Document EFTA00026279 appears to be a tax-related document pertaining to Ghislaine Maxwell.
The document includes tax return carryovers to 2016 and a two-year comparison worksheet for 2014 and 2015, listing income, losses, and credits. It details various schedules such as Schedule B (interest and dividends), Schedule C/C-EZ (business income/loss), Schedule D (capital gain/loss), and Schedule E (rental and passthrough). The document also references entities like Cargometrics Technologies LLC.
Caution: Forms printed from within Adobe Acrobat products may not meet IRS or state taxing agency specifications. When using Acrobat 9.x products and later products, select "None"in the "Page Scaling" selection box in the Adobe "Print" dialog. CLIENT'S COPY asis k CP4g EFTA00026279
Tax Return Carryovers to 2016 WOE GHISLAINE MAXWELL Disallowing Form D -I 0 Originating Form Entity/ kOv4 SV City Amount SCH D SHORT-TERM CAPITAL LOSS SCH D 176,183. SCH D LONG-TERM CAPITAL LOSS SCH D 6,119,108. SCHD AMTSHORT-TERM CAPITAL LOSS SCHD AMT 176,183. SCHD AMTLONG-TERM CAPITAL LOSS SCHD AMT 6,119,108. 1116 GENERAL LIMITATION INC C/O FROM 2015 1116 1. 1116 PASSIVE INC C/O FROM 2015 1116 2,429. 1116AMT GENERAL LIMITATION INC EXCESS LIMIT FROM 2015 1116 AMT -1. 1116AMT PASSIVE INC EXCESS LIMIT FROM 2015 1116 AMT -3,082. 6765 INCOME LIMITATION - CARGOMETRICS TECHNOLOGIES LLC SCH E P2 2 4,540. 8582 PASSIVE ACTIVITY LOSS - CARGOMETRICS TECHNOLOGIES LLC SCH E P2 2 122,626. 8582AMT PASSIVE ACTIVITY LOSS - CARGOMETRICS TECHNOLOGIES LLC SCH E P2 2 122,626. 8582CR OTHER PASSIVE ACTIVITY CREDIT 8582CR 29. 8801 MINIMUM TAX CREDIT 8801 1. 8801WKSTCREDIT TENTATIVE ADDITIONAL MINIMUM TAX 8801WKST 3. MNumbe: EFTA00026280
Two-Year Comparison Worksheet 2015 Name(s) as shown on return GHISLAINE MAXWELL 2014 Filing Status SINGLE 2014 Tax Bracket 25.0% DescrWlon Tax Year 2014 Tax Year 2015 Increase (Decrease) SCHEDULE B - TAXABLE INTEREST 64,169. 63,088. -1,081. SCHEDULE B - ORDINARY DIVIDENDS 186,472. 182,240. -4,232. SCHEDULE B - QUALIFIED DIVIDENDS 123,149. 119,551. -3,598. SCH. C/C-EZ (BUSINESS INCOME/LOSS) -1,250. -500. 750. SCHEDULE D (CAPITAL GAIN/LOSS) -3,000. -3,000. ORM 4797 (OTHER GAINS OR LOSSES) 2. 5,310. 5,308. SCHEDULE E (RENTAL AND PASSTHROUGH) 43. -3,642. -3,685. THER INCOME -12,926. 0. 12,926. TOTAL INCOME 233,510. 243,496. 9,986. JUSTED GROSS INCOME 233,510. 243,496. 9,986. AXES 128,301. 119,703. -8,598. INTEREST (DEDUCTIBLE) 1. 17. 16. ONTRIBUTIONS 0. 5,353. 5,353. OB EXPENSES AND 2% MISC. DEDUCT. 47,167. 40,652. -6,515. TOTAL ITEMIZED DEDUCTIONS 175,469. 165,725. -9,744. INCOME BEFORE EXEMPTIONS 58,041. 77,771. 19,730. PERSONAL EXEMPTIONS 0( 3,950. 4,000. 50. TAXABLE INCOME 54,091. 73,771. 19,680. AX 2,579. 5,448. 2,869. ORM 6251 (ALTERNATIVE MINIMUM TAX) 32,878. 27,605. -5,273. TAX BEFORE CREDITS --- 35,457. 33,053. -2,404. ORM 1116 (FOREIGN TAX CREDIT) 1,120. 4,420. 3,300. TAX AFTER NON-REFUNDABLE CREDITS 34,337. 28,633. -5,704. ORM 8960 (NET INVEST. INCOME TAX) 1,273. 1,653. 380. TOTAL TAX 35,610. 30,286. -5,324. STIMATED TAX PAYMENTS 56,761. 71,151. 14,390. ORM 4868 (EXTENSION REQUEST) 25,000. 0. -25,000. TOTAL PAYMENTS 81,761. 71,151. -10,610. AX OVERPAID 46,151. 40,865. -5,286. VERPAYMENT APPLIED TO ESTIMATE 46,151. 40,865. -5,286. EW YORK STATE RETURN AXABLE INCOME 144,154. 151,015. 6,861. AX 14,727. 15,433. 706. THER TAXES 114. 127. 13. PAYMENTS 32,349. 24,571. -7,778. EFUNDABLE CREDITS 63. 63. VERPAYMENT APPLIED TO ESTIMATED TAX 17,571. 9,074. -8,497. Social security number 2015 Filing Status SINGLE 2015 Tax Bracket 25.0% o26301 04-01-15 EFTA00026281
Marks Paneth LLP New York City 685 Third Avenue Washington. DC New York. NY 10017 New Jersey P 212.503.8800 Long Island F 212.370.3759 Westchester www.markspaneth.com GHISLAINE MAXWELL C/O MARKS PANETH LLP-685 3RD AV NEW YORK, NY MARKS PANETH ACCOUNTANTS A ADVISORS DEAR MS. MAXWELL: ENCLOSED ARE YOUR 2015 INCOME TAX RETURNS, AS FOLLOWS... 2015 U.S. INDIVIDUAL INCOME TAX RETURN 2015 NEW YORK INDIVIDUAL INCOME TAX RETURN IN ORDER FOR US TO ELECTRONICALLY FILE THE ABOVE RETURNS WE MUST HAVE WRITTEN AUTHORIZATION FROM YOU. WE ARE ENCLOSING A U.S. FORM 8879 AND NEW YORK TR-579-IT, WHICH YOU MUST SIGN TO AUTHORIZE THE E-FILING OF YOUR TAX RETURNS. EACH AUTHORIZATION FORM SHOULD BE SIGNED AND RETURNED TO OUR OFFICE AS SOON AS POSSIBLE BY POSTAL SERVICE, E-MAIL, OR FAX. THE STATUS OF YOUR 2016 INDIVIDUAL ESTIMATED TAXES FOR THE FOURTH QUARTER WILL BE DETERMINED AT A LATER DATE. YOUR COPY SHOULD BE RETAINED FOR YOUR FILES. VERY TRULY YOURS, ALAN BLECHER MARKS PANETH LLP Morison International EFTA00026282
2015 TAX RETURN FILING INSTRUCTIONS U.S. INDIVIDUAL INCOME TAX RETURN FOR THE YEAR ENDING DECEMBER 31, 2015 Prepared for GHISLAINE MAXWELL C/O MARKS PANETH LLP-685 3RD AV NEW YORK, NY Prepared by MARKS PANETH LLP 685 THIRD AVENUE NEW YORK, NY Amount of tax Total tax Less: payments and credits S Plus: interest and penalties S OVERPAYMENT $ 71 30 286aml 1/4 iu 40,868` Overpayment Miscellaneous Donations $ -141/4 0 Credited to your estimated tax 40,865 Refunded to you \ 0 Make check payable to NOT APPLICABLE I Mail tax return and check (if applicable) to THIS RETURN HAS BEEN PREPARED FOR ELECTRONIC FILING AND THE PRACTITIONER PIN PROGRAM HAS BEEN ELECTED. PLEASE SIGN AND RETURN FORM 8879 TO OUR OFFICE. WE WILL THEN TRANSMIT YOUR RETURN ELECTRONICALLY TO THE IRS. Return must be mailed on or before RETURN FEDERAL FORM 8879 TO US BY OCTOBER 17, 2016. Special Instructions 52“181 04 A01 15 EFTA00026283
Tentative Credit for Prior Year Minimum Tax Name(s) GHISLAINE MAXWELL Social security number Part I Net Minimum Tax on Exclusion Items 1 Combine lines 1, 6 and 10 of your 2015 Form 6251 2 Enter adjustments and preferences treated as exclusion items 3 Minimum tax credit net operating loss deduction 4 Combine lines 1, 2, and 3. If more than zero OR you filed Form 2555 for 2015, go to line 5. If zero or less AND you did not file Form 2555 for 2015, enter 0 here and on line 15 and go to Part II. 5 Enter $83,400 if married filing jointly or qualifying widow(er) for 2015; $53,600 if single or head of household for 2015; or $41,700 if married filing separately for 2015 6 Enter $158,900 if married filing jointly or qualifying widow(er) for 2015; $119,200 if single or head of household for 2015; or $79,450 if married filing separately for 2015 7 Subtract lite 6 from line 4. If zero or less, enter .0• here and on line 8 and go to line 9 8 Multiply line 7 by 25% (.25) 9 Subtract lite 8 from line 5. If zero or less, enter 0• 1 2 3 77,771. 160,355. 4 238,126. 5 53,600. 6 7 8 9 119,200. 118,926. 29,732. 23,868. 10 Subtract lite 9 from line 4. If zero or less, enter O here and on line 15 and go to Part II 214,258. 11 • If you filed Form 2555 for 2015. enter the amount from line 6 of the Foreign Earned Income Tax Worksheet. • If for 2015 you reported capital gain distributions directly on Form 1040. line 13: you reported qualified dividends on Form 1040, line 9b; or had a gain on both lines 15 and 16 of Schedule D (Form 1040), complete Part III and enter the amount from line 55 here. • All others: If line 10 is $185,400 or less ($92,700 or less if mauled filing separately for 2015). multiply line 10 by 26% (26). Otherwise, multiply line 10 by 28% (.28) and subtract $3,708 ($1.854 if married filing separately for 2015) from the result 11 36,939. 12 Minimum tax foreign tax credit on exclusion items 12 8,309. 13 Tentative minimum tax on exclusion items. Subtract line 12 from line 11 13 28,630. 14 Enter the amount from your 2015 Fonn 6251, line 34 14 1,028. 15 Net minimum tax on exclusion items. Subtract line 14 from line 13. If zero or less, enter A• 10 15 27,602. Part II Tentative Minimum Tax Credit 16 Enter the amount from your 2015 Form 6251. line 35 17 Enter the amount from line 15 above 18 Subtract line 17 from line 16. If less than zero, enter as a negative amount 19 2015 minimum tax credit cartyfonvard. Enter the amount from your 2015 Form 8801, line 28 20 Enter the 2015 unallowed qualified electric vehicle credit 21 Tentative minimum tax credit for 2018. Combine lines 18, 19, and 20 Lines 22 through 26 do not apply. 16 17 18 19 20 21 27,605. 27,602. 3. 1. 4. 514,41 10.26-15 EFTA00026284
GHISLAINE MAXWELL Page 2 Tax Computation Using Maximum Capital Gains Rates 27 Enter the amount from line 10. If you filed Form 2555 or 2555-EZ for 2015, enter the amount from line 3 of the worksheet in the instructions 27 214,258. 28 Enter the amount from line 6 of your 2015 Qualified Dividends and Capital Gain Tax Worksheet, or the amount from line 13 of your 2015 Schedule D Tax Worksheet 26 119,551. If you figured your 2015 tax using the 2015 Qualified Dividends and Capital Gain Tax Worksheet, skip line 29 and enter the amount from line 28 on line 30. Otherwise, go to line 29. 29 Enter the amount from line 19 of your 2015 Schedule D (Form 1040) 30 Add lines 28 and 29, and enter the smaller of that result or the amount from line 10 of your 2015 Schedule D Tax Worksheet 30 119,551. 31 Enter the smaller of line 27 or line 30 31 119,551. 32 Subtract line 31 from line 27 32 94,707. 33 If line 32 is $185.400 or less ($92,700 or less if married filing separately for 2015), multiply line 32 by 26% (.26). Otherwise, multiply line 32 by 28% (.28) and subtract $3,708 ($1,854 if married filing separately for 2015) from the result. ► 33 24,624. 34 Enter • $74,900 if married filing jointly or qualifying widow(er) for 2015, • $37,450 if single or maMed filing separately for 2015, or • $50,200 if head of household for 2015. 37,450. 35 Enter the amount from line 7 of your 2015 Qualified Dividends and Capital Gain Tax Worksheet, or the amount from line 14 of your 2015 Schedule DT Worksheet, whichever applies. If you did not complete either the amount from 2015 Form 1040. line 43; but not less than 4} 36 Subtract line 35 from line 34. If zero or less, enter .0- 36 37,450. 37 Enter the smaller of line 27 or line 28 37 119,551. 38 Enter the smaller of line 36 or line 37 38 37,450. 39 Subtract line 38 from line 37 39 82,101. 40 Enter • $413200 if single • $232,425 if married filing separately • $464,850 if married filing jointly or qualifying widow(er) • $439,000 if head of household 40 413,200. 41 Enter the amount from line 36 41 37,450. 42 Enter the amount from line 7 of your 2015 Qualified Dividends and Capital Gain Tax Worksheet or the amount from line 19 of the Schedule D Tax Worksheet, whichever applies (as figured for the regular tax). If you did not complete either worksheet for the regular tax, enter the amount from 2015 Form 1040, line 43: but not less than •0•. 43 Add lines 41 and 42 43 37,450. 44 Subtract line 43 from line 40, but not less than 41 44 375,750. 45 Enter the smaller of line 39 or fine 44 45 82,101. 46 Multiply line 45 by 15% (.15) ► 46 12,315. 47 Add lines 38 and 45 47 119,551. If lines 47 and 27 are the same, skip lines 48 through 52 and go to line 63 Otherwise, go to line 48. 48 Subtract line 47 from line 37 49 Multiply line 48 by 20% (.20) ► If line 29 is zero or blank, skip lines 50 through 52 and go to line 53. Otherwise, go to line 50. 50 Add lines 32, 47, and 48 51 Subtract line 50 from line 27 52 Multiply line 51 by 25% (.25) ► 53 Add lines 33, 46, 49, and 52 36,939. 54 If line 27 is $185.400 or less ($92,700 or less if married filing separately for 2015), multiply line 27 by 26% (.26) Otherwise, multiply line 27 by 28% (.28) and subtract $3,708 ($1,854 if married filing separately for 2015) from the result. 56,284. 55 Enter the smaller of line 53 or line 54 here and on line 11. If you filed Form 2555 or 2555•EZ for 2015, do not enter this amount on line 11. Instead, enter it on line 4 of the worksheet. 36,939. I Part ill I 29 34 35 42 48 49 50 51 52 53 54 55 EFTA00026285
OMB No. 1545 0074 as my signature on my tax year 2015 electronically filed income tax return. Form 8879 Department of the Treasury Internal Revenue Service IRS e-file Signature Authorization ► Do not send to the IRS. This is not a tax return. ► Keep this form for your records. ► Information about Form 8879 and its instructions is at www.irs.govIlorm8879 . 2015 Submission Identification Number (SID) Taxpayer's name OHISLAINE MAXWELL Social securi number Spouse's name Spouse's social security number art Tax Return Information - Tax Year Ending December 31, 2015 (Whole Dollars Only) 1 Adjusted gross income (Form 1040, line 38: Form 1040A, line 22; Form 1040EZ. tine 4) 1 243,496. 2 Total tax (Form 1040. line 63: Form 1040A, line 39; Form 1040EZ. line 12) 2 30,286. 3 Federal income tax withheld (Form 1040. line 64: Form 1040A, line 40; Form 1040EZ, line 7) 3 4 Refund (Form 1040, line 76a; Form 10400. line 48a: Form 1040EZ, line 13a: Form 1040SS, Part I. line 13a) 4 0 . 5 Amount you owe (Form 1040. line 78: Form 1040A. line 50: Form 1040EZ. line 14) Part III Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return) Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements for the tax year ending December 31, 2015, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from my electronic income tax return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b)the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1.888-353-4537. Payment cancellation requests must be received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment I further admowledge that the personal identification number (PIN) below is my signature for my electronic income tax return and, if applicable. my Electronic Funds Withdrawal Consent Taxpayer's PIN: check one box only M I authorize MARKS PANETH LLP ERO firm name as my signature on my tax year 2015 electronically filed income tax return. to enter or generate my PIN Enter five digits, but do not enter all zeros I will enter my PIN as my signature on my tax year 2015 electronically filed income tax retum. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below. Your signature ► Spouse's PIN: check one box only I authorize Date► 10/06/2016 to enter or generate my PIN ERO firm name Enter five digits, but do not enter all zeros I will enter my PIN as my signature on my tax year 2015 electronically filed income tax retum. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below. Spouse's signature ► Date ► Practitioner PIN Method Returns Only - continue below Part III I Certification and Authentication - Practitioner PIN Method Only ERO's EFIN/PIN. Enter your six•digit EFIN followed by your five•digit self•selected PIN. Do not enter all zeros I certify that the above numeric entry is my PIN, which is my signature for the tax year 2015 electronically filed income tax retum for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and Publication 1345, Handbook for Authorized IRS e-flie Providers of Individual Income Tax Returns. II II 8 Ell_ 6 9 ERO's signature ► Date ► 519995 ERO Must Retain This Form - See Instructions 11.06-15 Do Not Submit This Form to the IRS Unless Requested To Do So L.HA For Paperwork Reduction Act Notice, see your tax return instructions. Form Mtn (2015) 1 EFTA00026286
Tax Year 2015 e-file Jurat/Disciosure for Form 1040, 1040A, or 1040EZ using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare that the information contained in this electronic tax return is the information furnished to me by the taxpayer. If the taxpayer furnished me a completed tax return, I declare that the information contained in this electronic tax return is identical to that contained in the return provided by the taxpayer. If the furnished return was signed by a paid preparer. I declare I have entered the paid preparer's identifying information in the appropriate portion of this electronic return. If I am the paid preparer. under the penalties of perjury I declare that I have examined this electronic return, and to the best of my knowledge and belief. it is true. correct, and complete. This declaration is based on all information of which I have any knowledge. ERO Signature I am signing this Tax Return by entering my PIN below. ERO 's PIN 262982 (enter E.RN plus 5 self-selected numerics) Taxpayer Declarations Perjury Statement Under penalties of perjury. I declare that I have examined this return, Including any accompanying statements and schedules and. to the best of my knowledge and belief. it is true. correct, and complete. Consent to Disclosure I consent to allow my Intermediate Service Provider. transmitter, or Electronic Return Originator (ERO) to send my return/tom) to IRS and to receive the following information from IRS: a) an acknowledgment of receipt or reason for rejection of transmission: b) the reason for any delay in processing or refund: and. c) the date of any refund. I am signing this Tax Return and Electronic Funds Withdrawal Consent, if applicable, by entering my Self-Select PIN below. Taxpayer's PIN: Date 10062016 Spouse's PIN: 519986 04.01.15 1.1 EFTA00026287
518711 05.12.15 ♦ DETACH HERE • Fo m 4868 Department of Ina Treastoy inward Revenue Senna 1991 (Part 1 YCkr narralS) Application for Automatic Extension of Time To File U.S. Individual Income Tax Return Fo cawaAr •?.i MI5 cr cfnur tax yam bAgnring 0Ii, andiro 2015 I Identification GHISLAINE MAXWELL C/O MARKS PANETH LLP-685 3RD AV NEW YORK, NY 10017 'ma 3 Spouse's social security nUmbgt Part II I Individual Income Tax 4 Estimate of total tax liability for 2015 30,286. 5 Total 2015 payments 71,151. 6 Balance due. Subtract line 5 from fine 4 0 . 7 AmouM you are paying ► 0. 8 Check here if you are 'out of the country and a U.S. citizen or resident 9 Chock nye it you file Form INONR p IO4ONFI-E2 all Oki not mons sagas as an amptoyea subjeC110115 Income tax wnwading Os 0 LX MAXW 30 0 201512 670 EFTA00026288
LL 1040 U.S. Individual Income Tax Returnem, 2015 co. No. 1545.00m I PS vs. Only - Do not am* or staple in MRS Space For tna yua Jdn 'Pith 31. 2015 a mina. ter y5A Mowing 2015. Old g 20 See separate Instructions. Your first name and initial GHISLAINE Last name MAXWELL YOU Boatal sscwlty number If a joint return, spouses first name and initial Last name 3P3699% Social *Kurth/ minter 1-lome address (number and street). It you have a P.U. MARKS PANETH LLP -685 ox. see instructions. 3RD AV Apt. no. I tote sure me SSW abate A and on line 6C Ore cared. • C/O City. town a post Mica. State. and ZIP cone n you have a foreign add'en. So COMI6Menprioas below. NEW YORK, NY 10017 Presidential biathlon Campaign Chxlit hero if you, or your spouse II tiling jointly. want $3 to go to fist ml C cot g b babe Foreign country name Foreign province/state/county Foreign postal code will not change your tax a rotund. You C Spouse Filing Status 1 2 Check only one box. 3 Exemptions If more than four dependents, see instructions and ,—, check here pi. LJ LXJ Single IC Married filing jointly (even if onl one had income) IC Married filing separately. Enter spouse's SSN above and full name here. No 4 LJ Head of household (with qualifying person). If the qualifying person i a child but not your d pendent, enter this child's name he e. ► 5 CI Qualifying widow(er) with dependent child 6a Yourself. If someone can claim you as a dependent. do not check box 6a Dependents: (i) First nem. Last name IN Offhaideni% social security number rgi Dograndonl% relationship to Ku ialir Itud tight act 1 7' MINN) ro t chi nterldt kkr d Total number of exemptions claimed Income Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. If you did not get a W-2. see instructions. 7 8a b 9a b 10 11 12 13 14 15a 16a 17 18 19 20a 21 22 23 24 25 26 27 28 29 30 31a 32 33 34 35 36 Add lines 23 through 35 Wages, salaries, tips, etc. Attach Form(s) W- Taxabl e interest Attach Schedule B it required Tax-exempt interest Do not include on line 8a - Ordinary dividends. Attach Schedule B d required- Qualified dividends Taxable refunds, credits, or offsets of state and local income taxes Alimony received Business income or (loss). Attach Schedule C or C-EZ Capital gain or (loss). Attach Schedule D if required. If not required, check here Other gains or (losses). Attach Form 4797 IRA distnbutians 1 151 I b Taxable amount Boxes checked on 6a and Etc No 01 children o 6c tio. *Pad with you %did not We with you due to OlvOrCe a Separation InStructiathl Dapanden% on 6c not entered above Add numbarS on lines., above 8 5,672. 7 8a 63,088. el 119,551. $TMT 1 $TMT 2 ► Pensions and annuities 16a b Taxable amount Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E Farm income or (loss). Attach Schedule F Unemployment compensation Social security benefits p 20a j I b Taxable amount Other income. List type and amount Combine the amounts in the tar right column for lines 7 through 21. This is your total Income Educator expenses CaegOn business expenses of reservists. pertaming Grusin and toe-basis gonment officials Attach Form 2 l06 or 210%62 Health savings account deduction. Attach Form 8889 Moving expenses. Attach Form 3903 Deductible part of self-employment tax. Attach Schedule SE Self-employed SEP, SIMPLE, and qualified plans Self-employed health insurance deduction Penalty on early withdrawal of savings Alimony paid b Recipient's SSN IRA deduction Student loan interest deduction Tuition and fees. Attach Form 8917 Domestic production activities deduction. Attach Form 8903 9a 182,240. 10 11 12 13 14 15b 16b 17 18 19 20b 21 22 0. -500. -3,000. 5,310. -3,642. ► 243,496. Adjusted Gross Income S1030I 12.30- IS 37 Subtract line 36 from line 22. This is your adjusted gross income 23 24 25 26 27 28 29 30 31a 32 33 34 35 36 37 243,496. LHA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions. Faro 1040 (2rns) EFTA00026289
Earn 1040{20151 GHISLAINE MAXWELL Tax and Credits 38 Amount from 39a Check if: b if your spouse 40 Itemized deductions 41 Subtract line 42 Exemptions. 43 Taxable income. 44 Tax. Check 45 Alternative 46 Excess advance 47 Add lines 44, 48 Foreign tax 49 Credit for child 50 Education 51 Retirement 52 Child tax credit 53 Residential 54 Other credits 55 Add lines 48 56 Subtract line line 37 (adjusted gross income) margin) line enter Total boxes checked 90, 39a here IP. 39b 6d. Otherwise, see inst. -0- 38 243,496. 0 You were born before January 2, 1951 O Blind. 1 40 165,725. a" Detraction for - • People who aro any box on line am or 3915 orwho can be derned ail a hocendent. see Intrtuctiont • hi Otl1B18' Single or Myriad rang somww. 4.30o Married MN/ jointly or Ouartying witloolell. SI2.6C0 Hoed et household. $9.250 0 Spouse was born before January 2, 1951, Blind. 1 itemizes on a separate return or you were a dual-status alien, check (from Schedule A) or your standard deduction (see left 40 from line 38 If line 38 is $154,950 or less, multiply $4,000 by the number on Subtract line 42 from line 41.11 line 42 is more than line 41 I flo 41 77,771. 42 4,000. 43 73,771. if any from: a 0 Form(s)Et814 b Form 4972 c LJ 44 5,448. minimum tax. Attach Form 6251 premium tax credit repayment Attach Form 8962 45, and 46 credit. Attach Form 1116 if required and dependent care expenses. Attach Form 2441 credits from Form 8863, line 19 savings contributions credit Attach Form 8880 Attach Schedule 8812, it required energy credits. Attach Form 5695 48 4,420. 45 27,605. 46 47 33,053. 55 4,420. 49 50 51 52 53 from Form: a tEl 3800 b Q 8801 GO 54 through 54. These are your total credits 55 from line 47. If line 55 is more than line 47, enter -0- 56 28,633. 57 Self-employment Other 58 Unreported Taxes 59 Additional 60a Household b First-time 61 Healthcare: 62 Taxes from: 63 Add lines 56 tax. Attach Schedule SE 8919 57 social security and Medicare tax from Form: a 0 4137 b 0 58 tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 employment taxes from Schedule H homebuyer credit repayment Attach Form 5405 if required individual responsiaility (see instructions) Full-year coverage if requir 59 60a 60b El 61 a 0 Form 8959 b n Form 8960 c 0 inst.; enter colde(s) 62 1,653. through 62. This is your total tax Oro 63 30,286. Payments 64 Federal income 65 2015 estimated a Earned income tax withheld from Forms W-2 and 1099 lax payments and amount applied from 2014 relit credit (EIC) combat pay election 166b I 64 74 71,151. 65 71,151. Ryouhavoce ovraryho iris& anach Schedule FIG. 66a b Nontaxable 67 Additional 68 American 69 Net premium 70 Amount paid 71 Excess social 72 Credit for federal 73 Credits from 74 Add lines 64, 67 child tax credit Attach Schedule 8812 opportunity credit from Form 8863, line 8 _ tax credit. Attach Form 8962 with request for extension to file I security and tier 1 RRTA tax withheld tax on fuels. Attach Form 4136 68 69 70 71 72 EOM' a02439 b patsy rOc 08885 d0 73 65, 66a, and 67 through 73. These are your total payments Oro Refund ni.,,0(1,,, it, sea I, ' wn'""`"" 75 it line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid 76a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here lia• CI 75 40,865. 76a b:',',311 II0 c im IMI MO* Shags IP' d ine:41 78 77 Amount of line 75 you want applied to your 2016 estimated tax 0. Inl 40,865. Amount 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions Illo. You Owe 79 Estimated tax penalty (see instructions) I 79 I Third Party Do you want to allow another person to discuss this return with the IRS (seephinrsiyuctions)? I X I Yes. Complete below. U No 274VT dertitbahen Designee F„',orslo.ELECHER, ALAN Sign ober () panaltaas ►- p of pearity. I OK:la* that I naveexamine this tam and accompanying Weenies and statements. and to me best olmylmor d they are true, correct. and complete. Declaration of predator (other tha leaseye) Is based o all intomietion d which prepare, has any knowledge. Here Yew *peen l Date I Year occupaton Daytime phone number Joint return? SC* instruCtione. Keep a Dopy Spouse's sitriature. I a pint rotor,. both must sir tor yore records. ONSULTANT Date I Spouse's *twee on rt the o S sent you an Ma PrOteCb011 PIN onW it here Sy FrintaYde droixrers name Prepvos sltriature Paid Preparer BLECHER, ALAN Use Only v,m.sna lo.MARKS PANETH LLP Date selhomployed 685 THIRD AVENUE i1OJ0' aXI Is "M .S A""S O P NEW YORK, NY 10017 EFTA00026290
