3
Shared Docs
3
Same-Page
3 / 3
Mentions
imated tax penalty (see instructions) Third Party Do you want to allow another person to discuss this return with the IRS (see instructions ? IV Yes Complete below. L_I No Designee F'12,7"10.DAVID WEISS Phtta kb. n r Personal Klaudicabon number (PI% Sign Unit! PrabiS Of [MU% I &CUMIN' I hiwparno
electronic return is true. correct, and complete. The ERO has my consent to send my 2017 New York State electronic return to New York State through the Internal Revenue Service (IRS). In addition, by using a computer system and software to prepare and transmit my form electronically, I consent to the disclosure to New York
tate tax withheld reporting boxes. Nominees. If this form includes amounts belonging to another person(s). you are considered a nominee recipient. Complete a Form 1099-INT for each of the other owners showing the income allocable to each. File Copy A of the form with the IRS. Furnish Copy B To each own
State Tax Withheld $ 0.00 Amount Total 932.41 0.00 0.00 0.00 0.00 0.00 0.00 This Is important tax Information and Is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you If this income is taxable and the IRS determines
. Week: . . . • ' • : ' • •.Ziiziel Asap. pfiaguy iitrpospie the sale cif alcobot..,t: • .. `'.2.: pi fr,squerst any.olace 9Thfieusyreas 'CI :Complete. :.._• the of °anima:14y tri:rice to he-done at the rate of ..._..:..242 Lira pet ilWril4o.(1Thapj ••0 • • ' q,l2g. /la' • • • • • : • - -
t:Logs): All income tax returns, balance sheets, regulatory filings, minutes of board of directors meetings, and documents required by or Bled with the Internal Revenue Service and/or the State of Delaware referring or relating to the period of 111/2003 to 12/31/2005. For the period 1/1/2003 to the present, the names of al
Entities connected to both Complete and the Internal Revenue Service

JPMorgan Chase
ORGANIZATION
Jeffrey Epstein
PERSON
Ghislaine Maxwell
PERSON
Paul Morris
PERSONthe State of New York
LOCATION
United States
LOCATION
Justin Trudeau
PERSON
George W. Bush
PERSONLeon Black
PERSONthe Southern District
LOCATION
Department of Justice
ORGANIZATIONMaria Farmer
PERSONDarren Indyke
PERSON
Prince Andrew
PERSON
Bradley Edwards
PERSON
Julie K. Brown
PERSON
Alan Dershowitz
PERSON
Scarlett Johansson
PERSON
Samantha Power
PERSON
NEW YORK NY
LOCATION