Epstein Secrets

Minnesota, Missouri, Nebraska, North Dakota, OWahoma. South Carolina, South Dakota, Tennessee, Wisconsin . Austin, TX 7330 Cinoinnati, OH 4599 Kansas City, MO 6491 For more Information and the Privacy Act and Paperwork Reduction Act Notice, see the 2003 General Instructions for Forms 1090, 1098, sage,

9.0002.' Ilya, use an IRS approved private delivery 'entice, add W2 Prooess 1160 E. Mountain Or to the addreas and change the Purpose of forms. use Copy A of Fenn MSS to transmit Copy A of Fenn W.2.AS, W2GU, W-2CM, or W-2VI to the Scala, &fetidly Administration. File Copy 1 of Form W-3S$ end Copy I of

Mimi»ezll us Virgin Islands Wage and Tex Stator:nerd (Row. Febniary 2002) Copy A For :social 8enuiity AdmInlatretiOn -bond this entire page with Copy A 01 forM Yd-92310 the Bads' Seourlty Administration; photocopies are not weeptatils, Do Not Cut, Fold, or Staple Feint Oft This Page - `Oa Not cut,

H 4508O tsinois, indent., lovo, Kansas, Matson, Minnesota MaSOure Nebraska. North DSCO, (Malan& South Cardin& South Dakcca. Tomes-see, Vasa:ton Kansas City. MO 64999 For more information and the Privacy Act and Paperwork Reduction Act Notice, see the 2005 General Instnicttons for Forms 1099,1098, 5498,

le G. 9/4/ . 7.• pon, . 111 U.B. Virgin Islands Wage and Tat( Statement Copy A Far Soclni Sociaity Allidnistrittion - Sand Es endr0 page with Copy A at Fenn W-ASSIothe Social Smutty AdminiaVationi plintoeoph3a an not aoreptable. 2003 may. reduo 2002) Cat No. eitaTIC 391.00 • 4 4.:01...;a.itu

KIM VAN HOLTEN 7 ?non W-2 vr, U.S. VgrgIn lacunas Wage end Tex Statement Copy A For Soolel floishlty Arkniehlradon - Send thia entire pogo with Copy A or Flinn W-148 to the Soot& Security Administration; pitabacopiell ill/P net aeueptatia. 2003 wia..Krearesernii. sainirat 5212.34 . ate -Tarra

luding room, suite, or other unit number), and TIN In the spaces provided on the form Use the following Internal Ravenuo Service Center Address Kansas City, MO 64999 For more informetlon and the Privacy Act and Paperwork Rocklotton Act Notioe, 41-1628081 coo the 2004 General instructions for Penns 409

an god ZIP /MO dirt U.S. VArgin 1.513mds Form • Wage and Tax Stalern.ent Copy A For Sociol Sontolty Administrnti on - Send this orate page with Copy A of Fgrrn Vihrifc'S to the Social iii.tinialty Administmtloro phoinoeples aro net uyinptablo. (Rev. February 2002) 203 OM Mn. 40977C lib ,1 441