SCHEDULE A OMB no. 1545.0074 (Form 1040) lab Information about Schedule A and its separate instructions is at www.irs.govischedutea . Department of the Treastoy Attachment Pe Attach to Form 1040. 14arnelS) Shown On roan 1040 Sequame No. ut internal Revenue Service BM) ow SOMA **Corey number Itemized Deductions 2015 GMT SLAINE MAXWELL Medical Caution: Do not include expenses reimbursed or paid by others. and 1 Medical and dental expenses (see instructions) SEE STATEMENT 8 1 6,955. Dental 2 Enter amount from Form 1040. fine 38 I 21 243,496. Expenses 3 Multiply Me 2 by 10% (.10). But if either you or your spouse was born before January 2. 1951. multiply line 2 by 7.5% (.075) instead 3 24,350. 4 Subtract line 3 from rile 1. If line 3 is more than line 1, enter 4/ 4 0 . Taxes You 5 State and local (check only one box): Paid a El Income taxes, or SEE STATEMENT 6 6 34,571. b 0 General sales taxes 6 Real estate taxes (see instructions) 6 85,132. 7 Personal property taxes 7 8 Other taxes. List type and amount lb. 8 9 Add lines 5 through 8 9 119,703. Interest 10 Home mortgage interest and points reported to you on Form 1098 10 You Paid 11 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home. see instructions and show that person's name. identifying no.„ and address ifil• ---------__ Note: A .. ' 11 Your mortgage interest 12 Points not reported to you on Form 1098. See instructions for special rules 12 13 deduction may 13 Mortgage insurance premiums (see instructions) be limited (see instructions). 14 Investment itterest. Attach Form 4952 if required. (See instructions.) STMT 7. 14 17. 15 15 Add lines 10 through 14 17 . Gifts to is Gifts by cash or check If you made any gift of 5250 or more, see instructions 16 5,353. Charity 17 Other than by cash or check. If any gift of $250 or more. see instructions. If you made a gift and got a benefit for it, 18 see instructions. 19 You must attach Form 8283 if over 5500 Carryover from prior year Add lines 16 through 18 17 5,353. 18 19 Casualty and Theft Losses 20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) . . . . . . 20 Job Expenses 21 Unreimbursed employee expenses • job travel, union dues, job education. etc. and Certain Attach Form 2106 or 2106-EZ if required. (See instructions.) II" Miscellaneous Deductions ill iai lFr— 21 22 Tax preparation fees 22 11,000. 23 Other expenses • investment, safe deposit box, etc. Ust type and amount lir. SEE STATEMENT 5 23 34,522. 24 Add lines 21 through 23 24 45,522. 25 Enter amount from Form 1040, line 38 1251 243,496. 26 Multiply line 25 by 2%(.02) 26 4,870. 27 Subtract line 26 from line 24. If line 26 is more than line 24. enter 0. . 27 40,652. Other 28 Other • from list in instructions. Ust type and amount Illi• Miscellaneous Deductions 28 29 Is Form 1040. line 38. over 5154,9507 a3 No. Your deduction is not limited. Add the amounts in the far right column Total Itemized for lines 4 through 28. Also. enter this amount on Form 1040. line 40. 0 Yes. Your deduction may be limited. See the Itemized Deductions 29 165,725. Deductions Worksheet in the instructions to figure the amount to enter. 30 If you elect to itemize deductions even though they are less than your standard deducbon check here . . . ► i i LHA sneer ol.ro-le For Paperwork Reduction Act Notice, see Form 1040 instructions. 5 Schedule A (Form 1040) 2015 EFTA00026291
SCHEDULE B (Form 1040A or 1040) Deoferment al IN Treasesy Into/nag Revenue Service 199) Normals/Shown on return GHISLAINE MAXWELL Part I Interest Interest and Ordinary Dividends ► Attach to Form 1040A or 1040. ► Information about Schedule B and Its Instructions is at www.irs.gov/scheduleb OMN No 1545.007 2015 Amerman: SoquancoNo1/0 as Soda 80cally rerroa Note: If you received a Form 10994NT, Form 1099O1D, or substitute statement from a brokerage firm. list the firm's name as the payer and enter the total interest shown on that foam 1 List name of payer. If any interest is from a seller-financed mortgage and the buyer used the property as a personal residence, see instructions and list this interest first. Also. show that buyer's social security number and address ► SEE STATEMENT 9 SUBTOTAL FOR LINE 1 TAX-EXEMPT INTEREST SEE STATEMENT 10 SEE STATEMENT 11 ABP ADJUSTMENT 2 Add the amounts on line 1 3 Exckidable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 4 Subtract line 3 from Me 2. Enter the result here and on Form 1040k or Form 1040, line 8a ► Note: If line 4 is over $1S00 you must complete Part III Part II Ordinary Dividends 5 List name of payer UBS - Y1 ► 23568 UBS - Y1 23570 UBS - Y1 23571 UBS - Y1 23574 UBS - Y1 23575 UBS - Y1 2 572 Note: If you received a Form 1094DIV or substitute statement from a brokerage firm. list the firm's name as the payer and enter the ordinary dividends shown on that form. Part III Foreign Accounts and Trusts 52750i 0999.15 If you may have to file Form 3520. See instructions X FROM K-1 - THE BLACKSTONE GROUP, LP FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 6 Add the amounts on line S. Enter the total here and on Form 1040k or Form 1040. line 9a Note: If line 6 is over $1.500. you must complete Part Ill. You must complete this part if you (a) had over $1.500 of taxable interest or ordinary dividends: (b) had a foreign account: or (c) received a distribution from. or were a grantor of. or a transferor to. a foreign trust. 7a At any time during 2015, did you have a financial interest in or signature authority over a financial account (such as a bank account, securities account, or brokerage account) located in a foreign country? See instructions.. If -Yes,' are you required to file FinCEN Form 114. Report of Foreign Bank and Financial Accounts (FBAR), to report that financial interest or signature authority? See WEN Form 114 and its instructions for filing requirements and exceptions to those requirements b If you are required to file FinCen Form 114. enter the name of the foreign country where the financial account is located ► UNITED KINGDOM 8 During 2015, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? Amount 73,088. 73,088. -5,672. -4,328. 63,088. 3 4 63 088. Amount 40,340. 21,805. 33,471. 20,493. 10,611. 54,713. 126. 681. 182,240. Yes No X X LHA For Paperwork Reduction Act Notice, see your tax return Instructions. 6 Schedule B (Form 1040A or 1040) 2015 EFTA00026292
Interest and Dividend Summary Name: GHISLAINE MAXWELL Payer Interest hwenionG4 SavingsSones Tax•Exempt interest Private Activity Interest Oflonwism4 oiumunuoin) Ordinary Dividends Qualified Dividends Capital Gain Distributions Rxwouncome lent waive, State Tax Withheld Foreign Tax Paid BARCLAYS 16,736. CATER ALLEN PRIVATE BANK 5,519. IMPUTED INTEREST - LOAN PROM TERRAMAR PROJECT 1,515, OBS - Y1 23568 40,340. 40,340. OBS - Y1 23570 21,805. 88. OBS - Y1 23571 33,471, 7,817. 8,868. UBS - Y1 23574 20,493, 20,109. UBS - Y1 23575 10,611 , 629. UBS - Y1 23572 54,713, UBS - Y1 23568 6. UBS - Y1 23571 1. UBS - Y1 23574 - INTEREST 37,673. UBS - Y1 23574 - BOND PREMIUM -51. UBS - Y1 23574 - TIE . UBS - Y1 23575 12, UBS - Y1 23572 /. UBS - Y1 23680 17, FROM K-1 - THE BLACKSTONE GROUP, LP 416, 126, FROM K-1 - CARGOMETRICS TECHNOLOGIES LLC FROM K-1 - ALPRAREYS MILLENNIUM FUND, L.L.C. 269, 681, 327, TOTALS 62,195, 182,240. 119,551. 9,497. FEINISSN: 530191 04-01-15 EFTA00026293
Interest and Dividend Summary Name: GHISLAINE MAXWELL Payer Interest wen' on vs. Savings Sonde Tax•Exempt interest Private Activity Interest original issue oiscoum (old) Ordinary Dividends Qualified Dividends Capital Gain Distributions Foam income lent witnixed State Tax Withheld Foreign Tax Paid FROM R-1 - ALPHAKEYS MILLENNIUM FUND, L. L . C . 893, TOTALS FEINISSN- 530111 04-01-15 EFTA00026294
SCHEDULE C (Form 1040) Departmeni 01 the Trent", Interne/ Remark. Service BM Name 0 PrOMMIM Profit or Loss From Business (Sole Proprietorship) ► Information about Schedule C and Its separate instructions is at www.lts.govischedulat. Ir. Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. OMB No. 1505.0024 GHISLAINE MAXWELL A Principal business or profession, including product or service (see instructions) CONSULTING C Business name. If no separate business name, leave blank. ELLMAX, LLC E Business address (including suite or room no.) gr. 116 EAST 65TH STREET City, town or post office, state, and ZIP code NEW YORK, NY 11021 2015 Attachment Sequence NO.09 Social s44vrity number ISSN) B Enter code from InstructiOce ► 812990 D Employer ID nucleate (EiNi.lapa F Accounting method: (1) LxJ Cash (2) U Accrual (3) U Other (specify) ► 13 Did you materially participate' in the operation of this business during 2015? If 'No; see instructions for limit on losses M Yes ILI No H ff you started or acquired this business during 2015, check here Iti• I Did you make any payments in 2015 that would require you to file Form(s) 1099? (see instructions) M Yes O No J If 'Yes; did you or will you file required Forms 1099? M Yes O No Part I I Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the-Statutory employee' box on that form was checked 2 Returns and allowances 3 Subtract line 2 from line 1 4 Cost of goods sold (from line 42) 5 Bross profit. Subtract line 4 from line 3 6 Other income, including federal and state gasoine or fuel tax credit or refund (see instructions) 7 Gross income. Add lines 5 and 6 Part II I Expenses. Enter expenses for business use ofyour home 8 Advertising 9 Car and truck expenses (see instructions) 10 Commissions and fees 11 Contract labor (see instructions) 12 Depletion 13 Depreciation and section 179 expense deduction (not included in Part Ill) (see instructions) 14 Employee benefit programs (other than on line 19) 15 Insurance (other than health) 16 Interest: a Mortgage (paid to banks, etc.) b Other 17 Legal and professional services 28 Total expenses before expenses for business use of home. Add tines 8 through 27a 29 Tentative profit or (loss). Subtract line 28 from line 7 90 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instruc ons). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 91 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (It you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a loss, you must go to line 32. 32 If you have a loss, check the box that describes your investment in this activity (see instructions). • If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (It you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. • If you checked 32b, you must attach Form 6198. Your loss may be limited. LHA For Paperwork Reduction Act Notice, see the separate instructions. 5200DI II -23-I5 •.0 1 2 3 4 5 6 7 8 9 10 11 12 44 ILL lea lee 17 500. only on line 30. 18 Office expense 19 Pension and profit-sharing plans 20 Rent or lease (see instructions): a Vehicles, machinery, and equipment b Other business properly 21 Repairs and maintenance 22 Supplies (not included in Part III) 23 Taxes and licenses 24 Travel, meals, and entertainment a Travel b Deductible meals and entertainment (see instructions) 25 Utilities 26 Wages (less employment credits) 27 a Other expenses (from tine 48) b Reserved for future use 18 19 20a 20b 21 22 23 24a 24b 25 26 27a 27b 28 29 ► 500. 500. 30 31 -500. 32a M Invalmeni leaf ilLi. 32b Q is Some at Investrimpi not Fisk Schedule C (Form 1040) 2015 7 EFTA00026295
SCHEDULED (Form 1040) Department of the Rosary internal Revonuo Sable. Mg Capital Gains and Losses ► Attach to Form 1040 or Form 1040NR. IP, Information about Schedule D and its separate instructions is at www.ks.govischeduled ► Use Form 8949 to list your transactions for lines lb, 2, 3, 8b, 9, and 10. CAB No 1545.DOTA 2015 Attachment An Sequence No. et NameN) shown on return GHISLAINE MAXWELL Ott Soya secteity number Part I Short-Term Capital Gains and Losses - Assets Held One Year or Less See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. (d) Proceeds (sales price) (e) Cost (or other basis) le) Adjustments to gain or loss from Form(s) 8949, Part I, line 2, column (g) (h) Gain or (loss) Subtract column (e) from colurm (d) and combne the result with column (g) la Totals tor al shOt.wm vanuctions repotted on Form 1099.8 tor which basis was Waled to the IRS and tor which you NWO no odyeStmentS gee thStruCtkeiN. Havant. d brat 01005910 Wort all these IRMSOCIleen on Form am. leave this bie block end go to line lb lb Totals for all transactions reported on Forrn(s) 8949 %nth Box A checked 69,900. 70,528. <628. 2 Totals for all transactions reported on Form(s) 8949 with Box B checked 74. 74. 3 Totals for all transactions reported on Forrn(s) 8949 with Box C checked 4 Short•term gain from Form 6252 and shortterm gain or (loss) from Forms 4684. 6781. and 8824 STMT 12 4 10. 5 Net shoreterm gain or (loss) from partnerships. S corporations, estates, and trusts from Schedule(s) K.1 SEE STATEMENT 14 5 <7. 6 Shoreterm capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions 6 ( 178,6324 7 Net short-term capital gain or (loss). Combine linest a through 6 in column (h). If you have any longterm capital gains or losses. go to Part II below. OtherwisA go to Part III on_page 2 _ 7 <179,183. Partll Long-Term Capital Gains and Losses - Assets Held More Than One Year See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. (d) Proceeds (sales price) (e) Cost (or other basis) (9) Adjustments to gain or loss from Foms) 8949, Part II, Me 2, column (g) (h) Gain or (loss) Subtract column (e) from column (d) and combne the result with column (g) 8a Totals tor al Ion/Item tranaapl0nsrpM.ed us Form 10998 tor which basis was reported to the IRS anti tor wN01 you Mem no odyeStmentS (see IrotruCtlaset. Rower. 8 you 0 .0080 80 Nam ON these tranSOCISMS On Fpm 5849. %five this ihe blare end go to line 8b 8b Totals for all transactions reported on FomXs) 8949 with Box D checked 3,210,287. 3,120,573. 31. 89,745. 9 Totals for all transactions reported on Forrn(s) 8949 with Box E checked 232,220. 244,272. <12,052. 10 Totals for all transactions reported on Forrn(s) 8949 with Box F checked 11 Gain from Form 4797, Part I; longterm gain from Forms 2439 and 6252: and long-term gain or (loss) from Forms 4684. 6781. and 8824 SEE STATEMENT 13 11 362. SEE STATEMENT 15 12 Net longterm gain or (loss) from partnerships. S corporations, estates, and trusts from Schedule(s) K-1 12 1,477. 13 Capital gain distributions SEE STATEMENT 16 13 9,497. 14 Longterm capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions 14 ( 6,208,1374 15 Net long-term capital gain or (loss). Combine lines 8a through 14 in column (h). Then go to Pan III on page 2 15 <6,119,108. LHA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule D (Form 1040) 2015 5205 II 12.05-IS 8 EFTA00026296
Schedule D (Form 1040) 2015 GHISLAINE MAXWELL • ($3.000). or if married filing separately. ($1.500) } Note: When figuring which amount Is smaller, treat both amounts as positive numbers. 22 Do you have qualified dividends on Form 1040. line 9b. or Fonn 1040NR. line 10b? Part Summary 18 Combine lines 7 and 15 and enter the result • If line 16 is a gain, enter the amount from line 16 on Form 1040, line 13. or Form 1040NR. line 14. Then go to line 17 below. • If line 16 is a loss, skip fines 17 through 20 below. Then go to line 21. Also be sure to complete line 22. • If line 16 is zero, skip lines 17 through 21 below and enter on Form 1040. line 13. or Form 1040NR. line 14. Then go to line 22. 17 Are lines 15 and 16 both gains? Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22. 18 Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions 19 Enter the amount, if any, from line 18 of the Unrecaptured Section 1260 Gain Worksheet in the instructions 20 Are lines 18 and 19 both zero or blank? Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040. line 44 (or in the instructions for Form 1040NR. line 42). Do not complete lines 21 and 22 below. No. Complete the Schedule D Tax Worksheet in the instructions. Do not complete lines 21 and 22 below. 21 If line 16 is a loss, enter here and on Form 1040. line 13. or Form 1040NR. line 14, the smaller of: • The loss on line 16 or SEE STATEMENT 17 ► Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040. line 44 (or in the instructions for Form 1040NR, line 42). No. Complete the rest of Form 1040 or Form 1040NR. 16 18 <6,298,291.> 19 21 3,000. Schedule D (Form 1040) 2015 520512 12.05.15 9 EFTA00026297
Form 8949 Mpanmerilelmelma(wr Internar Retonta Service Sales and Other Dispositions of Capital Assets Po Information about Form 8949 and its separate instructions is at www.irs.gov/form8949. gri. File with your Schedule D to list your transactions for lines lb. 2, 3.8b. 9, and 10 of Schedule D. OMB No. 1545 0074 2015 Attachmen: A a . Senronre No I LA Name(s) shown on return Social security number or taxpayer identification no. GHISLAINE MAXWELL Before you check Box A. B. or C below. see whether you received any Formfs) 1099-B or substitute statements) from your br er. su slue statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check. I Part I I Short-Term. Transactions involving capital assets you held 1 year or less are short-term. For long-term transactions. see page 2. Note: You may aggregate al short.temi transactions reported on Form(s) 1099.8 showing oasis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D. kne It you aren't reguted to report these transactions on Flom 8949 (see instructions). You must check Box A, B, or C below. Check only one box. a MOM than one box *pees ler your Shin-tam tranSaCtlens, complete a separate Form 8949. page 1, lot each applicable box, Oxon nave more snot-tom transactions Man will !it on this page to ale or more or the boxes. complete as many rams wan ea same pox checked as you need. LXJ (A) Short-term transactions reported on Form(s) 1099G showing basis was reported to the IRS (see Note above) (B) Short-term transactions reported on Form(s) 1099G showing basis was not reported to the IRS I. (4.4 nort-term transactions not reponea to you on rorm 1 UUU-li 1 (a) Description of property (Example: 100 sh. XYZ Co.) (b) Date acquired (Mo.. day. yr.) (e) Date sold or disposed of (Mo.. day. yr.) (d) Proceeds (sales price) (e) Cost or other basis. See the Note below and from see Column (e) in the instructions Adjustment, if any, to gain or Pa If you enter an amount co in lcou _lunmi (9), entsra code in m (f . See Instructions. (h) Gain or (loss). Subtract column (e) column (d) 8 combine the result with column (9) (I) Code(s) (9) of a- A djusigen't UBS Y1 23574 - SEE STATEMENT D-1 17. 3.M O. 14. UBS Y1 23571 - SEE STATEMENT D-2 38,696 40,20T)1 0. <1,510. UBS Y1 23568 - -1,545. SEE STATEMENT D-3 0.M O. 2,545. UBS Y1 23570 - SEE STATEMENT D-4 21711-5-. 28,107.M O. <872. UBS Y1 23572 - SEE STATEMENT D-5 T,407. 2,212.M O. <805. 2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract negative amounts). Enter each total here and include on your Schedule D. line 1b (if Box A above is checked). line 2 (if Box B above is checked). or Ilne 3 (if Box C above is checked) Illob 69,900. 70,528. <628. Note: If you checked Box A above but the basis reported to the IRS was incorrect. en er in column (e) the basis as reported to the IRS. and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. 523011 1209.1s LHA For Paperwork Reduction Act Notice, see your tax return instructions. 10 Form 8949 (2015) EFTA00026298
Form 8949 Oepatimem 0 Iroaray Into/ma FUrng'pa Servos Sales and Other Dispositions of Capital Assets ► Information about Form 8949 and its separate instructions is at www.irs.gov/form8949. lg. File with your Schedule D to list your transactions for lines lb. 2, 3.8b. 9, and 10 of Schedule D. OMB No. 1545 0074 2015 AttadliThan: A a . Sallacnro NO I cm Name(s) shown on return Social security number or taxpayer identification no. GHISLAINE MAXWELL Before you check Box A. B. or C below. see whether you received any Formfs) 1099-B or substitute statements) from your br er. su slue statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check. I Part I Short-Term. Transactions involving capital assets you held 1 year or less are short-term. For long-term transactions. see page 2. Note: You may aggregate al short.temi transactions reported on Form(s) 1099.8 Showing basis was reported to the IRS and for which no adjustments or codes are required. Enter the totals directly on Schedule D. kne Ia. you aren't reclined to report these transactions on Flom 8949 (see instructions). You must check Box A, B, or C below. Check only one box. a MOM than one box enrollee lot your SPC4.10,MIllagaCtiOnS. complete a separate Fain 8949. page 1, 10t eadi applicable Pm It ou teve mote Vat- tam licensee:ions man will in al mis page sot ale ot mote 01 the boxes. complete as many tams min the sane box checked as you new (A) Short-term transactions reported on Form(s) 1099G showing basis was reported to the IRS (see Note above) (B) Short-term transactions reported on Form(s) 1099G showing basis was not reported to the IRS i_i tr..4 nort-term transactions not reponea to you on rorm 1 UUUiti 1 (a) Description of property (Example: 100 sh. XYZ Co.) (b) Date acquired (Mo.. day. yr.) (e) Date sold or disposed of (Mo.. day. yr.) (d) Proceeds (sales price) (e) Cost or other basis. See the Note below and see Column (e) in the instructions Adjustme t, if any, to gain or Pa If you enter an amount in column (g), enter a code in column (f . See instructions. (h) Gain or (loss). Subtract column (e) from column (d) & combine the result with column (9) (I) Code(s) (9) of A iljulinten't a UBS Y1 23572 - SEE STATEMENT D-5 74. 0.M 0. 74. 2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract negative amounts). Enter each total here and include on your Schedule D. line lb (if Box A above is checked). line 2 (if Box B above is checked), or line 3 (If Box C above is checked) Illob 74. 74. Note: If you checked Box A above but the basis reported to the IRS was incorrect. en er in column (e) the basis as reported to the IRS. and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. 523011 12 02.1S LHA For Paperwork Reduction Act Notice, see your tax return instructions. 11 Form 8949 (2015) EFTA00026299
