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92 hiergoora tirleml les 92 9 Advance EIO paymoro. 11 Nonouelified plane 13 M ay re ;W ir t MY n 14 Other 2 VI Income tax withheld 3837.00 4 Sochi' moudly lax wlthhald 2444.47 5 Medicare tax Thad ■ 71.69 ib 8.o riV4SSi ligructio‘D 12o 12d 3 15.82 U.S. Virgin Islands Wage and Tax Statem
r male &ea sates or 15,0(0 or intro of ecratimar products to a buyer (reelable) for ogee t* 0 0 Substitute meats h Ike ni dieends or Knot 11 10 Crop Insurance proceeds $ 3 Excoss golden parachute 14 Gross pomade paid to PaY11111.1 en attorney $ ts State le vAthhced ii 17 State/Payees ;tato ma For Pr
consent Is may not be Mmabatho aner Ihe corponubn rod Mecum (SmrettokkiM 4i and date We ca,Rnt tote am that Welch . Slack tented - • • . NI Sochi imaany number a employer • leendfloodos mot bee Instruction-6) ' ' N . Share- hoiden ._., — Yett ands (meth and day) nd cis the conec
of $6,000 of man of comma products to a Wye( ((edge() for rude * $ 16 Stale tax SIMS $ 6 &bra* vowels le fan d dhldmds or Interest ' • 10 Crop Insurance proceeds 1S Egan adds' persolue pasinerits 14 OnSee POSOCOOS COW to an attorney 11 $ 17 StateiPayces state nO. • For Privacy Act and Paperwo
VIRGIN ISLANDS FOUNDATION IN room or suite number) L . ) — Name at arson to Math For °facial Use Only E-ma.1 address Fox number 1 Fn. ^ TI Sochi nearby number a To fame tal number of ..,l_ 4 Porlana Inane tax erillted $ 6 Tool amount monad WM This Fcm tea $25.00Q.00 Enter an 1221 In only
° compensation $ $ 6 Medcal ant bars ure ppm S 0 StbsI0/la prirreas In Eats ml GIANNI or freest 15 Fo7n 099-M7Se 9 Per: made arm salts of 10 Crop Insurance proceeds 15,000 or inn of ConSIIMAr ts to a Nye' Spent} for roads ti• tj toss golden porachtd Copy C For Payer or State Copy For Privacy Act
Entities connected to both Sochi and Crop Insurance

Jeffrey Epstein
PERSON
George W. Bush
PERSON
U.S. Treasury
ORGANIZATION
Lesley Groff
PERSON
Department of Justice
ORGANIZATIONState/Payer's
ORGANIZATION
Joi Ito
PERSON
the Internal Revenue Service
ORGANIZATION
New York City
LOCATION
Oklahoma
LOCATIONSouthern District
LOCATIONPAYER
ORGANIZATION
Louisiana
LOCATION
India
LOCATION
New Hampshire
LOCATIONEpstein Interests
ORGANIZATION
North Carolina
LOCATION
Kansas City
LOCATION
Idaho
LOCATION
Larry Page
PERSON