10
Shared Docs
10
Same-Page
12 / 10
Mentions
ocal wages, Ice, ales. 19 Local income tax 20 Lotaley name t I Wage and Tax Form1111c Statement Copy El—For Employer. 2005 Deportment of the Treesury—Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see beck of Copy D. E1004 EFTA00176009 co ris.4 -"r 696 9 OMB N
111 2006 4 Sottol security tax withhold 2952.07 6 thedlootolax withheld 690.40 la Soo Farm W.OSS instructions 1 S 11627.89 2b C 140.82 old Department of the Tressuni—triternai Revenue Servion Por PrIvooy Act And Paperwork RoduatIon Act Notice and mstruotionS, see Ponti W-0$$. PUNE EFTA00176017 a ContrdnuMber
onS p 126.60 13 er03% it ilrICIOt War WI El la I 14 Other 770 i i 12d A inic2iin U.S. Virgin Islands Form Wage and Tex Statement 2005 Department of the Troacury—inlemel Revenue Service Por Of}igiev Ant and Pennaaatde !forlorn... An tln..n• Copy 1-For VI Bureau of Internal Revenue or Copy b•For Employer FTC
cam Ninths e Employee's Eat name end Initial Last name LESLEY GROFF 11 Nonquailled plans 12e See instructions for box 12 I I 120 OAK STREET CANAAN, CT 06840 13trx, .... Other OM F it Pi n NEW 12b i I 14 Other' 12o i I 1 Emot/ea address and ZIP coda 28.80 NYDD 32° I/ 15 Fa Employ
nd the FrtnIS 497, for lax rePOltmg information II is the Make of 085 to file the splicade to reporting forms with the US interred Revenue Semce and PR Treasury Department, and in such fortis accurately dairy d‘tdenct ardor interest as ten emrrpt or tine* income. Please consul! yOu I inchedual It. prepare/ March 2014
Cayman Branch These deposits ate not inured by the FIX. Balances Feld at an LES AG Cayman Brant, are tempera* exposed to the sovereign risk of the Canaan blends, and there is no giwantee Cr other obligation of UBS AG to tway to Saxes while on the UBSC grans Bradt. books. Depost a 185 Bat LEA and eac
e PCIMS 480, fa lea reP3MN) information II Is the practice a 1185 to file the tea:Pestle tar reporting forms with the US internd Revenue Service and PR Treasury Department and in such forms accurately Ossify dnckna arctic. Interest as tax exempt or tacit* income. Pleat consult ycul includual tax preparer November 201
(Waxen and U8S Caplan Brandi ThesedeposesJena mixed by the (DK Salinas heel a me WS AG Cannon Brach ft tentraily ..posed TO TN. savoin rid of the Canaan ands and there is nor warn< a oft ob Icahn of IBS AG b repay the Dims nankin the u35 Cannon's Brans boas. Deposits a URS Bat USA ad each ORS AG Be
he Farth 490. fee tar reP1ithri9 information It Is the padre of ties to file the typical* lei reporting forms with the US interns' Revenue Semce aid PR Treasury Department and in such form, accurately ELS12fy <linden* ardor interest as tar exempt or treat* income. Neese comsat your inclvdual tax preParer. December 20
information Fos deund olitemdon on thee rn's keldag prat as and aldusres Sato sololem Rai neap Agnarian or Account Agmenint and the Ginn Teim5 and Canaan UBS %anent of Oat axles rara» n nyneanet erd Demboules X aganakaggaeghtuasty= Your arras Tar 23~1 ~CPS tammall ridOther 315(S held n the ~um at
onts 480, for tax reporting information. It is the practice of UBS to file the EpOiCable lac reporting loans wth the US internal Revenue Service and PR Treasury Department, and in such forms accurately classfy dveends ancircr interest as tax ecen-pt or tatable intone. Please consult your Inclvidual tax prepare" Janua
r interest as tax eren-pt or tatable income. Please consult ycur Inch:dual tar prepare, lune 2020 (S) Year to date (1) Cash activity summary Your Anada' Advisor: SCOTT STACK MANLYLE CASRift See Account Activity this month for deists. Balances in your Sweep Options are included In the cpenng and cl