Form 8949 (2015) Attachment Sequence No. 12A Page 2 Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side Social security number or taxpayer Identification no. GHISLAINE MAXWELL Before you check Box O. E. or F below. see whether you received any Form(s)1099-B or substitute statement(s) from your br er. su siue statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check. Part III Long-Term. Transactions involving capital assets you held more than 1 year are long term. For short-term transactions. see page 1. Note: You may aggregate al long-term transactions reported on Form(s) 1099.8 showing bases was reported to the IRS and tar whtch no adjustments or codes are required. Enter the totals directly on Schedule D. line 8a: you aren't required to report these transactions on Font, 8949 (see instructions). You must check Box D, E, or F below. Check only one box. F mato than One box apples lot your long-tam !tameable:me complete a sopa> Fam 8949. pogo 2. tor each applicable box. Itiyar .bave mao long.tem aansactions tnan x111 ht on Inc page tot ono or mote al the boxes. complete as many tams wen the samo box ChOCNEW as you neat LXJ (D) Longterm transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above) (E) Long-term transactions reported on Form(s) 1099-B showing basis was not reported to the IRS l_i (F) Longterm transactions not reported to you on Form 1099 8 1 (a) Description of property (Example: 100 sh. XYZ Co.) (b) Date acquired (Mo.. day, yr.) (e) Date sold or disposed of (Mo.. day. yr.) (d) Proceeds (sales price) (e) Cost or other basis. See the Note below and see Column (e) in the instructions Adjustment, if any, to gain or Pm' If you enter an amount in column (g), enter a code in column (f . See instructions. _ (h) Gain or (loss). Subtract column (e) from column (d) Si combine the result with column (9) (I) Code(s) (9) Amount of adjustment UBS Y1 23571 - SEE STATEMENT D-2 940,510. 989,527.M 0. <48,517. UBS Y1 23568 - SEE STATEMENT D-3 960,832. 754,4-69.M 0. 206,423. UBS Y1 23570 - SEE STATEMENT D-4 922,2-27t 975,71-NTM 0. <53,497. UBS Y1 23572 - SEE STATEMENT D-5 3Y6,724. 401,419.MW 31. <14,664. 2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract negative amounts). Enter each total here and include on your Schedule D. line 8b (if Box D above is checked). line 9 (if Box E above is checked). or line 10 (if Box F above is checked) Illo 3210287. 3120573. 31. 89,745. Note: If you checked Box D above but the basis reported to the IRS was incorrect. en er in column (e) the basis as reported to the IRS. and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. 523012 1202.15 Form 8949 (2015) 12 EFTA00026300
Form 8949 (2015) Attachment Sequence No. 12A Page 2 Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side Social security number or taxpayer Identification no. GMT SLAINE MAXWELL Before you check Box O. E. or F below. see whether you received any Form(s)1099-B or substitute statement(s) from your br er. su siue statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your broker and may even tell you which box to check. Part III Long-Term. Transactions involving capital assets you held more than 1 year are long term. For short-term transactions. see page 1. Note: You may aggregate al long-term transactions reported on Form(s) 1099.8 showing bases was reported to the IRS and tar whtch no adjustments or codes are required. Enter the totals directly on Schedule D. line 8a: you aren't required to report these transactions on Form 8949 (see instructions). You must check Box D, E, or F below. Check only one box. F MVO than One box apples rot your long-term !react ins. complete a newel* FOOT 5949. pogo 2. tot each applicable box. Itiyotbave mem longterm tonsactions man x111 to on Inc bags sot ono co mote 01 me boxes. complete as many terms wen me same box ChOCNE00 as you newt (D) Longterm transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above) (E) Long-term transactions reported on Form(s) 1099-B showing basis was not reported to the IRS l_i (F) Longterm transactions not reported to you on Form 1099 8 1 (a) Description of property (Example: 100 sh. XYZ Co.) (b) Date acquired (Mo.. day, yr.) (e) Date sold or disposed of (Mo.. day. yr.) (d) Proceeds (sales price) (e) Cost or other basis. See the Note below and see Column (e) in the instructions Adjustment, if any, to gain or loss. If you enter an amount in column (g), enter a code in column (f . See Instructions. (h) Gain or (loss). Subtract column (e) from column (d) Si combine the result with column (9) (11 crocos) (9) Amount of adjustment UBS Y1 23574 - SEE STATEMENT D-1 232,131. 244,'572.M 0. <12,141. UBS Y1 23574 - SEE STATEMENT D-1 89. 0.M O. 89. 2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract negative amounts). Enter each total here and include on your Schedule D. line 8b (if Box D above is checked). line 9 (if Box E above is checked). or line 10 (if Box F above is checked) Igo 232,220. 244,272. <12,052. Note: If you checked Box D above but the basis reported to the IRS was incorrect. en er in column (e) the basis as reported to the IRS. and enter an adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment. 523012 12 02.15 Form 8949 (2015) 13 EFTA00026301
Qualified Dividends and Capital Gain Tax Worksheet - Line 44 Keep for Your Records Nameis) shown on return GHISLAINE MAXWELL Your SSN Before you begin: I See the instructions for line 44 to see if you can use this worksheet to figure your tax. I Before completing this worksheet, complete Form 1040 through line 43. I If you do not have to file Schedule D and you received capital gain distributions, be sure you checked the box on line 13 of Form 1040. 1. Enter the amount from Form 1040. line 43. However, if you are filing Form 2555 or 2555EZ (relating to foreign earned income), enter the amount from line 3 of the Foreign Earned Income Tax Worksheet 2. Enter the amount from Form 1040. line 9b• 2. 119,551. 3. Are you filing Schedule Dr III Yes. siva me smaller et line is or is of Schedule 0. If elMet lino IS of line 161e blank a a las. site 4' C I No. Enke Ilaaarnown from Fern 1040. aro 13 4. Add lines 2 and 3 4. 119,551. 5. If filing Form 4952 (used to figure investment interest expense deduction), enter any amount from line 4g of that form. Otherwise, enter 0. 5. 6. Subtract line 5 from line 4. If zero or less. enter 0. 7. Subtract line 6 from line 1. If zero or less, enter 0. & Enter. $ 37.450 if single or married filing separately, $ 74.900 if manled filing jointly or qualifying widow(er). 50200 if head of household. 9. Enter the smaller of line 1 or fine 8 10. Enter the smaller of line 7 or line 9 11. Subtract line 10 from line 9. This amount is taxed at 0% 12. Enter the smaller of line 1 or line 6 13. Enter the amount from line 11 14. Subtract line 13 from line 12 15. Enter. $ 413200 if single, 0. 0. 1. 6. 7. 8. 9. 10. 11. 12. 13. 14. 73,771. 119,551. 0 . 37,450. 37,450. 0 . 37,450. 73,771. 37,450. 36,321. $ 232,425 if manled filing separately. 15. 413,200. $ 464.850 if manled filing jointly or qualifying widow(er). $ 439.000 if head of household. 16. Enter the smaller of line 1 or line 15 16. 73,771. 17. Add lines 7 and 11 17. 37,450. 18. Subtract line 17 from line 16. If zero or less. enter .0. 18. 36,321. 19. Enter the smaller of line 14 or Ine 18 19. 36,321. 20. Multiply line 19 by 15% (0.15) 20. 21. Add lines 11 and 19 21. 73,771. 22. Subtract line 21 from line 12 22. 0 . 23. Multiply line 22 by 20% (0.20) 23. 24. Figure the tax on the amount on line 7. If the amount on line 7 is less than $100.000. use the Tax Table to figure the tax. If the amount on line 7 Is $100,000 or more, use the Tax Computation Worksheet 24. 25. Add lines 20, 23, and 24 25. 26. Figure the tax on the amount on line 1. If the amount on line 1 Is less than $100.000, use the Tax Table to figure the tax. If the amount on line 1 is $100.000 or more, use the Tax Computation Worksheet 26. 27. Tax on all taxable Income. Enter the smaller of line 25 or fine 26. Also include this amount on Form 1040. line 44. If you are filing Form 2555 or 255.5•EZ, do not enter this amount on Form 1040. line 44. Instead, enter it on line 4 of the Foreign Earned Income Tax Worksheet 27. 5,448. 0. 0. 5,448. 14,238. 5,448. 'If you are filing Form 2555 or 2555-EZ see the footnote in the Foreign Earned Income Tax Worksheet before completing this line. 510.51 01.07.16 14 EFTA00026302
SCHEDULE E (Form 1040) Depattmeni ol the I mousy internal Revenue Service KR) Supplemental Income and Loss (From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.) Olo Attach to Form 1040, 1040NR, or Form 1041. III, Information about Schedule E and its separate instructions is at wwwits.govischedulee. OMB No. 15450074 2015 Alt:lzfmkit NoquiarCo No 13 Name(s) shown on return Your social security number GHISLAINE MAXWELL pan I I Income or Loss From Rental Real Estate and Royalties Note: If you are in the business of renting personal property, use Schedule C or C-EZ (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40. A Did you make any payments in 2015 that would require you to file Form(s) 1099? (see instructions) B If 'Yes.' did you or will you file required Forms 1099? U Yes LIU No Yes 0 No 1a Physical address of each property (street. city, state. ZIP code) A THE BLACKSTONE GROUP, LP - ROYALTY B C lb Type of Property (from list below) 2 For each rental real estate property listed above, report the number of fair rental and personal use days. Check the WV box only if you meet the requirements to file as a qualified joint venture. See instructions. Fair Rental Days Personal Use Days O.1V A 6 A LJ B B U C C U Type of Property: I Single Family Residence 2 Multi•FamiN Residence Income: I Properties: A B C 3 Rents received . ,,, ,,, ,,,,,,,,, ,,, , , 3 4 Royalties received ,,, ,, ,,,, ,,, , , 4 9. Expenses: 5 Advertising 6 Auto and travel (see instructions) 7 Cleaning and maintenance 8 Commissions 9 Insurance 10 Legal and other professional fees 11 Management fees 12 Mortgage interest paid to banks, etc ee instructions) 13 Other interest 14 Repairs 15 Supplies 16 Taxes 17 Utilities 18 Depreciation expense or depletion 19 omorgiotAir.STMT 18 5 6 7 8 9 — 10 11 12 13 14 15 16 17 18 19 6. 20 Total expenses. Add lines 5 through 19 21 Subtract line 20 from line 3 (rents) and/or 4 (royalties). If result Is a (loss). see instructions to find out if you must file Form 6198 22 Deductible rental real estate kiss after IMitation, if any, on Form 8582 (see instructions) 23a Total of all amounts reported on line 3 for all rental properties b Total of all amounts reported on line 4 for all royalty properties c Total of all amounts reported on line 12 for all properties d Total of all amounts reported on line 18 for all properties e Total of all amounts reported on line 20 for all properties 24 Income. Add positive amounts shown on line 21. Do not include any losses 26 Losses. Add royalty losses from line 21 and rental real estate losses from 28 Total rental real estate and royalty Income or (loss). Combine lines 24 IV. and line 40 on page 2 do not apply to you, also enter this amount on 18. Otherwise. include this amount in the total on line 41 on page 2 20 6. 21 3. 22 1( ) I line 22. Enter total losses and 25. Enter the result Form 1040, line 17, or 23a 23b 9. 23c 23d 23e 6. here here. If Parts II, III, Form 1040NR. line 24 3. 25 I 26 3. LHA For Paperwork Reduction Act Notice, see the separate Instructions. 3 Vacation/Short•Term Rental 4 Commercial 5 Land 6 Royalties 7 Self Rental 8 Other describe Schedule E (Form 1040) 2015 521491 I2•22• 15 15 EFTA00026303
Schedule (Fam 1040) 2015 hareem Nunn on totem lie not onus nacre and S0O Ai estuary number n shown on paeo Muchmore Sequence No 13 PAC.° 2 Your social security number PT GHISLAINE MAXWELL Caution. The IRS compares amounts reported on your tax return with amounts shover on Schedule(s) K-1. Part II Income or Loss From Partnerships and S Corporations Note: If you report a loss from an at-risk activity for which any amount is not at risk. you must check column (e) on line 28 and attach Form 6198. See eistructions. 27 Are you reporting any loss not allowed in a prior year due to the at-risk, excess farm loss, or basis limitations, a prior year unallowed loss from a passive activity (if that loss was not reported on Form 8582), or unreimbursed partnership expenses? 0 Yes al No If you answered Yes; see instructions before completing this section. 28 (a)Name ,ft, igf orrz.zg c cmc3 pa ncrh (d) Employer identification number le) Cluck It MO not at amount* risk A ALPHAKEYS MILLENNIUM FUND, L.L.C. P 27-5238213 B INVESTMENT INTEREST EXPENSE P 27-5238213 C CARGOMETRICS TECHNOLOGIES LLC P 90-0907396 D THE BLACKSTONE GROUP, LP P 20-8875684 Passive Income and Loss Nonpassive Income and Loss (f)Passive loss allowed (attach Form 8582 if required) (g)Passive income from Schedule K-1 (h) Nonpassive loss from Schedule K-1 (i) Se tion 179 expense deduc on from Form 4562 (j) Nonpassiv income from Schedule K-1 A 1,736. B 1,985. C 0. ?I) 19. 95. 29a Totals b Totals 30 Add columns (g) an 31 Add columns (f), (h) 32 Total partnership a result here and include 95. 19. 3,721. (j) of tine 29a and (i) of line 29b d S corporation income or (loss). Combine tines 30 and 31. Enter the in the total on line 41 below 30 95. 31 ( 3,740. ) 32 -3,645. Part III I Income or Loss From Estates and Trusts 33 (a)Name (b) Employer identification number A B Passive Income and Loss Nonpassive Income and Loss (c)Passive deduction or loss allowed (attach Form 8582 if required) (d) Passive income from Schedule K-1 (e) Deduction or loss from Schedule K-1 (f) Other income from Schedule K-1 A B 343 Totals b Totals -....Ens•- 35 Add columns (d) and (f) of line 34a 36 Add columns (c) and (e) of line 34b 37 Total estate and trust Income or (loss). Combine lines 35 and 36. Enter the resutt here and include in the total on line 41 below 35 36 ( ) 37 Part IV Income or LOSS From Real Estate Mortgage Investment Conduiui s s - ReSidual Holder 38 (a) Name (b) Employer identification number (c)_Excess inclusion from Schedules 12, line 2c (see instructions) (d) Taxable income (net loss) from Schedules 0, line lb (e) Income from Schedules 0, line 3b 39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below 39 PariV Summary 40 41 42 Reconciliation of farming and fishing Income. Enter your gross farming and fishing income reported on Form 4835, line 7; Schedule K-1 (Form 1065), box 14, code B; Schedule K-1 (Form 1120S), box 17, code V; and Schedule K-1 (Form 1041), box 14, code F (sn, instructions) 43 Reconciliation for real estate professionals. m - you were a real estate y0learonel (see instruction* thew the net lawny or (lose) you rerealed anywhere on Form 1040 a Form 1040NR torn an rental real 0$1a10 ealviiine 'areal you mallereay oorticoalos under the Passive ante/ay lose wen Net farm rental income or (loss) from Form 4835. Also, complete line 42 below Total income or (loss). Combine Ins. 26. 32. 37, 39. end 40. Enter the Mart here and on Fain 1040.1lne IT. a Form l040NR. in, 18 40 41 42 I 43 -3,642. 521501 Schedule E (Form 1040) 2015 12-22-15 16 EFTA00026304
INCOME FROM PASSTHROUGH STATEMENT. PAGE 1 SCHEDULE E Name OHISLAINE MAXWELL P000through THE BLACKSTONE GROUP, LP PUBLICLY TRADED PARTNERSHIP OTHER PASSIVE SCHEDULE E, PAGE 2 Ordinary business income (loss) Rental real estate income (loss) Other net rental income (loss) Intangible drilling costs/dry hole costs Self•charged passive interest expense Guaranteed payments Section 179 and carryover Disallowed section 179 expense Excess farm loss Net income (loss) First passive other Second passive other Cost depletion Percentage depletion Depletion carryover Disallowed due to 65% limitation Unreimbursed expenses (nonpassive) Nonpassive other Total Schedule E •aee Section 1231 gain (loss) Section 179 Lure on di osibon Net short-term cap. gain (loss) Net long-term cap. gain (loss) Section 1256 contracts & straddles Investment interest expense • Sch. A Other net investment income Charitable contributions Deductions related to portfolio income Other ID 20-8875684 SSN/EIN 2015 TAXPAYER K•I Input Prior Year Unallowe0 Basis Loss Disallowed Due to Basis Limitation Prior Year Wallowed At-Risk Loss Disallowed Due to At.Risk Prior Year Passive Loss Disallowed Passive Loss Tax Return 3. 19. lh, 15. 1. -35. 95. 9h. 76. 96, 347. -7. 1,471. 1,47 1. 17. 95. 9h. 21. 21. 521551 C4.01 -IS EFTA00026305
INCOME FROM PASSTHROUGH STATEMENT. PAGE 2 SCHEDULE E Name OHISLAINE MAXWELL Passthrough THE BLACKSTONE GROUP, LP PUBLICLY TRADED PARTNERSHIP OTHER PASSIVE INTEREST AND DIVIDENDS Interest income Interest from U.S. bonds Ordinary dividends Qualified dividends Taxexempt interest income FORM 6251 Depreciation adjustment after 12/31/86 Adjusted gain or loss Beneficiary's MIT adjustment Depletion (other than oil) Other MISCELLANEOUS Selfemployment earnings (lossyVYages Gross farming & fishing inc Royalties Royalty expenses/depletion Undistributed capital gains credit Backup withholding Credit for estimated tax Cancellation of debt Medical insurance • 1040 Dependent care benefits Retirement plans Qualified production activities income Passthrough adjustment to Form 1040 Penalty on early withdrawal of savings NOL Other taxes/recapture of credits Credits Casualty and theft loss ID 20-8875684 SSN/EIN 2015 TAXPAYER 11;•1 Input Prior Year Unallowed Basis Loss Disallowed Due to Basis Limitation Prior Year Unallowed At-Risk Loss Disallowed Due to At.Risk Prior Year Passive Loss Disallowed Passive Loss Tax Return 416. 416. 126. 126. 53. 10. 10. 9. 9. 6. 6. 7 18 521552 C4.01-15 EFTA00026306
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1 SCHEDULE E Name GHISLAINE MAXWELL PaSSNWOugMCARGOMETRICS TECHNOLOGIES LLC PARTNERSHIP OTHER PASSIVE SCHEDULE E, PAGE 2 Ordinary business income (loss) Rental real estate income (loss) Other net rental income (loss) Intangible drilling costs/dry hole costs Self•charged passive interest expense Guaranteed payments Section 179 and carryover Disallowed section 179 expense Excess farm loss Net income (loss) First passive other Second passive other Cost depletion Percentage depletion Depletion carryover Disallowed due to 65% limitation Unreimbursed expenses (nonpassive) Nonpassive other Total Schedule E (page 2) FORM 4797 Section 1231 gain (loss) Section 179 recapture on disposition SCHEDULE D Net short•term cap. gain (loss) Net longterm cap. gain (loss) Section 1256 contracts & straddles FORM 4952 Investment interest expense Sch. A Other net investment income ITEMIZED DEDUCTIONS Charitable contributions Deductions related to portfolio income Other ID 90-0907396 SSN/EIN 2O15 TAXPAYER K.1 Input Prior Year Unallowed Basis Loss Disallowed Due to Basis Limitation Prior Year Unallovted At-Risk Loss Disallowed Due to At-Risk Prior Year Passive Loss Disallowed Passive Loss Tax Return -118,351. -118,351. 4,275, 122,626. -118,351. 4 , 275. 122,626. 19 521551 C4.01 -IS EFTA00026307
INCOME FROM PASSTHROUGH STATEMENT. PAGE 2 SCHEDULE E Name GHISLAINE MAXWELL Passthrough CARGOMETRICS TECHNOLOGIES LLC PARTNERSHIP OTHER PASSIVE INTEREST AND DIVIDENDS Interest income Interest from U.S. bonds Ordinary dividends Qualified dividends Taxexempt interest income FORM 6251 Depreciation adjustment after 12/31/86 Adjusted gain or loss Beneficiary's MIT adjustment Depletion (other than oil) Other MISCELLANEOUS Selfemployment earnings (lossyVYages Gross farming & fishing inc Royalties Royalty expenses/depletion Undistributed capital gains credit Backup withholding Credit for estimated tax Cancellation of debt Medical insurance • 1040 Dependent care benefits Retirement plans Qualified production activities income Passthrough adjustment to Form 1O4O Penalty on early withdrawal of savings NOL Other taxes/recapture of credits Credits Casualty and theft loss ID 90-0907396 SSN/EIN 2O15 TAXPAYER Ict Input Prior Year Unallowed Basis Loss Disallowed Due to Basis Limitation Prior Year Unallowed At-Risk Loss Disallowed Due to At.Risk Prior Year Passive Loss Disallowed Passive Loss Tax Return 75. 75. -118 351. 119 361. 4,569. 4,569. 20 521552 C4.01-15 EFTA00026308
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1 SCHEDULE E Name OHISLAINE MAXWELL Passthrough ALPHAKEYS MILLENNIUM FUND L .L.C. PARTNERSHIP NONPASSIVE SCHEDULE E, PAGE 2 Ordinary business income (loss) Rental real estate income (loss) Other net rental income (loss) Intangible drilling costs/dry hole costs Self•charged passive interest expense Guaranteed payments Section 179 and carryover Disallowed section 179 expense Excess farm loss Net income (loss) First passive other Second passive other Cost depletion Percentage depletion Depletion carryover Disallowed due to 65% limitation Unreimbursed expenses (nonpassive) Nonpassive other Total Schedule E (page 2) FORM 4797 Section 1231 gain (loss) Section 179 recapture on disposition SCHEDULE D Net short•term cap. gain (loss) Net longterm cap. gain (loss) Section 1256 contracts & straddles FORM 4952 Investment interest expense Sch. A Other net investment income ITEMIZED DEDUCTIONS Charitable contributions Deductions related to portfolio income Other ID 27-5238213 SSN/EIN 2015 TAXPAYER K•1 Input Prior Year Unalloyed Basis Loss Disallowed Due to Basis Limitation Prior Year Unalloyed At-Risk Loss Disallowed Due to At-Risk Prior Year Passive Loss Disallowed Passive Loss Tax Return -1,736. -1,736. -1,736. -1,985. 1.985. -3,721. 3.721. 6. 6. 25. 25. 252. 252. 21 521551 C4.01 -IS EFTA00026309
INCOME FROM PASSTHROUGH STATEMENT. PAGE 2 SCHEDULE E Name OHISLAINE MAXWELL Passthrough ALPHAK EPS MILLENNIUM FUND L .L . C. PARTNERSHIP NONPASSIVE INTEREST AND DIVIDENDS Interest income Interest from U.S. bonds Ordinary dividends Qualified dividends Taxexempt interest income FORM 6251 Depreciation adjustment after 12/31/86 Adjusted gain or loss Beneficiary's AMT adjustment Depletion (other than oil) Other MISCELLANEOUS Selfemployment earnings (lossyVYages Gross farming & fishing Inc Royalties Royalty expenses/depletion Undistributed capital gains credit Backup withholding Credit for estimated tax Cancellation of debt Medical insurance • 1040 Dependent care benefits Retirement plans Qualified production activities income Passthrough adjustment to Form 1040 Penalty on early withdrawal of savings NOL Other taxes/recapture of credits Credits Casualty and theft loss ID 27-5238213 SSN/EIN 2015 TAXPAYER K•1 Input Prior Year Unallowed Basis Loss Disallowed Due to Basis Limitation Prior Year Unallowed At-Risk Loss Disallowed Due to At.Risk Prior Year Passive Loss Disallowed Passive Loss Tax Return 269. 269. 893. 893. 681. 681. 327. 22 521552 C4.01-15 EFTA00026310
Schedule E PASSTHROUGH RECAP - BASIC INFORMATION 2015 OHISLAINS MAXWELL T T Y SP J E Schedule K-1 Line Reference: (1065/1120S/104 I) 1/1:6 2t2/7 3i3,8 • 5/4/1 • ga/5a/2a nee 8/7/3 9a/8a/4a 4/T Entity No. Ad. No. Name Ordinary Income (Loss) Rental Real Estate Inc. (Loss) Other Rental Income (Loss) Passive Activity Loss C/0 MIT Passive Activity Loss G/0 Interest US Treasury Bond Interest Dividends Royalties Shan-Tam Groom Daln1Loss) Net Long. orm coot. Gain Mos.) Gisafalt(141d Payment,' 10 Partner TP 3 3 ALPHAKRYS MILLENNIUM FUND, L.L. -1,736. 269. 893. 681. 6. T P 2 2 ZARCONETRICS TECHNOLOGIES LLC -118,351. 4,275. 4,275. 75. 77 1 1 THE BLACKSTONE GROUP, LP 3. 19. 416. 126. 9. 1,471. Totals Component of: -120,084. :9. 4,275. 4,275. 760. 893. 807. 9. uthamot. Papa 2. vinous Scnodolo F. Page 2. WOWS Schadale E. Papa 2 va,,,,a,„ Form 8582 Line 3c 1.°r° 85 L 8 in 2 e A 3 li4T c , Schedule B, Line 1 Schedule B, Line 1 Papa Schedule B, Line 5 Soren*. E. Lava Sctiadtaa D LMe 5 Saladulo D. Fine 12 Schecklig . 2. vinous 9Cloackie 9.1 line Petarenor (1065/1nostioaii 10/9/* • 11/10/* nnv• 12/11/' 13/121 13,12/^ 13/12/* */* 20/17/14 13/T • 14P/4 17/15/12 T/12 /112 Entity No. Act. No. Section 1231 Gain (Loss) Ordinary Gain (Loss) Form 4797 Other Income Charitable Contributions 50% Section 179 Expense u.idurec.,5 Ho' cl.."Aielitoo ,t,,,,,,12ss1 Other Deductions Investment Int. Expense (Schedule A) Investment Int. Expense (Schedule E) Investment Income SE Health Insurance Premium Wages tOf ihn Than 2" shrforiowers Net SE Earnings AMT Dept Aeon Pon .86, 0prey Minimum Tax mosimora Exclusion Items 3 3 5,310. 252. 1,565. 2 2 75. -118351 1 4. 21. 38. Totals Component of: 347. 5,310. 4. 273. 38. 17. 1,985. 75. -118351 Form 4797, Line 2 Form 4797, Line 10 baradukti- Perla 2. Welous SChOdule A. Lille. ma 17 Form 4562. Line 6 Schedule A, Line 23 bcisAnt Pape 2. watts Schedule A. Line 14 sthduNE• Page 2. WOWS Form 4952. Line 4a Form 1040, Line 29 Form 1040, Line 7 smocks SE Line2 Form 6251, Fine 19 Form 9251. Una IS 2015 Form 8801 • - No specific Schedule K-1 line reference for these amounts. 5280T1 04.01-15 23 EFTA00026311
