Epstein Secrets

tillill Illinois, Indiana, Iowa, Kenna, Michigan, 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

- . . . E c r i ; W I ; . ; . _ _ • 1 - • - • • ^ . - - - • - . • • - . - • - • [ CORNELIUS ' : Ealllitepplabblirms.c.74: rj • ykrifp 7.70.12:3'15irr 4. .• .• el} &TAX': e .. ...: arYV13 100 /6" 14S(.142opatN;10 tautta e6w ; 014.,

ANY, INC. 6100 RED HOOK QUARTER B-3 ST. THOMAS , 00802 d En 580 loyeelt so 13-4697 Clel security number arnagilettf tarns and Inkiel Last norno CORNELIUS 6501 RED HOOK PLAZA FMB 201 ST. THOMAS, VI, 00802 t E d 2le coda SO. Wain] U.S. Virgin Islands Form Wage and Tax Statement Copy 1-For VI

viTtlia lances, Indiana, Iowa Kamm, .Vii.c.higan, Minnesota, Missouri, Nebraska North Dakota, Oklahoma. South CaroOna, South Dakota, Tennessee, Wisconsin Use the following Internal Revenue Service Center address Austin, 1X 73301 Cincinnati, OH 46999 Kansas Clly, MO 64999 Foe more Information an

pla-nr • • - ifto Farm W.CAt lions . I Sit 3812.08 10 V ez 09:rn. 14. 14 Oho-- • •-•••••••• 3269.68 «Rgwil 764. SE Agl JAMIE I CORNELIUS I . : E2149:9/2 *Cr. 52 %Icy P70PM .7 f7 :171T ' etS‘4 17.W .4.4e ' 14 - 1. -.4 %4;.•:1•2 :Ara; • trip "kv ••• .A.Z1 V•40:' •••'. age 44.Z

iveld 647.14 7 Semite nounty Mu t eckd =Os number .. .. . . 9 Actincoo EC peryrrort 100 / A • EmPbYeC0 fret nemo old NW trot runts JAMIE I CORNELIUS 11 Nonqualll•d pkvil 12 Forn W483 helrumbrz p 4717.21 e Soo I, tut .... , - 18.10 r 14 Other 12e i rei i A4 e Cr,, mi &Dem •rvi 7JP cod

ginia Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Wisconsin True ro. PRESIDENT Dote When to file. PIO Form 1098 with Forms 1099, 1098, or 1/Y•243 by February 28, 2005. File Form 1098 with Forms 5498, 6498

rm W4SS. FTE0003 EFTA00233117 22222 }tollare, n n•imhte P NI mpoyeris name, 3CICM119, andLP coda FINANCIAL 1 Em oat and IP code last name CORNELIUS OMB No. 154-0320 1 Wagea epq ollt7COMPOOSIOSI 2 M Income tax withheld 36501.04 5365.00 3 Soots oacedty wages 4 scaled security tax wiltald 39