is this partnership lassified under the law of the ountry in whih it is organized?m m m m PARTNERSHP 8a Does the filer have an interest in the foreign partnership, or an interest indiretly through the foreign partnership, that is a separate unit under Reg. 1.1503(d)-1()(4) or part of a omined separate unit under Reg. 1.1503(d)-1()(4)(ii)? f "No," skip question 8. Yes No f "Yes," does the separate unit or omined separate unit have a dual onsolidated loss as defined in Reg. 1.1503(d)-1()(5)(ii)? m m m Yes No 9 Does this partnership meet oth of the following requirements? The partnership's total reeipts for the tax year were less than $250,000 and % The value of the partnership's total assets at the end of the tax year was less than $1 million. & m m m m m m m m m m Yes No CJ, KY1-9001 Sign Here Only f You Are Filing This Form Separately and Not With Your Tax Return. f "Yes," do not omplete Shedules L, M-1, and M-2. Under penalties of perjury, delare that have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is true, orret, and omplete. Delaration of preparer (other than general partner or limited liaility ompany memer) is ased on all information of whih preparer has any knowledge. Paid Preparer Use Only M Signature of general partner or limited liaility ompany memer Print/Type preparer's name Preparer's signature Date Chek if PTN Firm's name Firm's address M Date self-employed Firm's EN Phone no. For Privay At and Paperwork Redution At Notie, see the separate instrutions. Form 8865 (2017) 71910 2.000 NVESTMENTS EFLE 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 73 USD CJ
HGGC FUND -A, L.P. 98-1319219 Form 8865 (2017) Page 2 Shedule A Construtive Ownership of Partnership nterest. Chek the oxes that apply to the filer. f you hek ox, enter the name, address, and U.S. taxpayer identifying numer (if any) of the person(s) whose interest you onstrutively own. See instrutions. a Owns a diret interest Owns a onstrutive interest Name Address dentifying numer (if any) Chek if foreign person Chek if diret partner Shedule A-1 Certain Partners of Foreign Partnership (see instrutions) Name Address dentifying numer (if any) Chek if foreign person m m m m m m m m m m m m m m m m m m m m m m m Affiliation Shedule. List all partnerships (foreign or domesti) in whih the foreign partnership owns a Does the partnership have any other foreign person as a diret partner? Yes No Shedule A-2 diret interest or indiretly owns a 10% interest. ATTACHMENT 1 Name Address EN (if any) Total ordinary inome or loss Chek if foreign partnership Shedule B nome Statement - Trade or Business nome Caution: nlude only trade or usiness inome and expenses on lines 1a through 22 elow. See the instrutions for more information. nome Dedutions (see instrutions for limitations) 1a Gross reeipts or sales m m m 1a Less returns and allowanes 1 2 Cost of goods sold m m m m m m m m m m m m 3 Gross profit. Sutrat line 2 from line 1 m m m m m m m m m m m m m m m m m m m m m m m m 4 Ordinary inome (loss) from other partnerships, estates, and trusts (attah statement) * 5 Net farm profit (loss) (attah Shedule F (Form 1040)) m m m m m m m m 6 Net gain (loss) from Form 4797, Part, line 17 (attah Form 4797) m m m m m m m m m m m 7 Other inome (loss) (attah statement) m m m m m m m m m m m m m m m m m m m m m m m m m m m m 8 Total inome (loss). Comine lines 3 through 7 m m m m m m m m m m m m 9 Salaries and wages (other than to partners) (less employment redits) 10 Guaranteed payments to partners 11 Repairs and maintenane 12 Bad dets 13 Rent m m m m m m m 14 Taxes and lienses m 15 nterest m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 16 a Depreiation (if required, attah Form 4562) m m 16a Less depreiation reported elsewhere on return 16 17 Depletion (Do not dedut oil and gas depletion.) 18 Retirement plans, et. m m m 19 Employee enefit programs m m m m m 20 Other dedutions (attah statement) m m m m m m m m m m m m m m m m m m m m m m m m m m m m 21 Total dedutions. Add the amounts shown in the far right olumn for lines 9 through 20 m m m m 22 Ordinary usiness inome (loss) from trade or usiness ativities. Sutrat line 21 from line 8 m m 71911 2.000 * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Form 8865 (2017) 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 74