Schedule E PASSTHROUGH RECAP - ADDITIONAL INCOME, DEDUCTIONS, AND PRIOR YEAR CARRYOVERS 2015 OHISLAINE MAXWELL SON:Alio K. I Line 8919retics: (1065/i120S/104H 17/151' 15/13/13 1511- -P110 */*/11 18/16/14 18/161" nor • . • Entity No. Act. No. ALIT Adj. Gain or Loss Low Income Housing Cr Pre '08 Low Income Housing Cr Post '07 Estate Tax Deduction Excess oorkinkin on • tomlinalion Tax-exempt Interest Income Other Tax-exempt Income Nondeduc- tible Expenses Section 1231 PAL Carryover seci,‘,:d:123i Pg. carryover ST Capital PAL CM MIT ST Capital PAL c../o LT Capital Pa " MIT LT Capital PAL C/O Form 4797 Ordinary PAL C,/0 MIT 4797 Ordinary PAL G10 3 3 3. Totals Component of: 3 . Form 6251, Line 18 Form 8586 Line 4 Form 8586 Line 11 Schedule A. Line 28 Schedule A, Line 23 Schedule 8, Line 1 Schedule B. Line 1 Perm emn Line 4 Rook L.,. Form 8582, Line 3c 8 582rl"2 AMT, Line3c Form 8582, Line 3c 4 1 f/ATm i .r, Line3c Form 13582. Lhe 30 assFr Avn.. 1119 30 Form 5582. Lhe 30 8SSF2 AMT. 111930 80890ul9 K-1 Lim R444444100: (1055/I 1203/104 II • ir 13/12/' 13/12/* 13/12/' 131^/' 13/T 11/10/5 • 9c/8cac 20/17/" * T/9 13/12/' * Entity No. Act. No. Section 179 Carryover Chatitil310 Conutot10.18 3094 804474 Chamoble Contdbullons 3016 3090474 Choltot4o COntrbullom 2016 Keogh Payments SEP Payments IRA contreosane Other Portfolio ncome (loss' elver Ncopornollo Novato* income Jnrecaptured Section 1250 Gain Investment Expenses hvesimem lomose cm (gen. El uonoaream ovi-noria osn'anotoon Amortization Related to portion iinni:74) Medical =aymenie for 216 O•Inet 1 95. 16. Totals Component of: 95. 16. Form 4562, Line 10 Sch90Ao A. Limo 16 & 17 Scoodtto A. Lines 160 I 7 Schedule A. Linos M a 17 Form 1040, Line 28 Form 1040, Line 28 Form 1040, Line 32 Scnedma1- Page 1/(11101 2, .5 'mots a. various \09029 Line Schedule D, 19 Form 4952, Line 5 Form 4952, Line 2 $ChOCUO E. LIAO 33 SCI1Odula A. Line n3 Seller**, A LOB I 528072 04.01-15 • - No specific Schedule K-1 line refe ence for these amounts. 24 EFTA00026312
Schedule E PASSTHROUGH RECAP - CARRYOVERS TO NEXT YEAR 2015 GHISLAINE MAXWELL Entity No. AcL No. schwule t PAcanivg liwy lai c/0 Scroliee Passive Ltkosa e.,. „,._:._, ST Capital PAL C/O AMT ST Capital PAL C/0 LT Capital PAL CI° AMT LT Capital PAL C/0 Section 1231 PAL C/0 AMT Section 1231 PAL CA) Ordinary PAL C./0 AMT Ordinary PAL C/0 Schedule E At-Risk Carryover AMI Schedule e At-Feek canyon( ST Capital At-Risk carryover Ami m cap" Al-RIsk cassava, . LT Capital At-Risk Carryover 4)Ai LT Capital At-Risk caf,„,,,,,, 2 2 122,626, 122,626. Totals 122,626. 122,626. Entity No. AcL No. Section 1231 At-Risk Carryover Amr Sect ion 1231 At-Feek Carryover Form 4797 OrOlna2 Al-RIsk Ceerymer AM 1 arm 4797 On:Mary 4t 1415.1/4 GO Creditable ConfrierMons Al-Risk Carryover AM1 Charitable Conlfibutms At.R.* 0/0 ScAction 1:•, EAltrA -H7r1 .' CO A'! I ScE"(‘n.r. 179 40 /11.11ek CA) Ponlollo Income DatirCe0e03 At-Risk C/O K0001. SEP. RA A1-111sk 0/0 AM1 Keogh. SEP. IRA Al-AS cro Other At-Risk Carryovers MAT OVA, Al-RIsk carryovers Totals - No specific Schedule K-1 line reference for these amounts. 25 EFTA00026313
Schedule E PASSTHROUGH RECAP - ADDITIONAL INFORMATION AND PRIOR YEAR BASIS CARRYOVERS 2015 OHISLAINE MAXWELL. SchomMeml LineROwetim (1055/112ov Iwo 6b/5b/2b 11/10r nrr 13/12/14 13/12r 15/13r 15/13/13 15/13/13 15113r 15/13r 20/17/13 *fie EMity No. Act. No. Qualified Dividends Sec. 1256. Contractsa Straddles Dependent Care Benefits erection Activities MEMO Employers W-2 Wages U" Stnburei capital owns EmPeNtemenl zone Cr"' mC;(934 01esirZ Research AttivelaS New Markets Credit Credit for SS & Medicare Taxes Rcoaottee of c A ticome i- , = iri Cram Royalty/ Depletbn Expenses 3 3 377. 25. 7 2 4,569. 1 hr. 13. Totals Component of: 380. 25. 4,569. 13. Form 1040, Line 9b Form 6781, Line 1 Form 2441 Line 14 Form 8903. Line 7 Form 8903, Line 15 Form 1040. Line 70 Form 8844. Line 3 Form 6765. Line 37 Form 8874. Line 2 Form 8846. Line 5 Form 8611. Line 8 Schedule E. Page 1 or 2 Schedule K.1 LIne Shirteremato • . . • • ' . . (1065111208/10411 Entity No. Act. No. Schedule E Basis Carryover Mai schedules Basis Cenyinter ST Basis Carryover AMT Basis Carryover LT Basis Carryover AMT LT Basis Carryover Sec. 1231 Basis Carryover AV T ii,:, ii."..,,,,.., 4797-Ord Basis Carryover MAT 4T9T-OAT Bab carryover Other Basis Carryovers AMT Other Bale cam/avers Totals Component Of: Mims UmItall0n Worksheet Basis Limitation Worksheet tiara* L limitation W0rkSheel !fasts Limitation Worksheet Batas L 'Mahan Weittheet Flake Limitation Worksheet Basis Limitation Wooksheet OS Limitation Workshop' Bass Limitation Worksheet Hass Limitation workmen Has Limitanon WorkShOet Basis Limitation Wookshoet 528076 04-01-15 - No specific Schedule K-1 line reference for these amounts. 26 EFTA00026314
Schedule E Publicly Traded Partnerships Name of Activity: THE BLACKSTONE GROUP, LP - ACTIVITY NO. 1 Activity net income Activity net loss Prior year unallowed losses Net income (loss) Total loss allowed from the PTP for 2015 Disallowed losses from this PTP Form or Schedule SCH E FORM 4797 Gain/Loss -19. 347. 347. -19. 328. 19. Prior Year Carryover 0. 0. Net Gain/Loss -19. 347. Unallowed Loss Allowed Loss 19. 328. 328. 19. Activity net income Activity net loss Prior year unallowed losses Net income (loss) Total loss allowed from the PTP for 2015 Disallowed losses from this PTP Alternative Minimum Tax 338. 9. Alternative minimum tax adjustment 10 . Form or Schedule SCH E FORM 4797 Gain/Loss 347. Prior Year Carryover Net Gain/Loss Unallowed Loss Allowed Loss 0. 0. 347. 9. 338. 338. 9. 510331 04.01-IS 27 EFTA00026315
Schedule of Mineral Interest Properties - Summary ldenti in Number ame GHISLAINE MAXWELL Taxable income including NOL carryover , Plus allowable depletion Minus cost depletion Taxable income before % depletion 65% of taxable income 73, Ir L. Property Number Property Description Gross Income Royalty Paid Severance Tax Operating Expense IDC Expense Dry Hole Costs Other Expenses Depreciation Amortization Overhead Expense Net Income Before Depletion I THE BLACKSTONE GROUP LP , 21. A , 12. -1 OIALS 11. Z. 1- 12 Property Number Property Description % Depletion % Depletion Limited to Net Income Daily Production (Barre° Quantity Limitation Rate % Uepfetion After Ouantity Limitation Cost • Depletion Prior Year % Depletion C/O Greater of Cost or % Depletion % Depletion 1st Iteration Allocation Ratio . Limited 3' Depletion % DFeinpaletion I Iteration I THE BLACKSTONE GROUP, LP 1.0DUOUC DIALS Property Number Property Description Reallocation Ratio • Allowable Depletion Net Income After Depletion % Depletion CIO To Next Year Excess Depletion Beginning Accum. IDC Amortized E e Expense " Net Income for Excess IDC Cale. Excess IDC • Cost Depletion for 65% Limit Reserved Reserved I THE BLACKSTONE GROUP, LP 12, IOIALS ll. Property Number Property Description Beginning Recover ables Production Ending Recoverable& Basis Beginning Accum. on Depletion Adjusted Basis Cost Depleti Rate Cost Depletion • Allowable Depletion Ending Accum. Depletion Reserved Reserved I THE BLACKSTONE GROUP, LP OIALS 513601 03.0I-I5 "Limited % Depletion' has been limited o 65% of axable Income "Allowable Depletion" Greater of Percentage Depletion' or 'Cost Depletion' after calculation for the 65% taxable income Imitations or 'Non-Oil & Gas Depletion" "Net Income for Excess IOC CALC' - has been reduced by 'Allowable Depletion' and 'Excess IOC' has been added back. "Cost Depletion for 65% Limitation - Used for computation of taxable income limitation statement for AMT otal excess Intangible Onllng Cost Less 65% of Net Income fo Excess IDC Calculation Excess Intangible Drilling Cost Preference EFTA00026316
Fans 1116 Department 01 the Norman inhere, Revenue Service PR Name Foreign Tax Credit (Individual, Estate, or Trust) P. Attach to Form 1040, 1040NR, 1041, or 990-1. lb. Information about Form 1116 and its separate instructions is at www.irs.gov/form1116. GHISLAINE MAXWELL Use a separate Form 1116 for each category of income listed below. See Categories of Income in the instructions. Check only one box on each Form 1116. Report all amounts in U.S. dollars except where specified in Part II below. a IM Passive category income e Section 901(j) income e Lump-sum distributions b Q General category income d 0 Certain income re-sourced by treaty OMB No. 1545-0121 2015 AnACIVIOnl Sequence No 19 Identifying number x. Shown an molar you' lax Kam f Resident of (name of country)► UNITED STATES Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part 71. If you paid taxes tomore than one foreign country or U.S. possession, use a separate column and line for each country or possession. PaVd—I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above) 9 Enter the name of the foreign country or U.S possession 0. la Gross income from sources within country shown above and of the type checked above: Forei n Country or U.S. Possession Total (Add cols. A, B, and C.) A B C OTHER COUNTRIES ITED INGDOM la 73,512. 51,257. 22,255. b Check if line la is compensation for personal services as an employee, your total compensation from all sources is $250,000 or more, and you used an alternative basis to determine its source (see instructions) .. lo. 0 25,113. Deductions and losses (Cautlorilroreistruchon4; 2 Expenses definitely relatedto iw (attach statement) gk tili a 19 3 Pro rata share of other deductions not definitely related: a Certain itemized deductions or standard deduction b Other deductions (attach statement) c Add lines 3a and 3b d Gross foreign source income e Gross income from all sources f Divide line 3d by line 3e g Multiply line 3c by line 3f 4 Pro rata share of interest expense: a Home mortgage interest (use the Worksheet for Home Mortgage Interest in the instructions) b Other interest expense 5 Losses from foreign sources 6 Add lines 2.3g. 4a, 4b, and 5 98. 6 160,355. 160,355. 160,355. 160,355. 51,257. 22,255. 471,259. 471,259. .10877 .04722 17,442. 7,573. 17,540. 7,573. 7 Subtract line 6 f om line 1a. Enter the result here and on line 5. page 2 Pa' 7 48,399. Part II Foreign Taxes Paid or Accrued Credit is claimed for taxes (you must cheek one) g (h) El Paid 8 (I) m.. Foreign taxes paid or accrued In foreign currency In U.S. dollars Taxes withheld at source on: (n)Other foreign taxes paid or Taxes withheld at source on: (r) Other foreign taxes paid or (s)Total foreign taxes paid or accrued (add cols. (k) DOM9 ACK O) igyna 4,,r (m) Interest accrued (o) DNS:Sends IN trr iatr (q) Interest accrued (o) through (r)) (1) ragard A 8,307. 8,307. B C 8 Add lines A through C, column (s). Enter th total here and on line 9. page 2 Ill'I l3 8,307. LHA For Paperwork Reduc ion Act Notice, see instructions. Form 1116 (2015) 511501 11.30.15 29 EFTA00026317
Form 1116 (2015) GH I SLAINE MAXWELL rPartilli Figuring the Credit 9 Enter the amount from line 8. These are your total foreign taxes paid or accrued for the category of income checked above Part I 9 8,307. 10 Carryback or carryover (attach detailed computation) 10 11 Add lines 9 and 10 11 8,307. 12 Reduction in foreign taxes 12 13 Taxes reclassified under high tax kickout 13 14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the United Slates (before adjustments) for the category of income checked above Part I 15 48,399. 16 Adjustments to line 15 16 14,680. 17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income. (If the result is zero or less, you have no foreign tax credit for the category of income you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than one Form 1116, you must complete line 20.) 17 63,079. 18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39. Estates and trusts: Enter your taxable income without the deduction for your exemption 18 77,771. Caution: If you figured your tax using the lower rates on qualified dividends or capital gams, see Instructions. 19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1' 20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, enter the amounts from Form 1040NR, lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line la, or the total of Form 990-T, lines 36 and 37 Caution: if you are completing line 20 for separate category° (lump-sum distributions), see Instructions. 21 Multiply line 20 by line 19 (maximum amount of credit) 22 Enter the smaller of tine 14 or tine 21.8 this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this amount on line 28. Otherwise, complete the appropriate line in Part IV OP' Page 2 Part IV I Summary of Credits From Separate Parts III 23 Credit for taxes on passive category income I 24 Credit for taxes on general category income 25 Credit for taxes on certain income re-sourced by treaty 26 Credit for taxes on lump-sum distributions 27 Add lines 23 through 26 28 Enter the smaller of line 20 or line 27 29 Reduction of credit for international boycott operations 30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48; Form 1040NR, line 46; Form 1041, Schedule G. line 2a; or Form 990-1, line 40a 23 24 26 28 4,419. 1. 14 8,307. 19 .81109 20 5,448. 21 4,419. 22 4,419. 27 4,420. 28 4,420. 29 30 4,420. Form 1116 (2015) 511511 M3045 30 EFTA00026318
Form 1116 Department ol the Raman inmenal Revenue Service KIR Name Foreign Tax Credit (Individual, Estate, or Trust) la. Attach to Form 1040, 1040NR, 1041, or 990-1. ► Information about Form 1116 and its separate instructions is at www.irs.gov/form1116. GHISLAINE MAXWELL Use a separate Form 1116 for each category of income listed below. See Categories of income in the instructions. Check only one box on each Form 1116. Report all amounts in U.S. dollars except where specified in Part II below. a CI Passive category income e Section 901(j) income e Lump-sum distributions b IM General category income d 0 Certain income re-sourced by treaty OMB No. 1545-0121 2015 AnACIVIOnl Sequence No 19 Identifying numbers Shown co pogo I or you' lax velum f Resident of (name of country)► UNITED STATES Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part II. If you paid taxes tomore than one foreign country or U.S. possession, use a separate column and line for each country or possession. PrVd-I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above) g Enter the name of the foreign country or U.S possession go la Gross income from sources within country shown above and of the type checked above: Forel n Country or U.S. Possession Total (Add cols. A, B, and C.) A B C OTHER COUNTRIES la 19. 19. _ b Check if line la is compensation for personal services as an employee, your total compensation from all sources is $250,000 or more, and you used an alternative basis to determine its source (see instructions) la. 0 7. Deductions and losses (Caut/orir grtstrucnon4: 2 Expenses definitely related to the income on line la (attach statement) 3 Pro rata share of other deductions not definitely related: a Certain itemized deductions or standard deduction b Other deductions (attach statement) c Add fines 3a and 3b d Gross foreign source income e Gross income from all sources r Divide fine 3d by line 3e g Multiply line 3c by line 3f 4 Pro rata share of interest expense: a Home mortgage interest (use the Worksheet for Home Mortgage Interest in the instructions) b Other interest expense 5 Losses from foreign sources 6 Add fines 2. 3g. 4a, 4b, and 5 6 160,355. 160,37'5. 19. 471,259. .00004 7. 7. 7 Subtract line 6 f om line Ia. Enter the result here and on line 15. page 2 110. 7 12. Part II Foreign Taxes Paid or Accrued Credit is claimed for taxes (you must .g. check one) g (h) Weald Foreign taxes paid or accrued In foreign currency In U.S. dollars Taxes withheld at source on: (n)Other foreign taxes paid or accrued Taxes withheld at source on: (r) Other foreign taxes paid or accrued (s)Total foreign taxes paid or accrued (add cols. (o) through (r)) o (I) OAcauea L) (I) gtzidd (k) DOM9 ACK (IJ igynar (m) Interest (o) Dividends tillt;i4.244 (q) Intel A 2. 2. B C 8 Add lines A through C, column (5). Enter th total here and on line 9, page 2 Pi' I 8 2. LHA For Paperwork Reduc ion Act Notice, see instructions. Form 1116 (2015) 511501 11.30. IS 31 EFTA00026319
Form 1116 (2015) GH I SLAINE MAXWELL rPartilli Figuring the Credit 9 Enter the amount from line 8. These are your total foreign taxes paid or accrued for the category of income checked above Part I 9 2. 10 Carryback or carryover (attach detailed computation) 10 11 Add lines 9 and 10 11 2. 12 Reduction in foreign taxes 12 13 Taxes reclassified under high tax kickout 13 14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the United Slates (before adjustments) for the category of income checked above Part I 15 12. 16 Adjustments to line 15 16 17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income. (If the result is zero or less, you have no foreign tax credit for the category of income you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than one Form 1116, you must complete line 20.) 17 12. 18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39. Estates and trusts: Enter your taxable income without the deduction for your exemption 18 77,771. Ca uti on: If you figured your tax using the lower rates on qualified dividends or capital gams, see instructions. 19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1' 20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, enter the amounts from Form 1040NR, lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line la, or the total of Form 990-T, lines 36 and 37 Caution: if you are completing fine 20 for separate category° (lump-sum distributions), see instructions. 21 Multiply line 20 by line 19 (maximum amount of credit) 22 Enter the smaller of tine 14 or tine 21.8 this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this amount on line 28. Otherwise, complete the appropriate line in Part IV OP' Page 2 14 2. 19 .00015 20 5,448. 21 1. 22 1. Part IV I Summary of Credits From Separate Parts III 23 Credit for taxes on passive category income I 24 Credit for taxes on general category income 25 Credit for taxes on certain income re-sourced by treaty 26 Credit for taxes on lump-sum distributions 27 Add lines 23 through 26 28 Enter the smaller of line 20 or line 27 29 Reduction of credit for international boycott operations 30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48; Form 1040NR, line 46; Form 1041, Schedule G. line 2a; or Form 990-1, line 40a 23 24 25 28 27 28 29 30 Form 1116 (2015) 511511 M3045 32 EFTA00026320
For. 3800 Dapattmr: <4 Ireasemy WPM* Renanoe Service (9 harmer.) Wort on return General Business Credit ► Information about Form 3800 and its separate instructions is at www.irs.goviform3800. go. You must attach all pages of Form 3800, pages 1, 2, and 3, to your tax return. OMB No 1545-0895 2015 Attacnmonl Sequence Pro 22 GHISLAINE MAXWELL I Part I I Current Year Credit for Credits Not Allowed Against Tentative Minimum Tax (TMT) (See instructions and complete Part(s) Ill before Parts I and II) 1 General business credit from line 2 of all Parts III with box A checked 2 Passive activity credits from line 2 of all Pasts III with box Et checked I 2 I 2 9 . 3 Enter the applicable passive activity credits allowed for 2015 (see instructions) 4 Carryfonvard of general business credit to 2015. Enter the amount from line 2 of Part III with box C checked. See instructions for statement to attach 6 Carryback of general business credit from 2016. Enter the amount from line 2 of Part III with box D checked 6 Add lines 1. 3. 4. and 5 tien:R ing number 1 3 0. 4 5 6 art I Allowable Credit 7 Regular tax before credits: • Individuals. Enter the sum of the amounts from Form 1040. lines 44 and 46. or the sum of the amounts from Form 1040NR, lines 42 and 44 • Corporations. Enter the amount from Form 1120. Schedule J, Part I, line 2; or the applicable line of your return • Estates and trusts. Enter the sum of the amounts from Form 1041, Schedulet.. lines la and 1b; or the amount from the applicable line of your return 8 Alternative minimum tax: • Individuals. Enter the amount from Form 6251. line 35 • Corporations. Enter the amount from Form 4626, line 14 • Estates and trusts. Enter the amount from Schedule I (Form 1041), line 56 9 Add lines 7 and 8 10a Foreign tax credit b Certain allowable credits (see instructions) e Add lines 10a and 10b 4,420. 7 5,448. 8 27,605. 9 33,053. 11 Net income tax. Subtract line 10c from line 9. If zero, skip lines 12 through 15 and enter O• on line 16 12 Net regular tax. Subtract line 10c from line 7. If zero or less, enter O. 12 13 13 Enter 25% (.25) of the excess. if any, of line 12 over $25.000 (see instructions) 14 Tentative minimum tax: • Individuals. Enter the amount from Form 6251, line 33 • Corporations. Enter the amount from Form 4626. line 12 14 • Estates and trusts. Enter the amount from Schedule I (Form 1041), line 54 15 Enter the greater of line 13 or line 14 1,028. 28,633. 16 Subtract line 15 from line 11. If zero or less, enter .0. 17 Enter the smaller of line 6 or line 16 C corporations: See the line 17 instructions if there has been an ownership change, acquisition, or reorganization. LHA For Paperwork Reduction Act Notice, see separate Instructions. Form 3800 (2015) 10c 4,420. 11 28,633. 15 28,633. 16 0. 17 0. 511491 I2-23-15 33 EFTA00026321
Form 3800 (2015) Part III Allowable Credit (Continued) Note. If you are not required to report any amounts on lines 22 or 24 below, skip lines 18 through 25 and enter -0- on line 26. 18 Multiply line 14 by 75% (.75) (see instructions) 19 Enter the greater of line 13 or line 18 20 Subtract line 19 from line 11. If zero or less, enter 21 Subtract line 17 from line 20. If zero or less, enter 22 Combine the amounts from line 3 of all Parts III with box A C, or D checked 23 Passive activity credit from line 3 of all Parts III with box B checked 24 Enter the applicable passive activity credit allowed for 2015 (see instructions) 25 Add lines 22 and 24 26 Empowerment zone and renewal community employment credit allowed. Enter the smaller of line 21 or line 25 27 Subtract line 13 from line 11. If zero or less, enter .0. 28 Add lines 17 and 26 29 Subtract line 28 from line 27. If zero or less, enter 30 Enter the general business credit from line 5 of all Pans III with box A checked 23 18 Page 2 19 20 21 22 31 Reserved 32 Passive activity credits from line 5 of all Parts III with box 8 checked 32 24 25 26 0. 27 28,633. 28 29 28,633. 30 31 33 Enter the applicable passive activity credits allowed for 2015 (see Instructions) 34 Carryfonvard of business credit to 2015. Enter the amount from line 5 of Part III with box C checked and line 6 of Pan Ill with box G checked. See instructions for statement to attach 35 Carryback of business credit from 2016. Enter the amount from line 5 of Part III with box D checked (see instructions) 36 Add lines 30, 33, 34, and 35 37 Enter the smaller of line 29 or line 36 38 Credit allowed for the current yea'. Add lines 28 and 37. Report the amount from line 38 (if smaller than the sum of Part I. line 6. and Part II, lines 25 and 36, see instructions) as indicated below or on the applicable brie of your return: • Individuals. Form 1040, line 54, or Form 1040NR. line 51 • Corporations. Form 1120, Schedule J. Part I, line 5c • Estates and trusts. Form 1041. Schedule G. line 2b 33 34 35 36 37 38 Form 3800 (2015) 514402 1292.15 34 EFTA00026322
Form 3800 (2015) Page 3 Memo) Sheri on return Ident I number GHISLAINE MAXWELL I Part 111 General Business Credits or Eligible Small Business Credits(see instructions) Complete a separate Part III for each box checked below. (see instructions) A General Business Credit From a NorWassive Activity E Reserved B IM General Business Credit From a Passive Activity F Reserved C C General Business Credit Carryforwards G Eligible Small Business Credit Canyforwanis General Business Credit Carrybacks H Reserved I If you are filing more than one Part III with box A or B checked, complete and attach first an additional Part III combining amounts from all Parts III with box A or B checked. Check here if this is the consolidated Past III tal Description of credit Note. On any line where the credit Is from more than one source, a separate Part III is needed for each pass•tNouoh entity. la Investment (Form 3468, Part II only) (attach Form 3468) b Reserved c Increasing research activities (Form 6765) STMT 20 d Lowincome lousing (Form 8586, Part I only) e Disabled access (Form 8826) (see instructions for limitation) f Renewable electricity. refined coal, and Indian coal production (Form 8835) g Indian employment (Form 8845) h Orphan drug (Form 8820) I New markets (Form 8874) j Small employer pension plan startup costs (Form 8881) (see instructions for limitation) k Employerprovided child care facilities and services (Form 8882) (see instructions for limitation) I Biodlesel and renewable diesel fuels (attach Form 8864) m Low sulfur diesel fuel production (Form 8896) n Distilled spirits (Form 8906) o Nonconventional source fuel p Energy efficient home (Form 8908) q Energy efficient appliance r Alternative motor vehicle (Form 8910) s Alternative fuel vehicle refueling property (Form 8911) t Reserved u Mine rescue team training (Form 8923) Agricultural chemicals security (cern/tom/3rd only) w Employer differential wage payments (Form 8932) x Carbon dioxide sequestration (Form 8933) y Qualified plugin electric drive motor vehicle (Form 8936) z Qualified plug•in electric vehicle (canyforward only) aa New hire retention (canyforward only) bb General credits from an electing large partnership (Schedule Ic1 (Form 1065.8)) zz Other 2 Add lines la through lzz and enter here and on the applicable line of Part I 2 9 . 3 Enter the amount from Form 8844 here and on the applicable line of Part II 4a Investment (Form 3468, Part III) (attach Form 3468) b Work opportunity (Form 5884) c Biofuel producer (Form 6478) d Lowincome housing (Form 8586, Part II) e Renewable electricity. refined coal, and Indian coal production (Form 8835) Employer social security and Medicare taxes paid on certain employee tips (Form 8846) g Qualified railroad track maintenance (Form 8900) h Small employer health insurance premiums (Form 8941) I Reserved j Reserved z Other 5 Add lines 4a through 4z and enter here and on the applicable line of Part II 6 Add lines 2, 3. and 5 and enter here and on the applicable line of Part II 6 2 9 . II (b) donning the Weal from a pass-IM:rugn slily, enter the EIN is ib 10. O (e) Enter the appropriate amount c 90-0907396 29 id is 11 1 1h i 1j 1k 11 1m 1n to 1p 1q 1r is 1t 1u 1v 1w 1x 1y 1z 1aa lbb lzz 2 3 4a 4b 4-c 4d 4.e 41 4g 4h 4i 4j 4z 5 514403 M-23-15 FG•I'l 3800 r2015I 35 EFTA00026323
