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complete the 3rd party prepare, section on page one of the report. The E-tile system will auto complete item 46. NOTE: The FBAR must be received by the Department of the Treasury on or before April 17. 2018. An automatic extension to October 15.2018 is available. This report tiled late for the following reason (Check only on
ion of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. tt applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicate
Partnership c Corporation d U Consolidated e Fiduciary or other • Enter type 3 U.S. Taxpayer Identification Numbs *** -** -9816 If filer has no U S Identification 3a TIN type 4 Foreign identification (Complete only if item 3 is not applicable) 5 Individual's date of birth MWDD/YYYY In SSNATIN a Type' Pass
complete the 3rd party preparer section on page one of the report. The E-tile system will auto complete item 46. NOTE: The FBAR must be received by the Department of the Treasury on or before April 17, 2018. An automatic extension to October 15.2018 is available. This report filed late for the following reason (Check only on
ion of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. if applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicate
vidual b O Partnershp c Corporation d O Consolidated e 0 Fiduciary or other • Enter type 3 U.S. Taxpayer Identification Number If filer has no U S Identification 3a TIN type 4 Foreign identification (Complete only it item 3 is not applicable) 5 Individuals date of birth MWDD/YYYY SSN/ITIN a Type: Q Passp
complete the 3rd party prepare( section on page one of the report. The E-file system will auto complete item 46. NOTE: The FBAR must be received by the Department of the Treasury on or before April 18.2017. An automatic extension to October 16.2017 is available. This report filed late for the following reason (Check only one
artnership c 0 Corporation d D Consolidated e Q Fiduciary or other • Enter type 3 U.S. Taxpayer Identification Numbs 133495607 O If filer has no U S Identification 3a TIN type 4 Foreign identification (Complete only if item 3 is not applicable) 5 Individual's date of birth MWDD/YYYY SSNATIN a Type: Passpor
Entities connected to both U.S. Treasury and U S Identification

United States
LOCATION
Joi Ito
PERSON
New York City
LOCATION
FinCEN
ORGANIZATIONFiler
PERSONSpouse
ORGANIZATIONPreparer
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONERO Signature
ORGANIZATIONFOREIGN BANK AND FINANCIAL
ORGANIZATIONSchedule SE
PERSONC-EZ
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONForeign Bank
ORGANIZATIONFBAR S gnature
ORGANIZATIONthe Foreign Bank and Financial Accounts Report
ORGANIZATIONBSA Efiling
ORGANIZATIONConservation Reserve Program
ORGANIZATIONJurat/Disclosure
ORGANIZATIONConservation Reserve
ORGANIZATION