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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
IT ACCOUNT AS OF 01/07/15 0.07 tan 8 Deposit OBS BANK USA DEPOSIT ACCOUNT 755.87 tan 16 Deposit UBS BANK USA DEPOSIT ACCOUNT 697.68 Jan 26 Withdraws)! 1.1B5 BANK USA DEPOSIT ACCOUNT As or 01/23115 -2,121.99 Jan 30 Closing UBS Bank USA Deposit Account 67,281.76 Unsettled transaction activity
he Forms 480, foe tar reporting infoimanon his the practice of UBS to file the applicable tat repotting forms With the US mtercd Revenue service and PR Tteasury Department and in such kens accurately dasyfy dor:lends Arad interest as Ise eserrpt or ta(abk exempt Please consult your inlydual tax preparer. November 201
8303 Oct 24 Withdrawal UBS AG DEPOSIT ACCOUNT AS OF 10123/14 -2.642.04 Oct 27 Withdrawal UBS AG CEPOSIT ACCOUNT ASOF 10'24114 -72.96 Oct 28 Withdraws 1)85 AG DEPOSIT ACCOUNT AS OF 10/27114 -601.20 Oct 29 Withdrawal UBS AG CEPOS1T ACCOUNT AS OF 10/2E/14 •1,000.00 Oct 30 Withdrawal UBS AG CE
OUNT AS OF 090914 0.14 Total taxable interest Total dividend and interest income Chick wren ale 001009 Jun 5 Description KIMBERLY CALVACCA US TREASURY 10.14 80.14 Amotet (3) -3214.00 001010 Jun 19 -15,00000 001011 Jun 18 Total checks NY STATE IN COME TM -7000.00 Date Adtity Jun 3 Wit
Jul 8 Deposit UBS BANK USA DEPOSIT ACCOUNT AS OF 07107/14 1.77 Jul 10 Withdrawa UBS BANK USA DEPOSIT ACCOUNT AS OF 07/06(14 -1.063.71 Jul 21 Withdraws 1)85 BANK USA DEPOSIT ACCOUNT AS OF 07118/14 -95.68 Jul 29 Withdrawal U85 BANK USA DEPOSIT ACCOUNT AS OF 07/28114 -150.97 Jul 31 Closing UBS
e Forms 480, fix lac reporting information his the practice of UBS to file the aPpliCeilie to reporting forms vAth the US Interco Revenue Senate and PR TleaSury Department and in such fawn arrulatery clasIfy °velem% fl y lefties' as lax exempt or vocals* irons. neat (omit your inclvdual tin preparers June 2018(3) Ye
NESS ACCOUNT AS of imams 4.00 Oct 15 Deposit UBS BANI: USA BUSINESS ACCOUNT 19.12 Oct 18 Deposit WS BANK USA BUSINESS ACCOUNT 19.12 Oct 19 Withdraws UB5 BANK USA BUSINESS ACCOUNT AS OF 10/1&18 -5,021.88 Oct 30 Deposit UBS BANK USA BUSINESS ACCOUNT 11.67 Oct31 Closing OS Bank USA easiness A
Entities connected to both U.S. Treasury and Withdraws

United States
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George W. Bush
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