Form 4797 Deparbrienl a Ito Troosmy Internal ROvOnue Service NamerS}Sn0wn on return Sales of Business Property (Also Involuntary Conversions and Recapture Amounts Under Sections 179 and 280F(bX2)) Pro Attach to your tax return. OMB No. 1545.0184 2015 Arlochmont v ► Information about Form 4797 and its separate Instructions Is at www.trs.gov/form4797. Sequoia n No. I GHISLAINE MAXWELL 1 I (dying number 1 Enter the gross proceeds from sales or exchanges reported to you for 2015 on Form(s) 1099.8 or 10995 (or substitute statement) that you are including on line 2. 10, or 20 Part I I Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualty or Theft-Most Property Held More Than 1 Year (see instructions) (a)OooMpBon 01 ixopety 2 (b) Data 004tared (no,. day. 5T,) CO Date*Cid (mo.. deg. yr.) (d) Gross solos price (e) D°Pn'aab" allowed or allowable soma au:Manion (f) cost a aha era Pkt9 irripr0vemante end Maws. of solo (g) gain or (loss) Subfla (*tom Me Sum MOB BIM (.1 THE BLACKSTONE GROUP, LP 347. 3 Gain, if any, from Form 4684. line 39 4 Section 1231 gain from installment sales from Form 6252. line 26 or 37 5 Section 1231 gain or (loss) from like-Mind exchanges from Form 8824 6 Gain, if any, from line 32, from other than casualty or theft 7 Combine lines 2 through 6. Enter the gain or (loss) here and on the appropriate line as follows: Partnerships (except electing large partnerships) and S corporations. Report the gain or (loss) following the instructions for Form 1065, Schedule K. line 10, or Form 11205, Schedule K. line 9. Skip lines 8. 9, 11. and 12 below. Individuals, partners, S corporation shareholders, and all others. If line 7 is zero or a loss. enter the amount from line 7 on line 11 below and skip lines 8 and 9. If line 7 is a gain and you did not have any prior year section 1231 losses, or they were recaptured in an earlier year. enter the gain from line 7 as a longterm capital gain on the Schedule D filed with your return and skip lines 8. 9, 11, and 12 below. 8 Nonrecaptured net section 1231 losses from prior years (see instructions) 9 Subtract line 8 from line 7. If zero or less, enter 0% If line 9 is zero. enter the gain from line 7 on line 12 below. If line 9 is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line 9 as a longterm capital gain on the Schedule D filed with your return (see instructions) .... 3 4 5 6 7 347. 8 9 Part Ordinary Gains and Losses (see instructions) 10 Ordinary gains and losses not included on lines 11 through 16 Include property held 1 year or less): ALPHAKEYS MILLENNIUM FUND, L.L.C. 5,310. 11 Loss. if any, from line 7 11 ( ) 12 Gain. if any, from line 7 or amount from line 8. if applicable 12 13 Gain, if any, from line 31 13 14 Net gain or (loss) from Form 4684. lines 31 and 38a 14 15 Ordinary gain from installment sales from Form 6252, erne 25 or 38 15 16 Ordinary gain or (loss) from likekind exchanges from Form 8824 16 17 Combine Ines 10 through 16 . 17 5,310. 18 For all except individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines a and b below. For individual returns, complete lines a and b below: a If the loss on line 11 includes a loss from Form 4684. line 35. column (b)(ii), enter that past of the loss here. Enter the past of the loss from incomeproducing property on Schedule A (Form 1040), line 28. and the part of the loss from property used as an employee on Schedule A (Form 1040), line 23. Identify as from "Form 4797. line 18a." See instructions b Redetermine the gain or (loss) on line 17 excluding the loss, if any on line 18a. Enter here and on Form 1040. line 14 18a 18b 5,310. WA For Paperwork Reduction Act Notice, see separate Instructions. Form 4797 (2015) sisal, 12.75.15 EFTA00026324
Form 4797 (2015)GHI SLAINE MAXWELL Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255 (see instructions) Part III 19 (a) Description of section 1245, 1250, 1252, 1254, or 1255 property: (b) Date acquired (rm.. day. yr.) (c) Date sold (mo., day, yr.) A B C D These columns relate to the properties on lines 19A through 19O. Ili. Property A Property B Property C Property D 20 Gross sales price (Note: See line 1 before completing ) 21 Cost or other basis plus expense of sale 22 Depreciation (or depletion) allowed or allowable 23 Adjusted basis. Subtract line 22 from line 21 24 Total gain. Subtract line 23 from line 20 20 21 22 23 24 26 If section 1245 property: a Depreciation allowed or allowable from line 22 b Enter the smaller of line 24 or 25a 25a 25b 26 If section 1250 property: If straight line depreciation was used, enter -0- on line 26g, except for a corporation subject to section 291. a Additional depreciation after 1975 (see instructions) „, b Applicable percentage multiplied by the smaller of line 24 or line 26a (see instructions) c Subtract line 26a from line 24. If residential rental property or line 24 is not more than line 26a, skip lines 26d and 26e d Additional depreciation after 1969 and before 1976 e Enter the smaller of line 26c or 26d I Section 291 amount (corporations only) g Add lines 26b. 26e, and 26f 26a 266 26c 26d 0.0 4‘ 26e 126f 26g 27 If section 1252 properly: Skip this section if you did not dispose of farmland or if this form is being completed for a partnersh0 (other than an electing large partnership) a Soil, water, and land clearing expenses b Line 27a multiplied by appkable percentage e Enter the smaller of line 24 or 27b 27a IS A 27b 27c 28 If section 1254 property: a Intangible drilling and development costs, expenditures for development of mines and other natural deposits, mining exploration costs, and depletion (see instructions) b Enter the smaller of line 24 or 28a 28a 28b 29 If section 1255 property: a Applicable percentage of payments excluded from income under section 126 (see instructions) b Enter the smaller of line 24 or 29a (see instructions 29a 29b Summary of Part Ill Gains. Complete property columns A through D through line 29b before going to line 30. 30 Total gains for all properties. Add property columns A through D. line 24 31 Add property columns A through D, lines 25b, 26g, 27c, 28b, and 29b. Enter here and on line 13 32 Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684. line 33. Enter the portion from other than casualty or theft on Form 4797. line 6 I Part IV I 30 31 32 Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less (see instnictions) 33 Section 179 expense deduction or depreciation allowable in prior years 34 Recomputed depreciation (see instructions) 35 Recapture amount. Subtract line 34 from line 33. See the instructions for where to report (a) Section 179 (b) Section 280F(bX2) 33 34 35 510312 le-28.15 37 Form 4797 (2015) EFTA00026325
Form 6251 DoperImam of Its Beasley Imp/no/ Nevem. SONIC. (99) Alternative Minimum Tax - Individuals ► Information about Form 6251 and its separate instructions is at www.irs.govIlorm6251. Ile Attach to Form 1040 or Form 1040NR. Name(s) shown on Form 1040 or Form 1040NR GHISLAINE MAXWELL OMB No. 1545.0074 2015 Mtadssit as $4<pssof No 32 Your social security number Part I I Alternative Minimum Taxable Income 1 If filing Schedule A (Form 1040). enter the amount from Form 1040, line 41, and go to line 2. Otherwise, enter the amount from Form 1040, line 38, and go to line 7. (If less than zero. enter as a negative amount.) 2 Medical and dental. If you or your spouse was 65 or older, enter the smaller of Schedule A (Form 1040), line 4. or 2.5% (.025) of Form 1040. line 38. If zero or less, enter 0- 3 Taxes from Schedule A (Form 1040). line 9 4 Enter the home mortgage interest adjustment, If any, from line 6 of the worksheet In the instructions for this line 5 Miscellaneous deductions from Schedule A (Form 1040), line 27 6 If Form 1040, line 38, is $154.950 or less, enter Otherwise, see Instructions 7 Tax refund from Form 1040. line 10 or line 21 8 Investment Interest expense (difference between regular tax and AMT) 9 Depletion (difference between regular tax and AMT) 10 Net operating loss deduction from Form 1040, line 21. Enter as a positive amount 11 Alternative tax net operating loss deduction 12 Interest from specified private activity bonds exempt from the regular tax 13 Qualified small business stock, see instructions apt 14 Exercise of incentive stock options (excess of AMT income over regular tax income) 15 Estates and trusts (amount from Schedule K1 (Form 1041), box 12, code A) 16 Electing large partnerships (amount from Schedule K1 (Form 1065.8). box 6) 17 Disposition of property (difference between AMT and regular tax gain or loss) 18 Depreciation on assets placed in service after 1986 (difference between regular tax and AMT) 19 Passive activities (difference between AMT and regular tax income or loss) SEE STATEMENT 21 20 Loss limitations (difference between AMT and regular tax income or loss) 21 Circulation costs (difference between regular tax and AMT) 22 Longterm contracts (difference between AMT and regular tax income) 23 Mining costs (difference between regular tax and AMT) 24 Research and experimental costs (difference between regular tax and AMT) 25 Income from certain installment sales before January 1. 1987 26 Intangible drilling costs preference 27 Other adjustments, including income-based related adjustments 28 Alternative minimum taxable Income. Combine lines 1 through 27. (If married fling separately and line 28 is more than $246,250. see instructions.) 1 77,771. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 119,703. 40,652. 0. 10. 28 238,136. Part it I Alternative Minimum Tax (AMT) 29 Exemption. (If you were under age 24 at the end of 2015. see instructions.) IF your filing status is... AND line 28 Is not over... THEN enter on line 29... Single or head of household $119.200 $53.600 Married filing jointly or qualifying wiclow(er) 158.900 83,400 Married filing separately 79.450 41.700 STMT 2 If line 28 is over the amount shown above for your filing status, see Instructions. 30 &Ban, lino 29 from lino 28.1t mom than zero. go 101139 31. II into off lea. enter .0. nom and on loos 31.33. and 35. and 9010 lino 34 31 • If you are filing Form 2555 or 2555-EZ. see instructions for the amount to enter. • If you reported capital gain distributions directly on Form 1040, line 13; you reported qualified dividends on Form 1040. line 9b: or you had a gain on both lines 15 and 16 of Schedule D (Form 1040) (as refigured for the AMT, if necessary), complete Part III on page 2 and enter the amount from line 64 here. • All others: If line 30 is $185,400 or less ($92,700 or less if maMed filing separately), multiply line 30 by 26% (.26). Otherwise, multiply line 30 by 28% (.28) and subtract $3,708 ($1,854 if married filing separately) from the result. 32 Alternative minimum tax foreign tax credit (see instructions) 33 Tentative minimum tax. Subtract line 32 from line 31 34 Add Form 1040. line 44 (minus any tax from Form 4972). and Form 1040, line 46. Subtract from the result any foreign tax credit from Form 1040, line 48. If you used Sch J to figure your tax on Form 1040, line 44, refigure that tax without using Schedule J before completing this line (see instructions) 35 AMT. Subtract line 34 from line 33. If zero or less. enter -0.. Enter here and on Form 1040, line 45 Misr is LHA For Paperwork Reduction Act Notice, see your tax return instructions. 38 29 23,866. 30 214,270. 31 36,942. 32 33 8,309. 28,633. 34 35 1,028. 27,605. Form 6251 (2015) EFTA00026326
Form 625 J20 GH IS LAI NE MAXWELL Part III I Tax Computation Using Maximum Capital Gains Rates Complete Part III only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. 36 Enter the amount from Form 6251, line 30. If you are filing Form 2555 or 255.5EZ, enter the amount from line 3 of the worksheet in the instructions for line 31 36 214,270. Page 2 37 Enter the amount from line 6 of the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040, line 44, or the amount from line 13 of the Schedule D Tax Worksheet in the instructions for Schedule D (Form 1040). whichever applies (as refigured for the AMT, if necessary) (see instructions). If you are filing Form 2555 or 2555•EZ, see instructions for the amount to enter 119,551. 38 Enter the amount from Schedule D Form 1040). line 19 (as refigured for the AMT, if necessary) (see instructions). If you are filing Form 2555 or 2555•EZ, see instructions for the amount to enter 39 If you did not complete a Schedule D Tax Worksheet for the regular tax or the AMT. enter the amount from line 37. Otherwise, add lines 37 and 38, and enter the smaller of that result or the amount from line 10 of the Schedule D Tax Worksheet (as refigured for the NAT, if necessary). If you are filing Form 2555 or 255.5EZ. see instructions for the amount to enter 39 119,551. 40 Enter the smaller of line 36 or line 39 40 119,551. 41 Subtract line 40 from line 36 41 94,719. 42 If line 41 is $185,400 or less ($92,700 or less if married filing separately), multiply line 41 by 26% (.26). Otherwise multiply line 41 by 28% (.28) and subtract $3,708 ($1.854 if manled filing separately) from the result ► 42 24,627. 43 Enter: • $74.900 if manled filing jointly or qualifying widow(er). • $37.450 if single or married filing separately, or 43 37,450. • $50200 if head of household. 44 Enter the amount from line 7 of the Qualified Dividends and Capital Gain Tax Worksheet in the Instructions for Form 1040. line 44, or the amount from line 14 of the Schedule D Tax Worksheet in the instructions for Schedule D (Form 1040), whichever applies (as figured for the regular tax). If you did not complete either worksheet for the regular tax, enter the amount from Form 1040. line 43; if zero or less, enter 41. If you are filing Form 2555 or 255.5EZ, see instructions for the amount to enter 44 O. 46 Subtract line 44 from line 43. If zero or less. enter 4:). 45 37,450. 46 Enter the smaller of line 36 or line 37 46 119,551. 47 Enter the smaller of line 45 or line 46. This amount is taxed at 0% 47 37,450. 48 Subtract line 47 from line 46 49 Enter: • $413200 if single • $232,425 if maMed filing separately • $464.850 if manled filing jointly or qualifying widow(er) • $439.000 if head of household 50 Enter the amount from line 45 50 37,450. 61 Enter the amount from line 7 of the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040. line 44. or the amount from line 19 of the Schedule D Tax Worksheet, whichever applies (as figured for the regular tax). If you did not complete either worksheet for the regular tax, enter the amount from Form 1040, line 43; if zero or less, enter If you are filing Form 2555 or Form 2555EZ, see instructions for the amount to enter 52 Add line 50 and line 51 52 37,450. 53 Subtract line 52 from line 49. If zero or less, enter 43- 53 375,750. 54 Enter the smaller of line 48 or line 53 54 82,101. 55 Multiply line 54 by 15% (.15) Pl. 56 12,315. 56 Add lines 47 and 54 56 119,551. If lines 56 and 36 we the same, skip lines 57 through 61 and go to line 62. Otherwise, go to line 57. 57 Subtract line 56 from line 46 0 . 58 Multiply line 57 by 20% (.20) ► II line 38 is zero or blank, skip lines 69 through 81 and go to Ilne 82. Otherwise, go to line 69. 59 Add lines 41. 56, and 57 60 Subtract line 59 from line 36 61 Multiply line 60 by 25% (.25) ► 62 Add lines 42. 55. 58, and 61 62 36,942. 63 If line 36 is $185,400 or less ($92,700 or less if married fill* separately), multiply line 36 by 26% (.26). Otherwise, multiply line 36 by 28% (28) and subtract $3,708 ($1.854 if married filing separately) from the result 63 56,288. 64 Enter the smaller of line 62 or line 63 here and on line 31. If you are filing Form 2555 or 255.5EZ, do not enter this amount on line 31. Instead, enter it on line 4 of the worksheet in the instructions for line 31 64 36,942. 37 38 48 82,101. 49 413,200. 51 57 58 59 60 61 519591 01-11.16 39 Form 6251 (2015) EFTA00026327
ALTERNATIVE MINIMUM TAX RECONCILIATION REPORT Name(s) GH I SLA I NE MAXWELL Social Security Number Form Name Dose, peon Income Adjustment Form 6251. Line 17 Form 6251, Line 18 Form 6251. Une 19 Form 6251. Line 20 Form 1 Other Adjustment E - \THE BLACKSTONE GROUP, LP - PTP * REGULAR INCOME AMT ADJUSTMENTS * AMT NET INCOME * * TOTAL ADJ & PREF * * I 19. 10. 9. I 1 10. 10. 5199u 04.01.15 EFTA00026328
Fain 1116 Docortment of Ms !moon InNenal Rayon.. Smola BO) Name ALTERNATIVE MINIMUM TAX Foreign Tax Credit (Individual, Estate, or Trust) ► Attach to Form 1040, 1040NR, 1041, or 990-1. In. Information about Form 1116 and its separate instructions is at www.irs.gov/form1116. GHISLAINE MAXWELL Use a separate Form 1116 for each category of income listed below. See Categories of Income in the instructions. Check only one box on each Form 1116. Report all amounts in U.S. dollars except where specified in Part II below. a IM Passive category income e Section 901(j) income e Lump-sum distributions b Q General category income d 0 Certain income re-sourced by treaty OMB No. 1545-0121 2015 AnACIVIOnl Sequence No 19 Identifying numbers shown al molar yotr lax velum f Resident of (name of country)► UNITED STATES Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part 11. If you paid taxes tomore than one foreign country or U.S. possession, use a separate column and line for each country or possession. PaVd—I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above) 9 Enter the name of the foreign country or U.S possession li. la Gross income from sources within country shown above and of the type checked above: Forei n Country or U.S. Possession Total (Add cols. A, B, and C.) A B C OTHER COUNTRIES ITED INGDOM la 73,512. 51,257. 22,255. b Check if line la is compensation for personal services as an employee, your total compensation from all sources is $250,000 or more, and you used an alternative basis to determine its source (see instructions) .. lo. 0 98. Deductions and losses (Deutiorir gr ikistruchon4: 2 Expenses definitely related to the income on line 1a (attach statement) 3 Pro rata share of other deductions not definitely related: a Certain itemized deductions or standard deduction b Other deductions (attach statement) c Add tines 3a and 3b d Gross foreign source income e Gross income from all sources f Divide tine 3d by line 3e g Multiply line 3c by line 3f 4 Pro rata share of interest expense: a Home mortgage interest (use the Worksheet for Home Mortgage Interest in the instructions) b Other interest expense 5 Losses from foreign sources 6 Add tines 2.3g. 4a, 4b, and 5 98. 6 51,257. 22,255. 471,259. 471,259. .10877 .04722 98. 7 Subtract line 6 f om line 1a. Enter the result here and on line 15. page 2 Pa' 7 73,414. Part II Foreign Taxes Paid or Accrued Credit is claimed for taxes (you must cheek one) g (h) El Paid 8 (I) Accrued Foreign taxes paid or accrued In foreign currency In U.S. dollars Taxes withheld at source on: (n)Other foreign taxes paid or Taxes withheld at source on: (r) Other foreign taxes paid or (s)Total foreign taxes paid or accrued (add cols. (k) DOM9 ACK (IJ igy2,44 (m) Interest accrued (o) ON0:tondo WI tgyn244 (q) Wenost accrued (o) through (r)) U) ragard A 8,307. 8,307. B C 8 Add lines A through C, column (s) Enter th total here and on line 9, page 2 Ill'I l3 8,307. LHA For Paperwork Reduc ion Act Notice, see instructions. Form 1116 (2015) 511501 11.30.15 41 EFTA00026329
ALTERNATIVE MINIMUM TAX Form1116(2M5) GHISLAINE MAXWELL Pbarflifl Figuring the Credit 9 Enter the amount from line 8. These are your total foreign taxes paid or accrued for the category of income checked above Part I 9 8,307. 10 Carryback or carryover (attach detailed computation) 10 11 Add lines 9 and 10 11 8,307. 12 Reduction in foreign taxes 12 13 Taxes reclassified under high tax kickout 13 14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the United Slates (before adjustments) for the category of income checked above Part I 15 73,414. 16 Adjustments to line 15 16 17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income. (If the result is zero or less, you have no foreign tax credit for the category of income you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than one Form 1116, you must complete line 20.) 17 73,414. 18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39. Estates and trusts: Enter your taxable income without the deduction for your exemption 18 238,136. Ca uti on: If you figured your tax using the lower rates on qualified dividends or capital gams, see instructions. 19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1' 20 Individuals: Enter the amounts from Form 1040, lines 44 and 46.1f you are a nonresident aRen, enter the amounts from Form 1040NR, lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line la, or the total of Form 990-T, lines 36 and 37 Caution: if you are completing fine 20 for separate category° (lump-sum distributions), see instructions. 21 Multiply line 20 by line 19 (maximum amount of credit) 22 Enter the smaller of tine 14 or tine 21.8 this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this amount on line 28. Otherwise, complete the appropriate line in Part IV OP' Part IV I Summary of Credits From Separate Parts III 23 Credit for taxes on passive category income I 24 Credit for taxes on general category income 25 Credit for taxes on certain income re-sourced by treaty 26 Credit for taxes on lump-sum distributions 27 Add lines 23 through 26 28 Enter the smaller of line 20 or line 27 29 Reduction of credit for international boycott operations 30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48; Form 1040NR, line 46; Form 1041, Schedule G. line 2a; or Form 990-1, line 40a 23 24 26 28 8,307. 2. Page 2 14 8,307. 19 .30829 20 36,942. 21 11,389. 22 8,307. 27 8,309. 28 8,309. 29 30 8,309. Form 1116(2015) 511511 M3045 42 EFTA00026330
