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tion 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
00. 32a M Invalmeni leaf ilLi. 32b Q is Some at Investrimpi not Fisk Schedule C (Form 1040) 2015 7 EFTA00026295 SCHEDULED (Form 1040) Department of the Rosary internal Revonuo Sable. Mg Capital Gains and Losses ► Attach to Form 1040 or Form 1040NR. IP, Information about Schedule D and its separate instr
Income (Loss) Rental Real Estate Inc. (Loss) Other Rental Income (Loss) Passive Activity Loss C/0 MIT Passive Activity Loss G/0 Interest US Treasury Bond Interest Dividends Royalties Shan-Tam Groom Daln1Loss) Net Long. orm coot. Gain Mos.) Gisafalt(141d Payment,' 10 Partner TP 3 3 A
ained UNITED KINGDOM, POUND (b) Foreign currency exchange rate used to convert to U.S. dollars (c) Source of exchange rate used if not from U.S. Treasury Department's Bureau of the Fiscal Service LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 8938 (2015) S2332 I 11-05-15 65 EFTA0
ions reported on FomXs) 8949 with Box D checked 3,210,287. 3,120,573. 31. 89,745. 9 Totals for all transactions reported on Forrn(s) 8949 with Box E checked 232,220. 244,272. <12,052. 10 Totals for all transactions reported on Forrn(s) 8949 with Box F checked 11 Gain from Form 4797, Part I
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
lno Et Bb Totals for all transactions reported on Form(s) 8949 with Box D checked 9 Totals for all transactions reported on Form(s) 8949 with Box E checked 10 Totals for all transactions reported on Form(s) 8949 with Box F checked 945,279. 945,271. 8. 11 Gain from Form 4797. Part I: long-
penally Federal Income tax withheld Foreign country or US possession: Foreign tax paid: 0.00 0.00 0.00 0.00 0.00 Original Issue discount on US Treasury obligations Investment expenses State: State ID number: State tax withheld 2013 1099-MISC* OMB No. 1545.0115 0.00 0.00 0.00 0.00 0.00 0.0
0.00 18,285.88 LONG-TERM TRANSACTIONS 6 - NONCOVERED tax lot for which cost basis is NOT reported to the IRS** Report on Form 8949. Pan IL with Box E checked 8 - Description / CUSIP lid - Symbol These columns are not reported to the IRS le - Date of Sale 2a - Proceeds of N Date of Cost or Wa
Entities connected to both U.S. Treasury and Box E

United States
LOCATION
Ghislaine Maxwell
PERSON
Joi Ito
PERSON
Woody Allen
PERSON
Eric Holder
PERSON
Adriana Ross
PERSONSpouse
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSchedule SE
PERSONC-EZ
ORGANIZATIONERO Signature
ORGANIZATION
NELSON
PERSONBoxes
ORGANIZATIONCATER ALLEN PRIVATE BANK
ORGANIZATIONXYZ Co.
ORGANIZATIONBox C
ORGANIZATIONAdjustme
LOCATIONMILLENNIUM FUND
ORGANIZATIONBox A
ORGANIZATION