e Forms 480, foe tax reporting information it is the practice of UBS to file the acoticatie tac reponing forms with tne US !memo Revenue Service and PR Treasury Department and in such loans accuratsy classify tbsciends arcIrcr Interest as t& eetrept or 'arab* imeme. neat (Gram your inagdual tax preparer. November 201
Less acteey traded saurian maybe «iced using a vakution model a the most recent pie we <Mailed and may not reflect an actual matet price veal.. — Canaan preelians may appear mfrs. a price and will show as 'price was not aveleble• Awe re unable se obtain a price for a warily - Deposits a searkies de
orms 493. for tat reporting information It is the practice of 1)85 to file the acomaitre tat reporting forms with the US InternS Revenue Service and PR Treasury Department and in Sue h tOrMS accurately Crag fy dsrdenct ant 0 intereSt es tar teen/I Or tacit)* inane. Pleat consult von indvdual tax preparer. March 2014
you On My yeu bonne 4 bit error or ray you need erne Murnxian - Frodde the dollar mourn of the gemmed wee The Ft.. or (ad asuer will nerigate yotr Canaan and call ones any nor prontly Pleainite al Meeks payallo to the Armor tie ?nail union ndcaed en tie front of the statement h addt Bei to regal' a
ommittee. ... Neal made the disclosure in court filings as part of his battle with the Trump administration over the president's tax returns, which the Treasury Department has refused to furnish. ... The Treasury inspector general has opened a review of the Treasury Department's handling of House Democrats' request fo
impeachment as a distraction. Tom and Suanne Milligan, retirees in their 70s, moved from Indiana last year to live closer to their grandchildren in Canaan, N.H. "We're non- Trump Republicans," he said. "I really don't like any of what's going on." In 2016, he voted for Libertarian nominee Gary Johnson
licy at the Interior Department, Ramona Jones. She said 65 people had already signed up to attend the conference, which is free. On the other hand, the Treasury Department's Internal Revenue Service is reviewing the definition of residency for the Virgin Islands. On July 24, the IRS commissioner and the assistant secreta
E ADISON AVE ADISON AVE ADISON AVE ADISON AVE ADISON AVE ADISON AVE ADISON AVE ADISON AVE ADISON AVE ADISON AVE 120 O K ST NEW CANAAN, CT 06840 '• No Neighbors for: 120 O K ST NEW CANAAN Cf 06840 (212)888-7 (212) 203-7757 (212) 888-7000 (212) 753-2261 (2121838-5 49 ZORRO RA
ms 4130, for lair reporting information It is the pracbce of ties to fide the 410litabte tai reporting forms with the US Internal Revenue Seance and PR Treasury Department and in such forms occur/Amy classify dviCends andor interest as tag exempt or taxable insane. Please consult your incladual tar preparer Cash acti
6116 EFTA_00 136736 EFTA01671900 Inmortala information about your statement (continued) Agin's, or Account Agreernert and the General Teems and Canaan; LAPS Sunman of Credit Practices avalable n Agreements end Dar Assures at leeNW ubl COMIACCOafedfOrbtunal Your wets You statement -Modes securiti
Entities connected to both U.S. Treasury and Canada

Jeffrey Epstein
PERSON
United States
LOCATION
George W. Bush
PERSON
Ghislaine Maxwell
PERSON
Donald Trump
PERSON
Prince Andrew
PERSON
Virginia Giuffre
PERSON
Barack Obama
PERSONLeon Black
PERSON
Department of Justice
ORGANIZATION
Condoleezza Rice
PERSONFBI
ORGANIZATION
Marc Rich
PERSON
Bill Clinton
PERSON
Bloomberg L.P.
ORGANIZATION
Vicky Ward
PERSON
Joe Biden
PERSON
Joi Ito
PERSON
New York
LOCATION
Julie K. Brown
PERSON