Form 1116 Department ol the Raman InNenal Revenue Service KIR Name ALTERNATIVE MINIMUM TAX Foreign Tax Credit (Individual, Estate, or Trust) ► Attach to Form 1040, 1040NR, 1041, or 990-1. In. Information about Form 1116 and its separate instructions is at www.irs.gov/form1116. GHISLAINE MAXWELL Use a separate Form 1116 for each category of income listed below. See Categories of income in the instructions. Check only one box on each Form 1116. Report all amounts in U.S. dollars except where specified in Part II below. a Q Passive category income e Section 901(j) income e Lump-sum distributions b IM General category income d 0 Certain income re-sourced by treaty OMB No. 1545-0121 2015 AnACIVIOnl Sequence No 19 Identifying numbers Shown in pogo I or you lax velum f Resident of (name of country)► UNITED STATES Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part 11. If you paid taxes tomore than one foreign country or U.S. possession, use a separate column and line for each country or possession. PaVni i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above) g Enter the name of the foreign country or U.S possession lo la Gross income from sources within country shown above and of the type checked above: Forel n Country or U.S. Possession Total (Add cols. A, B, and C.) A B C OTHER COUNTRIES la 19. 1 9 . _ b Check if line la is compensation for personal services as an employee, your total compensation from all sources is $250,000 or more, and you used an alternative basis to determine its source (see instructions) la. 0 Deductions and losses (Caudisrir grnstrucnon4: 2 Expenses definitely related to the income on line la (attach statement) 3 Pro rata share of other deductions not definitely related: a Certain itemized deductions or standard deduction b Other deductions (attach statement) c Add fines 3a and 3b d Gross foreign source income e Gross income from all sources r Divide fine 3d by line 3e g Multiply line 3c by line 3f 4 Pro rata share of interest expense: a Home mortgage interest (use the Worksheet for Home Mortgage Interest in the instructions) b Other interest expense 5 Losses from foreign sources 6 Add lines 2. 3g. 4a, 4b, and 5 6 19. 471,259. .00004 7 Subtract line 6 f om line Ia. Enter the result here and on line 15. page 2 OP 7 19. Part II Foreign Taxes Paid or Accrued Credit is claimed for taxes (you must .g. check one) g (h) LXJ Paid Foreign taxes paid or accrued In foreign currency In U.S. dollars Taxes withheld at source on: (n)Other foreign taxes paid or accrued Taxes withheld at source on: (r) Other foreign taxes paid or accrued (s)Total foreign taxes paid or accrued (add cols. (o) through (r)) o (I) OAcauea L1 (I) razz% (k) DOMI9ACK (IJ V ynVer:d (m) Interest (o) Dividends tin Ig ynlqad (q) Interest A 2. 2. B C 8 Add lines A through C, column (5). Enter th total here and on line 9, page 2 III' I 8 2. LHA For Paperwork Reduc ion Act Notice, see instructions. Form 1116 (2015) 511501 11.30. IS 43 EFTA00026331
ALTERNATIVE MINIMUM TAX Form 1116 (2015) GHISLAINE MAXWELL rPartilli Figuring the Credit 9 Enter the amount from line 8. These are your total foreign taxes paid or accrued for the category of income checked above Part I 9 2. 10 Carryback or carryover (attach detailed computation) 10 11 Add lines 9 and 10 11 2. 12 Reduction in foreign taxes 12 13 Taxes reclassified under high tax kickout 13 14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the United Slates (before adjustments) for the category of income checked above Part I 15 19. 16 Adjustments to line 15 16 17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income. (If the result is zero or less, you have no foreign tax credit for the category of income you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than one Form 1116, you must complete line 20.) 17 19. 18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39. Estates and trusts: Enter your taxable income without the deduction for your exemption 18 238,136. Ca uti on: If you figured your tax using the lower rates on qualified dividends or capital gams, see Instructions. 19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1' 20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, enter the amounts from Form 1040NR, lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line la, or the total of Form 990-T, lines 36 and 37 Caution: if you are completing fine 20 for separate category° (lump-sum distributions), see instructions. 21 Multiply line 20 by line 19 (maximum amount of credit) 22 Enter the smaller of tine 14 or tine 21.8 this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this amount on line 28. Otherwise, complete the appropriate line in Part IV OP' Page 2 14 2. 19 .00008 20 36,942. 21 3. 22 2. Part IV I Summary of Credits From Separate Parts III 23 Credit for taxes on passive category income I 24 Credit for taxes on general category income 25 Credit for taxes on certain income re-sourced by treaty 26 Credit for taxes on lump-sum distributions 27 Add lines 23 through 26 28 Enter the smaller of line 20 or line 27 29 Reduction of credit for international boycott operations 30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48; Form 1040NR, line 46; Form 1041, Schedule G. line 2a; or Form 990-1, line 40a 23 24 25 28 27 28 29 30 Form 1116 (2015) 511511 M3045 44 EFTA00026332
Form 4952 Department of the Treasesy Internal Sevres,. Service (99) Investment Interest Expense Deduction ► Information about Form 4952 and Its instructions is at www.its.govilorm4952. Pro Attach to your tax return. CiVH Nn 1545.0101 2015 Attach-Tic...it „ Sogance No 0 I Nameis) shown on return GHISLAINE MAXWELL Identifying number Part I I Total Investment Interest Expense 1 Investment interest expense paid or accrued in 2015 (see instructions) SEE STATEMENT 23 1 2 Disallowed investment interest expense from 2014 Form 4952, line 7. 2 3 Total Investment interest expense. Add lines 1 and 2 3 Part II I Net Investment Income 4a Gross income from property held for investment (excluding any net gain from the disposition of property held for investment) STMT 24 b Qualified dividends included on line 4a c Subtract line 4b from line 4a d Net gain from the disposition of property held for investment e Enter the smaller of line 4d or your net capital gain from the disposition of property held for investment (see instructions) f Subtract line 4e from line 4d 4a 245,760. 4b 119,551. 4d 2,002. 2,002. 4c 126,209. 4e g Enter the amount from lines 4b and 4e that you ele o Include in Investment income (see instructions) h Investment income. Add lines 4c. 4f. and 4g 5 Investment expenses (see instructions) SEE STATEMENT 25 6 Net Investment income. Subtract line 5 from line 4h. If zero or less, enter .0. Part III I Investment Interest Expense Deduction 41 49 4h 126,209. 5 34,528. 6 91,681. 7 Disallowed investment interest expense to be carried forward to 2016. Subtract line 6 from line 3. If zero or less. enter 8 Investment Interest expense deduction. Enter the smaller of line 3 or 6. See instructions STMT 26 LHA For Paperwork Reduction Act Notice, see separate instructions. 7 0. 8 2,002. Form 4952 (2015) 51(801 11.02.15 45 EFTA00026333
ALTERNATIVE MINIMUM TAX Form 4952 Department of the Treasesy Internal Sevres,. Service (99) Nameis) shown on return Investment Interest Expense Deduction ► Information about Form 4952 and Its instructions is at www.its.govilorm4952. ► Attach to your tax return. CiVH Nn 1545.0101 2015 Attach-Tic...it „ Sogance No 0 I GHISLAINE MAXWELL Identifying number Part I I Total Investment Interest Expense 1 Investment interest expense paid or accrued in 2015 (see instructions) SEE STATEMENT 27 1 2 Disallowed investment interest expense from 2014 Form 4952, line 7. 2 3 Total Investment interest expense. Add lines 1 and 2 3 Part II I Net Investment Income 4a Gross income from property held for investment (excluding any net gain from the disposition of property held for Investment) b Qualified dividends included on line 4a c Subtract line 4b from line 4a d Net gain from the disposition of property held for investment e Enter the smaller of line 4d or your net capital gain from the disposition of property held for investment (see instructions) f Subtract line 4e from line 4d 4a 245,760. 4b 119,551. 4d 2,002. 2,002. 4c 126,209. g Enter the amount from lines 4b and 4e that you ele o Include in Investment income (see instructions) h Investment income. Add lines 4c. 4f. and 4g 5 Investment expenses (see instructions) 6 Net Investment income. Subtract line 5 from line 4h. If zero or less, enter .0. Part III I Investment Interest Expense Deduction 41 49 4h 126,209. 5 6. 6 126,203. 7 Disallowed investment interest expense to be carried forward to 2016. Subtract line 6 from kne 3. If zero or less. enter 8 Investment Interest expense deduction. Enter the smaller of line 3 or 6. See instructions LHA For Paperwork Reduction Act Notice, see separate instructions. 7 0. 8 2,002. Form 4952 (2015) REGULAR FORM 4952, LINE 8 2,002. LESS RECOMPUTED FORM 4952, LINE 8 2,002. INTEREST ADJUSTMENT - FORM 6251, LINE 8 51(801 11.02.15 46 EFTA00026334
Form 8960 Dopattment 01 Ito Treastay Weenie Revenue Sennett (90) Net Investment Income Tax - Individuals, Estates, and Trusts O. Attach to your tax return. lo Information about Form 8960 and its separate Instructions Is at www.irs.govirom78960. OW No 1545.2227 2015 Attachment Sentsanhe No. 72 Name(s) shown on your tax return GHISLAINE MAXWELL Part I Investment Income U Section 6013(g) election (see instructions) Section 6013(h) election (see instructions) Regulations section 1.1411.10(g) election (see instructions) 1 Taxable interest (see Instructions) 2 Ordinary dividends (see Instructions) 3 Annuities (see Instructions) 4a Rental real estate, royalties, partnerships, S corporations, trusts, etc. (see instructions) b Adjustment for net income or loss derived in the ordinary course of a nonsection 1411 trade or business (see instructions) STATEMENT 28 c Combine lines 4a and 4b 6a Net gain or loss from disposition of property (see instructions) b Net gain or loss from disposition of property that is not subject to net investment income tax (see instructions) c Adjustment from disposition of partnership interest or S corporation stock (see instructions) d Combine lines 5a through 5c 6 Adjustments to investment income for certain CFCs and PFICs (see instructions 7 Other modifications to investment income (see instructions) 8 Total investment income. Combine lines 1. 2, 3. 4c. 5d. 6. and 7 Part II Investment Expenses Allocable to Investment Income and Modifications 9a Investment interest expenses (see instructions) b State, local, and foreign income tax (see instructions) c Miscellaneous investment expenses (see instructions) d Add lines 9a. 9b, and 9c 10 Additional modifications (see instructions) 11 Total deductions and modifications. Add lines 9d and 10 Part III Tax Computation 12 Net investment income. Subtract Part II. line 11 from Part I, line 8. Individuals complete lines 13- 17. Estates and trusts complete lines 18a21. If zero or less, enter Individuals: 13 Modified adjusted gross income (see Instructions 14 Threshold based on filing status (see instructions 14 13 243,496. 15 Subtract line 14 from line 13. If zero or less, enter -O. 15 16 Enter the smaller of line 12 or line 15 17 Net investment income tax for individuals. Multiply line 16 by 3.8% (.038).Enter here and Include on your tax return (see instructions) Estates and Trusts: 18a Net investment income One 12 above) 18a b Deductions for distributions of net investment income and deductions under section 642(c) (see instructions) c Undistributed net investment income. Subtract line 18b from 18a (see instructions). If zero or less, enter 0. 19a Adjusted gross income (see instructions) b Highest tax bracket for estates and trusts for the year (see instructions) c Subtract line 19b from line 19a. If zero or less, enter .0- 20 Enter the smaller of line 18c or line 19c 4a Your social security number or EIN -3,642. 1 2 3 63,088. 182,240. 4b 1,736. Se 2,310. 55bc -5,310. 4c -1,906. 5d 6 7 8 -3,000. 240,422. 9a 9b 9c 17. 34,263. 34,522. 9d 10 11 68,802. 68,802. 18b 18c 19a 19b 19c 21 Net investment income tax for estates and trusts. Multiply line 20 by 3.8% (.038). Enter here and Include on yew tax return (see instructions) LHA For Paperwork Reduction Act Notice, see your tax return Instructions. Form 8960 (2015) 200,000. 43,496. 12 171,620. 16 43,496. 17 1,653. 20 21 523121 12.10.15 47 EFTA00026335
Lin 5a-5d - Net Gains Losses r Keep for Your Records 1. Beginning Net Gains and Losses (A) Capital gains/posses) Form 1040, Line 13, or Form 1041. Line 4 (B) Ordinary gains/Oct.-sea) Form 1040, Line 14, or Form 1041. Line 7 Total of columns (A) • (El) -3,000. 5,310. Enter MN amount on Ina Ss 2,310. 2. Gains and Losses excluded from Net Investment Income, use current year amounts for lines 2a-2g and 21. (a) Enter net gains from the disposition of property used in a nonsection 1411 trade or business (enter as negative amounts): Name of Trade or Business Amount ( ) ( 5,310 . ) Emet this amount on Ins 5o -5,310. SEE STATEMENT 29 ( ) ( ) (b) Enter net losses from the disposition of property used in a nonsection 1411 trade or business (enter as positive amounts): Name of Trade or Business Amount (c) Enter net losses from a former passive activity (FPA) allowed by reason of section 469(O(1)(k) (d) Gains recognized in the current year for payments received on an installment sale obligation or private annuity for the disposition of property used in a nonsection 1411 trade or business (e) Enter the net gain attributable to the net unrealized appreciation (NUA) in employer securities (I) In the case of a OEF (other than a OEF held in a section 1411 trade or business) with respect to which a section 1.1411.10(g) election is not in effect, enter the amount treated as longterm capital gain for regular income tax purposes under section 1293(aX10) (g) Enter any other gains and losses included ki net investment income that are not otherwise reported on Form 8960 and any other gains and losses excluded from net investment income reported on line 5a (enter excluded gains as a negative number and excluded losses as a positive number) (h) Enter the amount reported on line 20) of this worksheet from your prior tax year retum calculations. Enter as a positive no. (I) If you do not have a capital loss carryover to next year, then skip this line and go to line 20. Otherwise. enter the lesser of (i)(1) or 0(2) as a negative number (I)(1) If the sum of the amounts reported on lines 2(a).2(h) and line 3(d), column (A), is greater than zero, enter that amount here. Otherwise, enter 0 on line 2(i) and go to line 20) 4. ( i -5,310. 0. ( 0 . OR (iX2) The amount of capital loss carried over to next year (Schedule D (Form 1040), line 16, less the amount allowed as a current deduction on Schedule D (Form 1040). iine 21) entered as a positive number , 6,295,291. (j) Sum of lines 2(a)-2(I) 3. Adjustment for Gains and Losses attributable to the disposition of interests in partnerships and S corporations , Add fines 1, 26) and 3 -3,000. Emet this amount on Ins 5c Emet this amount on We 54 -3,000. 47.1 EFTA00026336
Line 7 - Deduction Recoveries Worksheet NEW YORK Keep for Your Records 1. Enter total amount of recovery included in gross income 1. 0 . • Do not include recoveries of items that are included in net Investment income in the year of recovery (included on lines 1.6). • Do not include recoveries of items if the amount relates to a deduction taken in a tax year beginning before 2013. • Do not include recoveries of items if the amount relates to a deduction taken in a tax year beginning after 2012, and you were not subject to the NIIT solely because your MAGI was below the applicable threshold. CAUTION This rub does not apply if you incurred a net operating loss (NOL) in such year, and a portion of such NOL constitutes a section 1411 NOL. 2. Amount of the recovery that would have been included in gross income but for the application of the tax benefit rule under section 111 2. 17,622. 3. Total amount of recovery (add lines 1 and 2) 3. 17,622. 4. Enter the percentage of the deduction allocated to net investment income in the prior year. (If the deduction was not allocated between investment income and non investmeM income, enter 100%.) 4.1.000000000 5. Enter the lesser of (a) line 3 muftiplied by line 4, or (b) the total amount deducted on the prior year Form 8960 attributable to item recovered (after any deduction limitations imposed by section 67 or 68) s. 17,622. Calculation of recoveries when the deduction is not taken into account in computing your section 1411 NOL 6. Muftiply hne 5 by .038 . 6. 670. 7. Enter the amount of net investment income In the year of the deduction (previous years Form 8960. line 12. unless line 12 is zero. then previous year's Form 8960. line 8 minus line 11) 7. 152,575. 8. Add the amount of line 5 to line 7 8. 170,197. 9. Using the previous year's Form 8960. recalculate the NIIT for the year of the deduction by replacing the amount reported on line 12 with the amount reported on line 8 of this worksheet (do not use the net investment income reported on that year's Form 8960. line 12). Enter your recalculated NIIT here 9. 1,273. 10. Enter the NIIT reported for the year of the dedu 10. 1,273. 11. Subtract line 10 from line 9 11. 0 . 12. Enter the smaller of line 6 or roe11 12. 0. 13. Divide line 12 by 3.8% (line 12 + .038). Enter the result here and include on Form 8960 line 7 13. 0 . Calculation of recoveries when the deduction is taken Into account in computing your section 1411 NOL 14. Enter the amount of the section 1411 NOL in the year of the deduction (entered as a positive number) 14. 15. Enter the amount of the section 1411 NOL in the year of the deduction recomputed without the amount on line 5 (entered as a positive number, but not less than zero) 15. 16. Subtract line 15 from line 14. Enter the result here and include on Form 8960. line 7 16. 523241 01.18.16 47.2 EFTA00026337
Lines 9 and 10 - Application of Itemized Deduction Limitations on Deductions Properly Allocable to Investment Income Worksheet Part I - Application of Section 67 to Deductions Properly Allocable to Investment Income 1. Enter the amount of Miscellaneous Itemized Deductions properly allocable to investment income before any itemized deduction limitations (Description and Form 8960 line number where they will be reported): Description Line Amount (a) SEE STATEMENT 30 (b) 2. Enter the total of all items listed in line 1 2. 34,522. 3. Enter the amount of all Miscellaneous Itemized Deductions after the application of the section 67 limitation (Schedule A (Form 1040), Me 27) 3. 40,652. 4. Enter the lesser of the total reported on line 2 or line 3 4. 34,522. Part II - Application of Section 67 Limitation to Specific Deductions rail (B) IF line 3 is less than line 2. THEN divide -- line 3 by line 2 AND — _ enter the amount in column (B). IF amounts reported (C) Multiply the on Part I. lines 2 and individual amounts 4 are equal, THEN in column (A) by the (A) enter 1.00 in column amount in column Reenter the amounts and descriptions from Part I, Ine 1. (B). (6). Description Line Amount (a) SEE STATEMENT 31 x = (b) X = TIP Individuals - Use the amounts in column (C) on Part Ill, line 1, to determine the amount of these deductions that are allowable after the appAcatIon of the section 68 limitation. Estates or trusts - Enter the amounts in column (C) in the appropriate location on lines 9 and 10. Do not complete Parts Ill or IV of this worksheet. Keep for Your Records 523251 01.MM 47.3 EFTA00026338
Lines 9 and 10 - Application of Itemized Deduction Limitations on Deductions Properly Allocable to Investment Income Worksheet - continued Keep for Your Reccros Part Ill - Application of Section 68 to deductions property allocable to investment income (Individuals Only) 1. Enter the amount of Miscellaneous Itemized Deductions properly allocable to investment income from column (C) of Part II: Description, Line (a) SEE STATEMENT 32 Amount (b) 2. Enter the amount of state, local, and foreign income taxes that are properly allocable to investment income 2. 34,263. 3. Enter the amounts of other Itemized Deductions subject to the section 68 limitation and properly allocable to investment income before any itemized deduction limitations (Description and Form 8960 line number where they will be reported): Description Line Amount (a) (b) 4. Enter the total deductions properly allocable to investment income subject to the section 68 limitation. Enter the sum of lines 1 through 3 4. 5. Enter the amount of total itemized deductions reported on Form 1040, line 40 165,725. 6. Enter all other itemized deductions allowed but not subject to the section deduction limitation: (a) Investment Interest Expense (b) Casualty Losses (other than losses described in section 165(cX1)) (c) Medical Expenses (d) Gambling Losses 68,785. (e) Total of lines 6(a) through 6(d) et 17. 7. Subtract line 6e from Me 5 7. 165,708. & Enter the lesser of line 7 or line 4 8. TIP 68,785. This is the amount of itemized deductions that are properly allocable to investment income after the application of the sections 67 and 68 deduction limitations. Use Part IV of this worksheet to reconcile this amount to the individual deduction amounts reported on Form 8960, lines 9 and JO. Part IV - Reconciliation of Schedule A Deductions to Form 8960, lines 9 and 10 (Individuals Only) (A) Reenter the amounts and descriptions from Part III, lines 1 •3. Miscellaneous Itemized Deductions properly allocable to Investment Income: Description Line Amount 1. (a) SEE STATEMENT 33 (b) 2. State, local, and foreign income taxes Itemized Deductions Subject to Section 68 included on Line 3 of Part III: 3. (a) (b) X X 34,263. x X X (B) IF Part III, line 8 is less than Part III. line 4, THEN divide line 8 by line 4 AND enter the amount in column (B). IF the amounts reported on Part III. lines 4 and 8 are equal. THEN enter 1.00 in column (81. 1.0000 = (C) Multiply the individual amounts in column (A) by the amount in column (B). Enter these amounts in the appropriate location on lines 9 and 10. 34,263. 5232520M8-16 47.4 EFTA00026339
For, 8960 Net Investment Income Tax - Individuals, Estates, and Trusts 2015 NEW YORK Name(s) Your s cial securi number or EIN GHISLAINE MAXWELL Part I Investment Income U Section 6013(g) election Regulations section 1.1411.10(g) election 1 Taxable interest (Form 1040, line 8a; or Form 1041, line 1) 2 Ordinary dividends (Form 1040. line 9a; or Form 1041, line 2a) 3 Annuities from nongualified plans 4a Rental real estate, royalties, partnerships, S corporations, trusts, etc. (Form 1040, line 17; or Form 1041, line 5) b Adjustment for net income or loss derived in the ordinary course of a ncrisection 1411 trade or business e Combine lines 4a and 4b 5a Net gain or loss from disposition of property from Form 1040, combine lines 13 and 14; or from Form 1041, combine lines 4 and 7 b Net gain or loss from disposition of property that is not subject to net investment income tax • Adjustment from disposition of partnership interest or S corporation stock d Combine Ines 5a through 5c 6 Changes in investment income for certain CFCs and PFICs 7 Other modifications to investment income 8 Total investment income. Combine lines 1. 2. 3. 4c. 5d. 6. and 7 Part II State Income Tax Pro-ration for 2015 Income Tax P 9 State total income 10 State income tax payments for 2015 11 2015 state income tax payments attributable to investment income. line 8 divided by line 9 times line 10 Part III State Income Tax Pro-ration for 2014 Estimate Pa ments Made in 2015 12 State estimate payments for 2014 13 Percent of state income taxes attributable to investment income for 2014 14 2014 state estimate payments attributable to investment income. Line 12 times line 13 Part IV State Income Tax Pro-ration for Balance of Prior Years Tax Plus Extension Pa a 4a -3,642. 1 2 3 72,195. 182,240. 4b 1,736. 5a 2,310. sb -5,310. keel 4c -1,906. 5d 6 7 8 -3,000. 249,529. 9 10 11 252,694. 24,571. 24,263. y 12 13 14 ments Paid in 2015 15 Balance of prior years tax plus extension payments paid in 2015 15 10,000. 16 Percent of state income taxes attributable to investment income for 2014 16 1.000000 17 Balance of prior years tax and extension payments attributable to investment income. Line 15 times line 16 17 10,000. Part V Reduction of State Tax Deduction 18 Reduction of state tax deduction 18 19 Percent of state income taxes attributable to investment income for 2014 19 20 Reduction of state tax deduction attributable to investment income. Line 18 times line 19 20 Part VI Total State Income Tax Payments Attributable to Investment Income 21 Combine lines 11. 14. 17 and 20. Carry to Form 8960. Line 9 Worksheet. Part Ill, line 2 21 34,263. Form 8960 (2015) 523161 07.24.15 47.5 EFTA00026340
