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ncorporated Business Tax Retum for the following years: 2015: X YES NO 2016: X YES NO — — If 'NO,' state reason: 4. Enter home address: NEW YORK NY 5. If business terminated during the current taxable year, state date terminated. (mmddiry) (Attach a statement showing disposition of business pro
1 s 1T-201LATT Name(s) as shown on your Form IT•201 ANASTASIYA SIROOCHENKO A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200. 496. or section 195.20)? (see instruction
ax Return for the following years: 2016: X YES — — NO 2016: X YES NO If 'NO,' state reason: 4. 6. 6. Enter home address: 288 WEST 4TH ST NEW YORK NY ZIP Code: 10014 If business terminated during the current taxable year, state date terminated. (mmddly) (Attach a statement showing disposition o
shown on your FormIT.201 ANASTASIYA SIROOCHENKO Your social security number. A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200. 496. or section 195.20)? (see instruction
orated Business Tax Return for the following years: 2015: YES X NO 2016: YES X NO If 'NO.' state reason: Enter home address: 288 WEST 4TH ST NEW YORK NY ZIP Code: 10014 If business terminated during the current taxable year, state date terminated. (mmddly) (Attach a statement showing disposition o
your Form IT•201 Your social security number ANASTASIYA SIROOCHENKO 9816 A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200, 496. or section 195.20)? (see instruction
Entities connected to both NEW YORK NY and Bribery Involving Public Servants
Maria Farmer
PERSON
United States
LOCATION
New York City
LOCATION
Joi Ito
PERSON
New York
LOCATION
New York State
LOCATION
the Internal Revenue Service
ORGANIZATION
U.S. Treasury
ORGANIZATIONChang
PERSONWEISS
ORGANIZATIONYonkers
LOCATIONUtilities
ORGANIZATIONSpouse
ORGANIZATIONthe New York State Tax Department
ORGANIZATIONFiler
PERSONPreparer
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONERO EFIN/PIN
ORGANIZATIONthe New York State Department of Taxation and Finance
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATION