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VC                                                  Wisconsin Venture Capital Credits
 Schedule


                                                                                                                                                                                                        2008
                                                                    File with Wisconsin Form 1, 1NPR, 2, 3, 4, 4I, 4T, 5, or 5S
   Wisconsin Department
                                                                                      Read instructions before filling in this schedule
        of Revenue
Name                                                                                                                                                                        Identifying Number




If you qualify for the angel investment credit, complete Part I . If you qualify for the early stage seed investment credit, complete Part II .

  Part I               Angel Investment Credit

  1 Fill in the following information regarding your investments in qualified new business ventures that the Department of Commerce
    has verified as first eligible for a tax credit in 2008 (attach separate schedules if more space is needed):
       Date                                                                Name and Address
                                                                                                                                                                                                         Qualified
                                                                                                                                                                                Total
    Investment                                                                of Qualified
                                                                                                                                                                                                        Investment
                                                                                                                                                                             Investment
       Made                                                               New Business Venture




         Total qualified investments  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 1
  2 Multiply the amount on line 1 by 12 .5% (0 .125)  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 2
  3 Fill in the 2008 angel investment credit passed through from angel investment networks  .  .  .  .  . 3
  4 Add lines 2 and 3 . This is your 2008 credit  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 4
  5 Carryover of unused angel investment credit (see instructions)  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 5
  6 Add lines 4 and 5 . This is the available angel investment credit  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 6




IC-039
Page 2   of 2
2008 Schedule VC

  Part II              Early Stage Seed Investment Credit

  7 Fill in the following information regarding your investments paid to a certified fund manager that the Department of Commerce has
    verified as eligible for a tax credit in 2008 (attach separate schedules if more space is needed):

        Date                                                                           Name and Address
                                                                                                                                                                                                                                 Qualified
                                                                                                                                                                                                      Total
     Investment                                                                         of Certified Fund
                                                                                                                                                                                                                                Investment
                                                                                                                                                                                                   Investment
        Made                                                                                Manager




        Total qualified investment  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 7
  8 Multiply line 7 by 25% (0 .25) or enter the credit specially allocated to you  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 8
  9 Fill in the 2008 early stage seed investment credit passed through from other
    entities  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 9
10 Add lines 8 and 9 . This is your 2008 credit  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 10
11 Carryover of unused early stage seed investment credit  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 11
12 Add lines 10 and 11 . This is the available early stage seed investment credit  .  .  .  .  .  .  .  .  .  .  .  .  .  . 12

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Schedule VC

  • 1. VC Wisconsin Venture Capital Credits Schedule 2008 File with Wisconsin Form 1, 1NPR, 2, 3, 4, 4I, 4T, 5, or 5S Wisconsin Department Read instructions before filling in this schedule of Revenue Name Identifying Number If you qualify for the angel investment credit, complete Part I . If you qualify for the early stage seed investment credit, complete Part II . Part I Angel Investment Credit 1 Fill in the following information regarding your investments in qualified new business ventures that the Department of Commerce has verified as first eligible for a tax credit in 2008 (attach separate schedules if more space is needed): Date Name and Address Qualified Total Investment of Qualified Investment Investment Made New Business Venture Total qualified investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Multiply the amount on line 1 by 12 .5% (0 .125) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Fill in the 2008 angel investment credit passed through from angel investment networks . . . . . 3 4 Add lines 2 and 3 . This is your 2008 credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 Carryover of unused angel investment credit (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 Add lines 4 and 5 . This is the available angel investment credit . . . . . . . . . . . . . . . . . . . . . . . . . 6 IC-039
  • 2. Page 2 of 2 2008 Schedule VC Part II Early Stage Seed Investment Credit 7 Fill in the following information regarding your investments paid to a certified fund manager that the Department of Commerce has verified as eligible for a tax credit in 2008 (attach separate schedules if more space is needed): Date Name and Address Qualified Total Investment of Certified Fund Investment Investment Made Manager Total qualified investment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 8 Multiply line 7 by 25% (0 .25) or enter the credit specially allocated to you . . . . . . . . . . . . . . . . . 8 9 Fill in the 2008 early stage seed investment credit passed through from other entities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Add lines 8 and 9 . This is your 2008 credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 11 Carryover of unused early stage seed investment credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 12 Add lines 10 and 11 . This is the available early stage seed investment credit . . . . . . . . . . . . . . 12