,..8801 Departmenl 01 the Treasesy Internal Revenue Service Cag) Credit for Prior Year Minimum Tax - Individuals, Estates, and Trusts ► Information about Form 8801 and its separate instructions is at www.irs.govilom78801. 90 Attach to Form 1040, 1040NR, or 1041. OMB No. 1545- ID75 2015 Aztatiimani SaCIUAft44 NO 74 Name(s) shown on return GHISLAINE MAXWELL Identifying number Part I I Net Minimum Tax on Exclusion Items 1 Combine lines 1, 6. and 10 of your 2014 Form 6251. Estates and trusts, see instructions 2 Enter adjustments and preferences treated as exclusion items (see instructions) 3 Minimum tax credit net operating loss deduction (see instructions) 4 Combine lines 1, 2. and 3. If zero or less, enter 4} here and on line 15 and go to Part II. If more than $242,450 and you were married filing separately for 2014. see instructions 6 Enter: $82,100 if married filing jointly or qualifying widow(er) for 2014; $52,800 if single or head of household for 2014; or $41,050 if married filing separately for 2014. Estates and trusts, enter $23,500 6 Enter: $156,500 if married filing jointly or qualifying widow(er) for 2014; 5117.300 If single or head of household for 2014; or $78,250 if married filing separately for 2014. Estates and trusts, enter $78,250 7 Subtract line 6 from line 4. If zero or less, enter •l} here and on line 8 and go to line 9 8 Multiply line 7 by 25% (025) 9 Subtract fine 8 from line 5. If zero or less, enter If under age 24 at the end of 2014. see Instructions 10 Subtract line 9 from line 4. If zero or less, enter 4> here and on line 15 and go to Part II. Form 1040NR filers, see instructions 11 • If for 2014 you filed Form 2555 or 2555.EZ. see instructions for the amount to enter. • If for 2014 you reported capital gain distributions directly on Form 1040, line 13; you reported qualified dividends on Form 1040, line 9b (Form 1041. line 2b(2)): or you had a gain on both lines 15 and 16 of Schedule D (Form 1040) (lines 18a and 19, column (2). of Schedule D (Form 1041)). complete Part III of Form 8801 and enter the amount from line 55 here. Form 1040NR filers, see instructions. • All others: If line 10 is $182.500 or less ($91,250 or less if married filing separately for 2014). multiply line 10 by 26% (026). Otherwise, multiply line 10 by 28% (0.28) and subtract $3.650 ($1.825 if married filing separately for 2014) from the result. Form 1040NR filers, see instructions. 12 Minimum tax foreign tax credit on exclusion items (see instructions) 13 Tentative minimum tax on exclusion items. Subtract line 12 from line 11 14 Enter the amount from your 2014 Form 6251, line 34. or 2014 Form 1041. Schedule I. line 55 15 Net minimum tax on exclusion items. Subtract line 14 from line 13. If zero or less, enter 6- LHA For Paperwork Reduction Act Notice, see Instructions. Form 8801 (2015) 1 58,041. 2 175,468. 3 4 233,509. 5 52,800. 6 117,300. 7 116,209. 8 29,052. 9 23,748. 10 209,761. 11 35,456. 12 1,120. 13 34,336. 14 1,459. 15 32,877. 519851 09.02.'5 48 EFTA00026341
Form 8801 (2015) GHISLAINE MAXWELL -Pace 2 I Part III Minimum Tax Credit and Carryforward to 2016 16 Enter the amount from your 2014 Form 6251. line 35. or 2014 Form 1041. Schedule I, line 56 16 32,878. 17 Enter the amount from line 15 17 32,877. 18 Subtract line 17 from line 16. If less than zero, enter as a negative amount 18 1 . 19 2014 credit carryforward. Enter the amount from your 2014 Form 8801, line 26 20 Enter your 2014 unallowed qualified electric vehicle credit (see instructions) 21 Combine lines 18 through 20. If zero or less. stop here and see the instructions 21 1 . 22 Enter your 2015 regular income tax liability minus allowable credits (see instructions) 22 1,028. 23 Enter the amount from your 2015 Fonn 6251. line 33. or 2015 Form 1041. Schedule I. line 54 23 28,633. 24 Subtract line 23 from line 22. If zero or less. enter 0. . 24 0 . 19 20 25 Minimum tax credit. Enter the smaller of line 21 or line 24. Aso enter this amount on your 2015 Form 1040. line 54 (check box b); Form 1040Na line 51 (check box b): or Form 1041, Schedule G. line 2c 26 Credit carryforward to 2016. Subtract line 25 from line 21. Keep a record of this amount because you may use it in future years 26 1 . 25 0. Form 8801 (2015) 519882 09.02.15 49 EFTA00026342
Form 8801 15) GHISLAINE MAXWELL Part III Tax Computation Using Maximum Capital Gains Rates Complete Part III only if you are required to do so by line 11 or by the Foreign Earned Income Tax Worksheet in the instructions. -Pace 3 Caution: If you didn't complete the 2014 Qualified Dividends and Capital Gain Tax Worksheet, the 2014 Schedule D Tax Worksheet, or Part V of the 2014 Schedule D (Form 1041), see the instructions before completing this part. ' 27 Enter the amount from Form 8801, line 10. If you filed Form 2555 or 2555•EZ for 2014, enter the amount from line 3 of the Foreign Earned Income Tax Worksheet in the Instructions 27 Caution: If for 2014 you filed Form 1040NR, 1041, 2555, or 2555EZ, see the instructions before completing lines 28, 29, and 30. 28 Enter the amount from line 6 of your 2014 Qualified Dividends and Capital Gain Tax Worksheet, the amount from line 13 of your 2014 Schedule D Tax Worksheet, or the amount from line 26 of the 2014 Schedule D (Form 1041), whichever applies' 28 If you figured your 2014 tax using the 2014 Qualified Dividends and Capital Gain Tax Worksheet, skip line 29 and enter the amount from line 28 on line 30. Otherwise, go to line 29. 29 Enter the amount from line 19 of your 2014 Schedule D (Form 1040), or line 18b. column (2), of the 2014 Schedule D (Form 1041) 29 30 Add lines 28 and 29, and enter the smaller of that result or the amount from line 10 of your 2014 Schedule D Tax Worksheet 30 31 Enter the smaller of line 27 or line 30 31 32 Subtract line 31 from line 27 32 33 If line 32 is $182,500 or less ($91,250 or less if married filing separately for 2014), multiply line 32 by 26% (0.26). Otherwise, multiply line 32 by 28% (0.28) and subtract $3,650 ($1,825 if married fliir4 separately for 2014) from the result. Form 1040NR filers, see instructions i lob 33 34 Enter • $73,800 if married filing Jo:My or qualifying widow(er) for 2014, • $36,900 if single or married filing separately for 2014, • $49,400 if head of household for 2014. or > 34 209,761. 123,149. 123,149. 123,149. 86,612. 22,519. 36,900. • $2,500 for an estate or trust. Form 1040NR filers, see instructions. 36 Enter the amount from line 7 of your 2014 Qualified Dividends and Capital Gain Tax Worksheet, the amount from lite 14 of your 2014 Schedule D Tax Worksheet, or the amount from line 27 of the 2014 Schedule D (Form 1041), whichever applies. If you didn t complete either worksheet or Part V of the 2014 Schedule D (Form 1041). enter the amount from your 2014 Form 1040, line 43. or 2014 Form 1041, line 22, whichever applies: if zero or less, enter -0. F011111040NR filers, see instructions 35 36 Subtract line 35 from line 34. If zero or less. enter 0- 38 37 Enter the smaller of line 27 or line 28 37 38 Enter the smaller of line 36 or line 37 cl i n k 38 39 Subtract line 38 from line 37 39 40 Enter • $406,750 if single for 2014, • $228,800 if married filing separately for 2014, • $457,600 if married filing jointly or qualifying widow(er) for 2014, • $432200 if head of household for 2014, or • $12,150 for an estate or trust. Form 1040NR filers. see instructions. 123,149. 36,900. 86,249. 40 406,750. 41 Enter the amount from line 36 41 36,900. 42 Form 1040 filers, enter the amount from line 7 of your 2014 Qualified Dividends and Capital Gain Tax Worksheet or the amount from line 19 of your 2014 Schedule D Tax Worksheet, whichever applies. If you didn't complete either worksheet, see instructions. Form 1041 filers, enter the amount from line 27 of your 2014 Schedule D (Form 1041) or line 18 of your 2014 Schedule D Tax Worksheet, whichever apples. If you didn't complete either the worksheet or Part V of the 2014 Schedule D (Form 1041), enter the amount from your 2014 Form 1041, line 22; if zero or less, enter 0.. Form 1040NR filers, see instructions 42 ^ The 2014 Qualified Dividends and Capital Gain Tax Worksheet is in the 2014 Instructions for Form 1040. The 2014 Schedule D Tax Worksheet is in the 2014 Instructions for Schedule D (Form 1040) (or the 2014 Instructions for Schedule D (Form 1041)). 519883 09.02.15 50 Form 8801 (2015) EFTA00026343
Form 8801 2015) GHISLAINE MAXWELL Part III Tax Computation Using Maximum Capital Gains Rates (continual) 43 Add lines 41 and 42 44 Subtract line 43 from line 40. If zero or less, enter .0. 45 Enter the smaller of line 39 or line 44 46 Multiply line 45 by 15% (0.15) 47 Add lines 38 and 45 If lines 47 and 27 are the same, skip lines 48 through 62 and go to Une 63. Otherwise, go to line 48. 48 Subtract line 47 from line 37 49 Multiply line 48 by 20% (0.20) If line 291s zero or blank, skip lines 60 through 62 and go to line 63. Otherwise, go to line 60. 50 Add lines 32, 47 and 48 51 Subtract line 50 from line 27 52 Multiply line 51 by 25% (0.25) 53 Add lines 33, 46, 49, and 52 54 If line 27 is $182.500 or less ($91,250 or less if married filing separately for 2014), multiply line 27 by 26% (0.26). O0lerwise, multiply line 27 by 28% (0.28) and subtract $3,650 ($1,825 if married filing separately for 2014) from the result. Form 1040NR filers, see instructions 56 Enter the smaller of line 53 or line 54 here and on line 11. If you filed Form 2555 or 2555EZ for 2014, don't enter this amount on line 11. Instead, enter it on line 4 of the Foreign Earned Income Tax Worksheet in the instructions for line 11 -Pace 4 43 44 45 46 47 36,900. 369,850. 86,249. 12,937. 123,149. 48 49 0. 50 51 52 53 54 55 35,456. 55,083. 35,456. Form 8801 (2015) 519854 09-02.15 51 EFTA00026344
Form 1116 Department of tiw (moon inmenal Revenue Swim KO) Name FORM 8801 Foreign Tax Credit (Individual, Estate, or Trust) P. Attach to Form 1040, 1040NR, 1041, or 990-1. lb. Information about Form 1116 and its separate instructions Is at www.irs.gov/form1116. GHISLAINE MAXWELL Use a separate Form 1116 for each category of income listed below. See Categories of Income in the instructions. Check only one box on each Form 1116. Report all amounts in U.S. dollars except where specified in Part II below. a IM Passive category income Section 901(j) income b Q General category income d 0 Certain income re-sourced by treaty OMB No. 1545-0121 2014 AttelC5O111111 SMoloo0o No 19 Identifying number x. shown co pogo I of you' IDX MUM e EJ Lump-sum distributions f Resident of (name of country)► UNITED STATES Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part 71. If you paid taxes tomore than one foreign country or U.S. possession, use a separate column and line for each country or possession. PaVd—I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above) 9 Enter the name of the foreign country or U.S possession Ilk. la Gross income from sources within country shown above and of the type checked above: Forei n Country or U.S. Possession Total (Add cols. A, B, and C.) A B C OTHER COUNTRIES ITED INGDOM la 128,182. 106,055. 22,127. b Check if line la is compensation for personal services as an employee, your total compensation from all sources is $250,000 or more, and you used an alternative basis to determine its source (see instructions) .. pi. 0 11. Deductions and losses (Caut/ori:rristrucnon4: 2 Expenses definitely related to the income on line la (attach statement) 3 Pro rata share of other deductions not definitely related: a Certain itemized deductions or standard deduction b Other deductions (attach statement) c Add lines 3a and 3b d Gross foreign source income e Gross income from all sources r Divide fine 3d by line 3e g Multiply line 3c by line 3f 4 Pro rata share of interest expense: a Home mortgage interest (use the Worksheet for Home Mortgage Interest in the instructions) b Other interest expense 5 Losses from foreign sources 6 Add lines 2. 3g. 4a, 4b, and 5 11. 6 1677055. 22,127. 369,869. 369,869. .286737 .059824 11. 7 Subtract line 6 f om line la. Enter the result here and on line 15. page 2 NI, 7 128,171. Part II Foreign Taxes Paid or Accrued Credit is claimed for taxes (you must check one) Foreign taxes paid or accrued In foreign currency In U.S. dollars Taxes withheld at source on: (n)Other foreign taxes paid or accrued Taxes withheld at source on: (r) Other foreign taxes paid or accrued (s )Total foreign taxes paid or accrued (add cols. (o) through (r)) g (h) Paid 8 (I) Accrual w m e% (k) 0151d9Ath (I) Itjit .i4d (m) imagist (o) Divkionds IPI132244 (q) Instil A B C 8 Add lines A through C, column (s). Enter the total here and on line 9, page 2 Ill'Ill For Paperwork Redo ion Act Notice, see instructions. Form 1116 (2014) 511491 04.01.15 52 EFTA00026345
FORM 8801 Form 1116 (2014) GHISLAINE MAXWELL Part III i Figuring the Credit 9 Enter the amount from line 8. These are your total foreign taxes paid or accrued for the category of income checked above Part I 9 1,120. 10 Carryback or carryover (attach detailed computation) 10 11 Add lines 9 and 10 11 1,120. 12 Reduction in foreign taxes 12 13 Taxes reclassified under high tax kickout 13 14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the United Slates (before adjustments) for the category of income checked above Part I 15 128,171. 16 Adjustments to line 15 16 17 Combine the amounts on lines 15 and 16. This is your net foreign source taxable income. (If the result is zero or less, you have no foreign tax avid for the category of income you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than one Form 1116, you must complete line 20.) 17 128,171. 18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39. Et' Estates and trusts: Enter your taxable income without the deduction for your exemption 18 233,509. Caution: If you figured your tax using the lower rates on qualified dividends or capital gams, see Instructions. 19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1' 20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, enter the amounts from Form 1040NR, lines 42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line la, or the total of Form 990-T, lines 36 and 37 Caution: if you are completing line 20 for separate category° (lump-sum distributions), see Instructions. 21 Multiply line 20 by line 19 (maximum amount of credit) 22 Enter the smaller of tine 14 or tine 21.8 this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this amount on line 28. Otherwise, complete the appropriate line in Part IV OP' Page 2 14 1,120. 19 .548891 20 35,456. 21 19,461. 22 1,120. Part IV I Summary of Credits From Separate Parts III 23 Credit for taxes on passive category income i 24 Credit for taxes on general category income 25 Credit for taxes on certain income re-sourced by treaty 26 Credit for taxes on lump-sum distributions 27 Add lines 23 through 26 28 Enter the smaller of line 20 or line 27 29 Reduction of credit for international boycott operations 30 Subtract line 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48; Form 1040NR. line 46; Form 1041. Schedule G. line 2a; or Form 990-1, line 40a 23 24 25 28 27 28 29 1,120. 30 1,120. Form 1116 (2014) 511491 12.22.15 53 EFTA00026346
Form 1116AMT - 8801 Minimum Tax Foreign Tax Credit on Exclusion Items 2014 Schedule D Tax Worksheet Recalculated Name GHISLAINE MAXWELL 1. Enter your taxable income from Form 8801. line 10 t 209,761. 2. Enke yea qualdled dividendstom Rem 1040. line 9b 2. N/A 3. Enter the amount from Form 4952. line 4g 3. N/A 4. Enter the amount from Form 4952, line 4e' 4. N/A 5. Subtract line 4 from line 3. If zero or less, enter -0- 5. WA 6. Subtract line 5 from line 2. If zero or less, enter -0- 6. N/A 7. Enter the smaller of line 15 or line 16 of Sch. D 7. WA 8. Enter the smaller of line 3 or line 4 8. WA 9. Subtract line 8 from line 7. If zero or less, enter -0• 9. N/A 10. Add lines 6 and 9 10. 123,149. 11. Add lines 18 and 19 of Schedule D 11. 12. Enter the smaller of line 9 or line 11 12. 13. Subtract line 12 from line 10 14. Subtract line 13 from line 1. If zero or less, enter .0. 15. Enter: • $36,900 if single or married filing separately: $73,800 if married filing jointly or qualifying widow(er); or 15, 1186,900. $49,400 if head of household 16. Enter the smaller of line 1 or line 15 16. 36,900. 17. Enter the smaller of line 14 or line 16 17. 36,900. 18. 86,612. 18. Subtract Ono 10 from Si. I. If zoo a No& enter .0. 19. Enter the larger of line 17 or line 18 P. 19. 86,612. 20. Subtract line 17 from line 16. This amount is taxed at 0% If lines 1 and 16 are the same, skip lines 21 through 41 and 21. Enter the smaller of line 1 or line 13 22. Enter the amount from line 20 (if line 20 is blank. enter CO 23. Subtract line 22 from line 21. If zero or less. enter 0. 24. Enter. 20. go to line 42. Otherwise, go to line 21. 21. 123,149. . 22. O. pr. 33. 123,149. • $406,750 if single; • $228,800 if married filing separates.; • $457,600 if married filing jointly or "ng widow(er); or 24. 406,750. • $432,200 if head of household 25. Enter the smaller of line 1 or line 24 25. 209,761. 26. Add lines 19 and 20 26. 86,612. 27. Subtract line 26 from line 25, if zero or less, enter -0- 27. 123,149. 28. Enter the smaller of line 23 or line 27 pr. 28. 123,149. 29. Multiply line 28 by 15%(.15) 29. N/A 30. Add lines 22 and 28 30. 123,149. If lines 1 and 30 are the same, skip lines 31 through 41 and go to line 42. Otherwise, go to line 31. 31. Subtract line 30 from line 21 ► 31. 32. Multiply line 31 by 20% (.20) 32. N/A 13. 123,149. 14. 86,612. If Schedule D, line 19, is zero or blank, skip lines 33 through 38 and go to line 39. Otherwise, go to line 33. 33. Enter the smaller of line 9 above or Schedule D. line 19 33. 34, Add lines 10 and 19 34. 35, Enter the amount from line 1 above 35. 36. Subtract line 35 from line 34. If zero or less enter .0- 36. 37. Subtract line 36 from line 33. If zero or less. enter 43. I. 37. 38. Multiply line 37 by 25% (.25) N/A If Schedule D, line 18, is zero or blank, skip lines 39 through 41 and go to line 42. Otherwise, go to line 39. 511525 ID-26.15 54 EFTA00026347
Minimum Tax Foreign Tax Credit on Exclusion Items 2014 Schedule D Tax Worksheet Recalculated - Continued 39. Add lines 19, 20, 28, 31. and 37 39. 40. Subtract line 39 from line 1 40. 41. Multiply line 40 by 28% (.28) 41. 42. Figure the tax on the amount on line 19. If the amount on line 19 Is less than $100.000. use the Tax Table to figure the tax. If the amount on line 19 is $100,000 or more, use the Tax Computation Worksheet 42. 43. Add lines 29, 32, 38, 41. and 42 43. 44. Figure the tax on the amount on line 1. If the amount on line 1 Is less than $100,000. use the Tax Table to figure the tax. If the amount on line 1 is $100.000 or more. use the Tax Computation Worksheet 44. 45. Tax on all taxable Income (Including capital gains and qualified dividends). Enter the smaller of tine 43 or line 44 45. GJ 511526 04.01- 15 55 EFTA00026348
Form 6781 Gains and Losses From Section 1256 Contracts and Straddles Deparnnent o+un Tialikr! ► Information about Form 6781 and its instructions is at wwwits.gov/form6781. Internal Revenue Rance ► Attach to vour tax return. Ramis/ Shown on tax ream OMR No. ISAS-06.44 2015 AttaCher5411 Soaance NO 82 GHISLAINE MAXWELL Chock all applicable boxes A I Mixed straddle election C LJ Mixed straddle account election (see instructions). 13 Straddletystraddle identification election D Q Net section 1256 contracts loss election I Part I I Section 1256 Contracts Marked to Market (a) Identification of account (b) (Loss) (e) Gain FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 25. 2 Add the amounts on line 1 in columns (b) and (c) 2 25. 3 Net gain or (loss). Combine line 2, columns (b) and (c) 3 25. 4 Form 1099.8 adjustments. See instructions and attach statement 4 5 Combine lines 3 and 4 5 25. Note: If line 5 shows a net gain, skip line 6 and enter the gain on line 7. Partnerships and S corporations, see instructions. 6 If you have a net section 1256 contracts loss and checked box D above, enter the amount of loss to be carried back. Enter the loss as a positive number. If you did not check box D. enter 0- 6 7 Combine lines 5 and 6 7 25. 8 Short•term capital gain or (loss). Multiply line 7 by 40% (.40). Enter here and include on line 4 of Schedule D or on Form 8949 (see instructions) 8 10. 9 Longterm capital gain or (loss). Multiply line 7 by 60% (.60). Enter here and include on line 11 of Schedule D or on Form 8949 (see instructions) . . 9 15. Identifying nurraar Part II I Gains and Losses From Straddles. Attach a separate statement listing each straddle and its components. Section A - Losses From Straddles 0)pm/intim al properly PR Ima entered into a a:4~ PROMS. ashes pace aleost a cwicr basis plus a rasnia o' sal° (I) Loss If ONtenn(a)ls more inn(dl. enter daterence. Otherwise. enter 4. (p)Unecognited gain en ottaaring posnions gn Recognized Inds. II column (I) Is mare than Rd. enter ditterencie. Othrewt9e. iota 4. data: let or Sold Mo. Day Yr 10 11 a Enter the short•term portion of losses from line 10, column (h), here and include on line 4 of Schedule D or on Form 8949 (see instructions b Enter the long•term portion of losses from line 10, column (h), here and include on line 11 of Schedule D or on Form 8949 (see instructions 11a ) 11b ) ctton 6 - Gains From Straddles la)Deemption of apacety b1 Date enterer. nto or accuad 00 Grad sdaS Oar (0) Cost or other teals plus expense of Sale d) Gan. If corneal (di is more than (a), enter difference. Othrewt9e. iota -0. 1cl Date closed Out a 9011 Mo Day Yr. 12 13 a Enter the short•term portion of gains from line 12, column (0, here and include on line 4 of Schedule D or on Form 8949 (see instructions) b Enter the long•temi portion of gains from line 12, column (0, here and include on line 11 of Schedule D or on Form 8949 (see instructions) 13a 13b Part III Unrecognized Gains From Positions Held on Last Day of Tax Year. Memo E try Only (see instructions) (kr 04:CylptoOn of rgecaty ;0) DMA Au, mad (C) Far mania. value on last brass day Of tax ).ailf 40 po other CAWS ad et a c) Ilwarepaird pan t mann IGO mere I0In Wald dittftrgt Oftroist, erts. -0- Leo Day Yr 14 519701 11.25.15 LHA For Paperwork Reduction Act Notice, see Instructions. 56 Form 8781 (2015) EFTA00026349
Form 8582 Passive Activity Loss Limitations ow No 1545.1008 ► See separate instructions. 2015 Dopartmoni ol It* Treowy ► Attach to Form 1040 or Form 1041. Internal Revenue SINN* 199/ anaoo ► Information about Form 8582 and its instructions is available at wwwirs.gov/form8582. &Koonce No 88 Name(s) shown on return identifying number GHISLAINE MAXWELL Part I 12015 Passive Activity Loss Caution: Complete Worksheets 1, 2, and 3 before completing Pan t Rental Real Estate Activities With Active Participation (For the definition of active participation, see Special Allowance for Rental Real Estate Activities in the instructions.) la Activities with net income (enter the amount from Worksheet 1, column (a)) la b Activities with net loss (enter the amount from Worksheet 1, column (b)) c Prior years unallowed losses (enter the amount from Worksheet 1, column (c)) d Combine lines la. 1b. and lc lb lc ( ) ) ld Commercial Revitalization Deductions From Rental Real Estate Activities 2a Commercial revitalization deductions from Worksheet 2, column (a) b Prior year unallowed commercial revitalization deductions from Worksheet 2. column (b) e Add lines 23 and 2b All Other Passive Activities 2a 2b ) ) 2c 3a Activities with net income (enter the amount from Worksheet 3, column (a)) 3a b Activities with net loss (enter the amount from Worksheet 3, column (b)) 3b e Prior years unallowed losses (enter the amount from Worksheet 3, column (c)) 3e d Combine lines 3a, 3b. and 3c ( 118,3514 4,2754 3d -122,626. 4 Combine lines 1 d, 2c. and 3d. If this line is zero or more. stop here and include this form with your return: all losses are allowed, including any prior year unallowed losses entered on line lc, 2b, or 3c. Report the losses on the forms and schedules normally used If the 4 is a loss and: • Line ld is a loss, go to Part II. • Line 2c is a loss (and line ld is zero or more). skip Part II and go to Part III. • Line 3cl is a loss (and lines Id and 2c are zero or more), skip Parts II and III and go to line 15. Caution: If your filing status is married filing separately and you lived with your spouse at any time during the yearflo not complete Part 11 or Part lit Instead. go to line 15. Part II Special Allowance for Rental Real Estate Activities With Active Participation Note: Enter all numbers in Part II as positive amounts. See instructions for an example. 4 -122,626. 5 Enter the smaller of the loss on line 1 d or the loss on line 4 6 Enter $150,000. If married filing separately. see instructions 7 Enter modified adjusted gross income, but not less than zero (see instructions) Note: If One 7 is greater than or equal to line 6, skip lines 8 and 9, enter -0- on line W. Otherwise, go to Me 8. 8 Subtract line 7 from line 6 9 10 6 7 5 8 Multiply line 8 by 50% (.5).Do not enter more than $25,000. If married filing sepa ately. see instructions Enter the smaller of fine 5 or line 9 If line 2c is a loss. go to Part III. Otherwise. go to line 15. 9 10 Part Ill Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities Note: Enter all numbers in Part NI as positive amounts. See the example for Part ll in the instructions. 11 Enter $25,000 reduced by the amount, if any, on line 10. If married filing separately, see instructions 12 Enter the loss from line 4 13 Reduce line 12 by the amount on line 10 14 Enter the smallest of line 2c (treated as a positive amount). line 11. or lie 13 I Part IV I Total Losses Allowed 15 Add the income. if any, on lines la and 3a and enter the total 16 Total losses allowed from all passive activities for 2015. Add lines 10, 14, and 15. See instructions to find out how to report the losses on your tax return SEE STATEMENT 3 7 11 12 13 14 15 16 0. LHA 519751 12.09-15 For Paperwork Reduction Act Notice, see Instructions. Form 8582 (2015) 57 EFTA00026350