HGGC FUND -A, L.P. 98-1319219 Form 8865 (2017) Page 3 Total amount Shedule K 1 2 nome (Loss) Dedutions Self- Employment Credits Foreign Transations Alternative Minimum Tax (AMT) tems Other nformation 71913 2.000 3a 4 5 6 7 8 9a 10 11 12 13 a d 14 a 15 a d e f 16 a Partners' Distriutive Share tems Ordinary usiness inome (loss) (page 2, line 22) Net rental real estate inome (loss) (attah Form 8825) Other gross rental inome (loss) m m m m m m m m m m m m m 3a Expenses from other rental ativities (attah statement) 3 Other net rental inome (loss). Sutrat line 3 from line 3a Guaranteed payments nterest inome Dividends: m m m 1 m m m m m m m m m m m m m m m m m m 2 3 4 m m m m m m m m m m m 5 a Ordinary dividends m m m m m m m m m m m m m m m m m m 6a Qualified dividends 6 Royalties m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 7 Net short-term apital gain (loss) (attah Shedule D (Form 1065)) 8 Net long-term apital gain (loss) (attah Shedule D (Form 1065)) m m m m m m m m m m m m 9a Colletiles (28%) gain (loss) m m m m m m m m m m m m 9 Unreaptured setion 1250 gain (attah statement) 9 Net setion 1231 gain (loss) (attah Form 4797) m m m m m m m m m m m m m m m m m m m m m m 10 Other inome (loss) (see instrutions) Type 11 Setion 179 dedution (attah Form 4562) 12 Contriutions m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 13a nvestment interest expensem m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 13 Setion 59(e)(2) expenditures: (1) Type (2) Amount 13(2) Other dedutions (see instrutions) Type 13d Net earnings (loss) from self-employment 14a Gross farming or fishing inome 14 Gross nonfarm inome m m m m m m m m m m m m 14 Low-inome housing redit (setion 42(j)(5)) 15a Low-inome housing redit (other) m m m m m m m m m m m m m m m m m m m m m m 15 Qualified rehailitation expenditures (rental real estate) (attah Form 3468) m m m m m m m 15 Other rental real estate redits (see instrutions) Type 15d Other rental redits (see instrutions) Type 15e Other redits (see instrutions) Type 15f Name of ountry or U.S. possession Gross inome from all soures m m m m m 16 Gross inome soured at partner level m m m m m m m m m m m m m m m m m m m m m m m m m m m 16 e General ategory f Other (attah statement) 16f 16h Foreign gross inome soured at partnership level d Passive ategory Dedutions alloated and apportioned at partner level g nterest expense h Other m m m m m m m m m m m m m m m m m m m m m Dedutions alloated and apportioned at partnership level to foreign soure inome i Passive ategory j General ategory k Other (attah statement) l Total foreign taxes (hek one): m Redution in taxes availale for redit (attah statement) n Other foreign tax information (attah statement) 17 a Post-1986 depreiation adjustment Adjusted gain or loss Depletion (other than oil and gas) d Oil, gas, and geothermal properties - gross inome e Oil, gas, and geothermal properties - dedutions f Other AMT items (attah statement) 18 a Tax-exempt interest inome Other tax-exempt inome Nondedutile expenses 19 a Distriutions of ash and marketale seurities Distriutions of other property 20 a nvestment inome nvestment expenses Other items and amounts (attah statement) Paid Arued m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 16k 16l 16m 17a 17 17 17d 17e 17f 18a 18 18 19a 19 20a 20 Form 8865 (2017) 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 75
HGGC FUND -A, L.P. 98-1319219 Form 8865 (2017) Page 4 Shedule L 1 2 a 3 4 5 6 7 a Balane Sheets per Books. (Not required if tem H9, page 1, is answered "Yes.") Assets Cash m m m m m m m m m m m m m m m m Trade notes and aounts reeivale Less allowane for ad dets nventories U.S. government oligations Tax-exempt seurities m m m m m m m m m m m m m m m m Other urrent assets (attah statement) m m m m m m m m m m m m m m Loans to partners (or persons related to partners) Mortgage and real estate loans 8 Other investments (attah statement) 9 a Buildings and other depreiale assets Less aumulated depreiation 10 a Depletale assets m m m m m Less aumulated depletion m 11 Land (net of any amortization) m m m m 12 a ntangile assets (amortizale only) Less aumulated amortization 13 14 m m m m m m m m m m m m m m m m m m m m m m m Other assets (attah statement) Total assets Liailities and Capital 15 Aounts payale 16 Mortgages, notes, onds payale in less than 1 year 17 Other urrent liailities (attah statement) 18 All nonreourse loans m m m m m m m m 19 a Loans from partners (or persons related to partners) Mortgages, notes, onds payale in 1 year or more 20 Other liailities (attah statement) 21 Partners' apital aounts 22 Total liailities and apital m m m m m m Beginning of tax year End of tax year (a) () () (d) Form 8865 (2017) 71914 2.000 0345CH 701U 10/28/2018 8:20:45 PM V 17-7.2F 0190548 PAGE 76