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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,
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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,
ctIon Aet Notice. 444 back el Copy D. ************** ******* *** ****** 1 TOTAL EMPLOYEES 31.20 NYDO (Box 14) 60,000.00 State Wages (Box 16) 3,063.96 State Income Tax (Box 17) SDNY_GM_02771879 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00258687 EFTA01338191 I . VW/ 00/ Lelia L • -- .--,
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
*************** For: Batch No. 2006/4/00859 1 TOTAL EMPLOYEES For: Company 66/LMB 31.20 NYDD (Box 14) 1 FORMS 60,000.00 Stato Wages (Box 16) 3,063.96 State Income Tax (Box 17) EMU EFTA00233110 . vuul OW 1410 I .-- I-I 1 OMB No. 1545.00031d10 Ut/t/l. b a r Identification number IEIN) 1 Wages this, other oompl
Entities connected to both Kansas City and 3,063.96 State Income Tax (Box

Jeffrey Epstein
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Virginia Giuffre
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Department of Justice
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George W. Bush
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India
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