Form 8582 (2015) GHISLAINE MAXWELL Page 2 Caution: The worksheets must be bled with your tax return. Keep a copy for your records. Worksheet 1 - For Form 8582, Lines 1a, lb, and is (See instructions. Name of activity Current year Prior years Overall gain or loss (a) Net income (line la) (b) Net loss (line lb) (e) Unallowed loss (line 1c) (d) Gain (e) Loss Total. Enter on Form 8582, lines la, lb, and lc llro worxsneet z - ror torn 000z, Lines a ano zo (see instructions.) Name of activity (a) Current year deductions (line 2a) (b) Prior year unallowed deductions (line 214 (c) Overall loss Total. Enter on Form 8582, lines 2a and 2b Illo Worksheet 3 - For Form 8582, Lines 3a, 3b, and 3c (See instructions Name of activity Current year Prior yea's Overall gain or loss (a) Net income (line 3a) (b) Not loss (line 3b) (e) Unallowed loss (line 3c) (d) Gain (e) Loss SEE ATTACHED STATEMENT FOR WORKSHEET 3 Total. Enter on Form 8582, lines 3a, 3b, and 3c Nil, -118,351. -4,275. Worksheet 4 - Use this worksheet if an amount is shown on Form 8582, line 10 or 14 (See instructions.) Name of activity Form or schedule and line number to be reported on (see Instructions) (a) Loss (b) Ratio (c) Special allowance (d) Subtract column (c) from column (a) Total IP. Worksheet 5 - Allocation of Unallowed Losses (See instructions Name of activity Form or schedule and line number to be reported on (see instructions) (a) Loss (b) Ratio (c) Unallowed loss SEE ATTACHED STATEMENT FOR WORKSHEET 5 Total 10. 122,626. 1.000000000 122,626. 51976) 12-501S 58 Form 8582 (2015) EFTA00026351
Form 8582 (2015) GHISLAINE MAXWELL Page 3 Worksheet 6 - Allowed Losses (See instructions Name of activity Form or schedule and line number to be reported on (see instructions) (a) Loss (b) Unallowed loss (c) Allowed loss SEE ATTACHED STATEMENT FOR WORKSHEET 6 Total III. 122,626. 122,626. Worksheet 7 - Activities With Losses Reported on Two or More Forms or Schedules See instruc ions. Name of activity: (a) (b) (c) Ratio (d) Unallowed loss (e) Allowed loss Form or schedule and line number to be reported on (see instructions): la Net loss plus prior year unallowed loss from form or schedule Illo b Net income from form or schedule Iv' c Subtract line lb from ine la. If zero or less. enter -0. ill, Form or schedule and line number to be reported on (see instructions): la Net loss plus prior year unallowed loss from form or schedule Pv. b Net income from form or schedule illo c Subtract line I b from kne Ia. If zero or less. enter C• IIP. Form or schedule and line number to be reported on (see instructions): la Net loss plus prior year unallowed loss from form or schedule Illo b Net income from form or schedule Pro c Subtract line lb from fine Ia. If zero or less. enter -O. Ilr. Total Ilr. 8582 519763 12.03.15 59 EFTA00026352
Form 8582-CR (Rev. January 2012) Dopartmeni of treaaty Internal nevem. Swim Nanwo00 Shawn on return Passive Activity Credit Limitations ► See separate instructions. ► Attach to Form 1040 or 1041. J e i Mying number oke No. 1545.1034 AiVacnmced 50quenoe No. es GHISLAINE MAXWELL I Part I I Passive Activity Credits Caution: II you have credits from a publicly traded partnership, seePublicly Traded Partnerships (PTPs) in the instructions. Credits From Rental Real Estate Activities With Active Participation (Other Than Rehabilitation Low-Income Housing Credits) (See Lines la through 1c in the instructions) la Credits from Worksheet 1, column (a) b Prior year unalloyed credits from Worksheet 1, column (b) c Add lines la and lb Credits to and lc lb Rehabilitation Credits From Rental Real Estate Activities and Low-Income Housing Credits for Before 1990 (or From Pass-Through Interests Acquired Before 1990) (See Lines 2a through 2c in 2a Credits from Worksheet 2, column (a) b Prior year unalloyed credits from Worksheet 2, column (b) c Add lines 2a and 2b Property the instructions.) Placed in Service 2c Low-Income Housing Credits for Property Placed in Service After 1989 (See Lines 3a through 9c 3a Credits from Worksheet 3, column (a) b Prior year unalloyed credits from Worksheet 3. column (b) 1st e Add lines 3a and 3b in the 3a instructions.) f All Other Passive Activity Credits (See Lines 4a through 4c in the instructions.) 4a Credits from Worksheet 4, column (a) b Prior year unalloyed credits from Worksheet 4, column (b) e Add lines 4a and 4b 4a 29. 4c 29. 5 Add lines lc, 2c, 3c, and 4c 6 Enter the tax attributable to net passive income (see instructions) 7 Subtract line 6 from line 5. If line 6 is more than or equal to line 5, enter -0- and see instructions Note: If your filing status is married filing separately and you lived with your spouse at any time during the year. do not complete Part N. Ill. or IV. Instead. go to line 37. 5 29. 6 0 . 7 29. Part Special Allowance for Rental Real Estate Activities With Active Participation amount on line lc. Otherwise, go to Part lit Note: Complete this part only,! you have an 8 Enter the smaller of line tc or line 7 8 9 Enter $150,000. If married filing separately, see instructions 9 10 Enter modified adjusted gross income, but not less than zero (see instructions). It line 10 is equal to or more than line 9, skip lines 11 through 15 and enter -0- on line 16 10 11 Subtract line 10 from line 9 11 12 Multiply line 11 by 50% (.50). Do not enter more than $25,000. If married filing separately, see instructions 12 13a b Enter the amount, if any, from line 10 of Form 8582 Enter the amount, it any, from ine 14 of Form 8582 13a 13b c Add lines 13a and 13b 13e 14 Subtract line 13c from line 12 14 15 Enter the tax attributable to the amount on line 14 (see instructions) 15 16 Enter the smaller of line 8 or line 15 16 LHA For Paperwork Reduction Act Notice, see instructions. Form 8582-CR (Rev. 01-2012) 51977t 04-01.15 60 EFTA00026353
Form 8582-CR (Rev. 01-2012) GHI SLAINE MAXWELL Page 2 part III SpeCial Allowance tar Rehabilitation Credits From Rental Heal Estate ACtiV lea an OW- nCOMe Housing Credits for Property Placed in Service Before 1990 (or From Pass-Through Interests Acquired Before 1990) Note: Complete this part only if you have an amount on line 2c. Otherwise, go to Part IV. 17 Enter the amount from line 7 18 Enter the amount from line 16 19 Subtract line 18 from line 17. If zero, enter -0- here and on Ines 30 and 36, and then go to Part V 20 Enter the smaller of line 2c or line 19 21 Enter $250,000. If married filing separately, see instructions to find out if you can skip lines 21 through 26 21 22 Enter modified adjusted gross income, but not less than zero. (See instructions for line 10.) If line 22 is equal to or more than line 21, skip lines 23 through 29 and enter -0- on tine 30 23 Subtract line 22 from line 21 24 Multiply line 23 by 50% (.50). Do not enter more than $25,000. If married filing separately, see instructions 25a Enter the amount, if any, from line 10 of Form 8582 b Enter the amount, if any, from line 14 of Form 8582 c Add lines 25a and 25b 26 Subtract line 25c from line 24 27 Enter the tax attributable to the amount on Nne 26 (see instructions) 28 Enter the amount, if any, from line 18 29 Subtract line 28 from line 27 25a 22 23 24 17 18 19 20 2Gb 30 Enter the smaller of line 20 or line 29 a 25c 26 27 28 29 30 Partili Special Allowance for Low-Income Housing Credits for Property Placed in Service After 1989 Note: Complete this part only if you have an amount on hoe 3c. Otherwise. go to Part V. 31 If you completed Part III, enter the amount from line 19. Otherwise. subtract line 16 from line 7 32 Enter the amount from line 30 33 Subtract line 32 from line 31.8 zero, enter -0- here and on line 36 34 Enter the smaller of line 3c or line 33 35 Tax attributable to the remaining special allowance (see instructions) 36 Enter the smaller of line 34 or line 35 . 31 32 33 34 35 36 Part V Passive Activity Credit Allowed 37 Passive Activity Credit Allowed. Add lines 6, 16,30, and 36. See instructions to find out how to report the allowed credit on your tax return and how to allocate allowed and unallowed credits if you have more than one credit or credits from more than one activity. If you have any credits from a publicly traded partnership, see Publicly Traded Partnerships (PTPs) in the instructions. 37 0. Part VI Election To Increase Basis of Credit Property 38 If you disposed of your entire interest in a passive activity or former passive activity in a fully taxable transaction, and you elect to increase your basis in credit property used in that activity by the unallowed credit that reduced your basis in the properly, check this box. See instructions 39 Name of passive activity disposed of ► 40 Description of the credit property for which the election is being made'''. 41 Amount of unallowed credit that reduced your basis in the property ► $ Form 8582-CR (Moe. 01.2012) 519772 04.01.15 61 EFTA00026354
ALTERNATIVE MINIMUM TAX Form 8582 Passive Activity Loss Limitations ow No 1545.1008 Ile See separate instructions. 2015 Department ol Ina Treosesy I84 Attach to Form 1040 or Form 1041. Interne/ Revenue swim (99) I"' Information about Form 8582 and its instructions is available at www.irs.gov/form8582. soworcomiM Name(s) shown on return identifying number GHISLAINE MAXWELL Part I 12015 Passive Activity Loss Caution: Complete Worksheets 1, 2, and 3 before completing Pan t Rental Real Estate Activities With Active Participation (For the definition of active participation, see Special Allowance for Rental Real Estate Activities in the instructions.) la Activities with net income (enter the amount from Worksheet 1, column (a)) la b Activities with net loss (enter the amount from Worksheet 1, column (b)) c Prior years unallowed losses (enter the amount from Worksheet 1, column (c)) d Combine lines la. 1b. and lc lb lc ( ) ) ld Commercial Revitalization Deductions From Rental Real Estate Activities 2a Commercial revitalization deductions from Worksheet 2, column (a) b Prior year unallowed commercial revitalization deductions from Worksheet 2. column (b) e Add lines 23 and 2b All Other Passive Activities 2a 2b ) ) 2c 3a Activities with net income (enter the amount from Worksheet 3, column (a)) 3a b Activities with net loss (enter the amount from Worksheet 3, column (b)) 3b e Prior years unallowed losses (enter the amount from Worksheet 3, column (c)) 3e d Combine lines 3a, 3b. and 3c ( 118,3514 4,2754 3d -122,626. 4 Combine lines 1 d, 2c. and 3d. If this line is zero or more. stop here and include this form with your return: all losses are allowed, including any prior year unallowed losses entered on line lc, 2b, or 3c. Report the losses on the fonts and schedules normally used If the 4 is a loss and: • Line ld is a loss, go to Part II. • Line 2c is a loss (and line ld is zero or more). skip Part II and go to Part III. • Line 3d is a loss (and lines Id and 2c are zero or more), skip Parts II and III and go to line 15. Caution: If your filing status is married filing separately and you lived with your spouse at any time during the yearido not complete Part 11 or Part lit Instead. go to line 15. Part II Special Allowance for Rental Real Estate Activities With Active Participation Note: Enter all numbers in Part II as positive amounts. See instructions for an example. 4 -122,626. 5 Enter the smaller of the loss on line 1 d or the loss on line 4 6 Enter $150,000.1( married filing separately. see instructions 7 Enter modified adjusted gross income, but not less than zero (see instructions) Note: If line 7 is greater than or equal to fine 6, skip lines 8 and 9, enter -0- on line W. Otherwise, go to line 8. 8 Subtract line 7 from line 6 9 10 6 7 5 8 Multiply line 8 by 50% (.5).Do not enter more than $25,000. If married filing sepa ately. see instructions Enter the smaller of fine 5 or line 9 If line 2c is a loss. go to Part III. Otherwise. go to line 15. 9 10 Part Ill Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities Note: Enter all numbers in Part NI as positive amounts. See the example for Part ll in the instructions. 11 Enter $25,000 reduced by the amount, if any, on line 10. If married filing separately, see instructions 12 Enter the loss from line 4 13 Reduce line 12 by the amount on line 10 14 Enter the smallest of line 2c (treated as a positive amount). line 11. or lie 13 I Part IV I Total Losses Allowed 15 Add the income. if any, on lines la and 3a and enter the total 16 Total losses allowed from all passive activities for 2015. Add lines 10, 14, and 15. See instructions to find out how to report the losses on your tax return SEE STATEMENT 44 11 12 13 14 15 16 0. LHA 519761 12.09-15 For Paperwork Reduction Act Notice, see Instructions. Form 8582 (2015) 62 EFTA00026355
ALTERNATIVE MINIMUM TAX Form 8582 (2015) GHISLAINE MAXWELL Page 2 Caution: The worksheets must be bled with your tax return. Keep a copy for your records. Worksheet 1 - For Form 8582, Lines 1a, lb, and is (See instructions. Name of activity Current year Prior years Overall gain or loss (a) Net income (line la) (b) Net loss (line lb) (e) Unallowed loss (line 1c) (d) Gain (e) Loss Total. Enter on Form 8582, lines la, lb, and lc lllo worxsneet z - ror torn 000z, Lines a ano zo (see instructions.) Name of activity (a) Current year deductions (line 2a) (b) Prior year unallowed deductions (line 214 (c) Overall loss Total. Enter on Form 8582, lines 2a and 2b Illo Worksheet 3 - For Form 8582, Lines 3a, 3b, and 3c (See instructions Name of activity Current year Prior yea's Overall gain or loss (a) Net income (line 3a) (b) Not loss (line 3b) (e) Unallowed loss (line 3c) (d) Gain (e) Loss SEE ATTACHED STATEMENT FOR WORKSHEET 3 Total. Enter on Form 8582, lines 3a, 3b, and 3c Nil, -118,351. -4,275. Worksheet 4 - Use this worksheet if an amount is shown on Form 8582, line 10 or 14 (See instructions.) Name of activity Form or schedule and line number to be reported on (see Instructions) (a) Loss (b) Ratio (c) Special allowance (d) Subtract column (c) from column (a) Total IP. Worksheet 5 - Allocation of Unallowed Losses (See instructions Name of activity Form or schedule and line number to be reported on (see instructions) (a) Loss (b) Ratio (c) Unallowed loss SEE ATTACHED STATEMENT FOR WORKSHEET 5 Total 10. 122,626. 1.000000000 122,626. 51976) 12-501S 63 Form 8582 (2015) EFTA00026356
ALTERNATIVE MINIMUM TAX Form 8582 (2O GHISLAINE MAXWELL Page 3 Worksheet 6 - Allowed Losses (See instructions Name of activity Form or schedule and line number to be reported on (see instructions) (a) Loss (b) Unallowed loss (c) Allowed loss SEE ATTACHED STATEMENT FOR WORKSHEET 6 Total III. 122,626. 122,626. Worksheet 7 - Activities With Losses Reported on Two or More Forms or Schedules See instruc ions. Name of activity: (a) (b) (c) Ratio (d) Unallowed loss (e) Allowed loss Form or schedule and line number to be reported on (see instructions): la Net loss plus prior year unallowed loss from form or schedule Illo b Net income from form or schedule Iv' c Subtract line lb from ine la. If zero or less. enter -0. ill, Form or schedule and line number to be reported on (see instructions): la Net loss plus prior year unallowed loss from form or schedule Pv. b Net income from form or schedule illo c Subtract line I b from kne Ia. If zero or less. enter C• IIP. Form or schedule and line number to be reported on (see instructions): la Net loss plus prior year unallowed loss from form or schedule Illo b Net income from form or schedule Pro c Subtract line lb from fine Ia. If zero or less. enter -O. Ilr. Total Ilr. 8582 519763 12.03.15 6 4 EFTA00026357
Form 8938 Deparipmemolflaun WinvillwerunUmco Statement of Specified Foreign Financial Assets ► Information about Form 8938 and its separate instructions Is at wwwirs.govIlotn78938. ► Attach to your tax return. For calendar year 2 015 or tax year beginning and ending OMB No 15452195 2015 Attachment Sequence No. 175 If you have attached continuation statements, check here LXJ Number of continuation statements 3 Name(s) shown on return GHISLAINE MAXWELL TIN Part I Foreign Deposit and Custodial Accounts Summary 1 Number of Deposit Accounts (reported on Form 8938 2 Maximum Value of All Deposit Accounts 3 Number of Custodial Accounts (reported on Form 8938) 4 Maximum Value of All Custodial Accounts 5 Were any foreign deposit or custodial accounts closed during the tax year? Part II Other Foreign Assets Summary 1 Number of Foreign Assets (reported on Form 8938) 2 Maximum Value of All Assets 3 Were any foreign assets acquired or sold during the tax year? Part III Summary of Tax Items Attributable to Specified Foreign Financial Assets(see instructions ► 5 2,488,652. ► $ ► $ I I Yes Lxi No 2 I I Yes Lxi No (a) Asset Category (b) Tax item (c) Amount reported on form or schedule Where reported (d) Form and line (e) Schedule and line 1 Foreign Deposit and Custodial Arrnints la Interest $ 22,255. 1040/LINE 8A SCH B, LN 1 1b Dividends $ 1c Royalties $ 1d Other income $ le Gains (losses) $ 1t Deductions $ 10 Credits $ 3,637. 1040/LINE 48 2 Other Foreign Assets 2a Interest $ 2b Dividends $ 2c Royalties $ 2d Other income $ 2e Gains Dosses) $ 2f Deductions $ 2g Credits $ Part IV Excepted Specified Foreian Financial Assets(see instructions) If you reported specified foreign financial assets on one or more of the following tams, enter the number of such forms filed. You do not need to include these assets on Form 8938 for the tax year. 1. 4. Number of Forms 3520 2. Number of Forms 3520•A 3. Number of Forms 5471 Number of Forms 8621 5. Number of Forms 8865 Part V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary (see instructions) If you have more than one account to report. attach a continuation statement for each additional account (see instructions). 1 Type of account LXJ Deposit LJ Custodial 2 or other designation 3 Check all that apply a I I Account opened during tax year b LJ Account closed during tax year owned with use d M No tax item reported in Part III with respect to this asset c ILI Account 4 Maximum value of account during tax year 7 , 5 5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? LXI Yes LJ No 6 If you answered 'Yes' to line 5 complete a I that aptly. (a) Foreign currency in which account is maintained UNITED KINGDOM, POUND (b) Foreign currency exchange rate used to convert to U.S. dollars (c) Source of exchange rate used if not from U.S. Treasury Department's Bureau of the Fiscal Service LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 8938 (2015) S2332 I 11-05-15 65 EFTA00026358
Form 8938 (2015) GHISLAINE MAXWELL Page 2 Pad V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary (see instructions) (continued) 7a Name of financial institution in which account is maintained b Reserved BARCLAYS 8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no. 8 WEST HALKIN STREET 9 City or town, state or province, and country (including postal code) LONDON SW1X 8JE UNITED KINGDOM Pad VI Detailed Information for Each 'Other Foreign Asset" Included In the Pad II Summary (see instructions) Note. If you reported specified foreign financial assets on Forms 3520, 3520-A, 5471, 862 f, or 8865, you do not have to include the assets on Form 8938. You must complete Part IV. See instructions. If you have more than one asset to report. attach a continuation statement for each additional asset (see instructions). 1 Description of asset 2 Identifyin er designation WEALTH AT WORK LIMITED - PENSION FUND 3 Complete all that apply. See instructions for reporting of multiple acquisition or disposition dates. a Date asset acquired during tax year, if applicable b Date asset disposed of during tax year. if applicable c 0 Check if asset jointly owned with spouse d Ell Check if no tax item reported in Part III with respect to this asset 4 Maximum value of asset during ar (check box that applies) a 0 so • $50.000 b &550,001 • $100,000 c O 6100O01 $150,000 d O $150,001 • $200,000 a If more than $200.000. list value 5 Did you use a foreign currency exchange rate to convert the value of the asset Into U.S. dollars? LIU Yes LJ No 6 If you answered 'Yes. to line 5. complete a I that apply. (a) Foreign currency in which asset is denominated UNITED KINGDOM, POUND (b) Foreign currency exchange rate used to convert to U.S. dollars .675000000 (e) Source of exchange rate used if not from U.S. Treasury Department's Bureau of the Fiscal Service 7 If asset reported on line 1 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset. a Name of foreign entity b Reserved c Type of foreign entity (1) LJ Partnership (2) LJ Corporation (3) I I Trust (4) U Estate d Mailing address of foreign entity. Number, street. and room or suite no. e City or town, state or province, and country (Including postal code) 8 If asset reported on line 1 is not stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset. Note. If this asset has more than one Issuer or counterparty. attach a continuation statement with the same Information for each additional issuer or counterparty (see instructions). a Name of issuer or countemany WEALTH AT WORK LIMITED Check if information is for LX.I Issuer t Counterparty b Type of issuer or counterparty (1) El Individual (2) M Partnership (3) 0 Corporation (4) El Trust (5) El Estate c Check if issuer or counterparty is a 0 u S person LxJ Foreign person d Mailing address of issuer or counterparty. Number, street, and room or suite no. 5 TEMPLE SQUARE, TEMPLE STREET a City or town, state or province, and country (including postal code) LIVERPOOL L2 5RH UNITED KINGDOM Form 8938 (2015) 525022 11.05.15 66 EFTA00026359
Last Name or Organization Name GHISLAINE MAXWELL Part V Foreign Deposit and Custodial Accounts (see instructions) 1 Type of account Deposit U Custodial MM. Form 8938 umber or other designation 3 Check all that apply a U Account opened during tax year b U Account closed during tax year c ILI Account jointly owned with spouse d El No tax item reported in Part III with respect to this asset 4 Maximum value of account during tax year 5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? LXJ Yes Li No 6 If you answered *Yee' to line 5 complete all that a (1) Foreign currency in which account is maintained UNITED KINGDOM, POUND $ 1,164,654. (2) Foreign currency exchange rate used to convert to U.S. dollars (3) Source of exchange rate used if not from U.S. Treasury Department's Bureau of the Fiscal Service 7a Name of financial institution in which account is maintained b Reserved CATER ALLEN PRIVATE BANK 8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no. 9 NELSON STREET 9 City or town. province or state, and country (including postal code) BRADFORD BD1 5AN UNITED KINGDOM 1 Type of account LXJ Deposit LJ Custodial number or other designation 3 Check all that apply a LJ Account opened during tax year b LJ Account closed during tax year c ILI Account jointly owned with spouse d O No tax item reported in Part III with respect to this asset 4 Maximum value of account during tax year Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? 6 If you answered 'Yes' to line 5. complete all that apply. 304,665. LXJ Yes Li No (1) Foreign currency in which account is maintained UNITED KINGDOM, POUND (2) Foreign currency exchange rate used to convert to U.S. dollars (3) Source of exchange rate used if not from U.S. Treasury Department's Bureau of the Fiscal Service 7a Name of financial institution in which account is mantalned BARCLAYS 8 Mailing address of financial institution In which account is maintained. Number. street. and room or suite no. b Reserved 8 WEST HALKIN STREET 9 City or town, province or state, and country (including postal code) LONDON SW1X 8JE UNITED KINGDOM 1 Type of account LXJ Deposit L_I Custodial umber or other designation 3 Check all that apply a I I Account opened during tax year bLJ Account closed during tax year c ILI Account jointly owned with spouse d M No tax item reported in Part Ill with respect to this asset 4 Maximum value of account during tax year Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? LXJ Yes LJ No 6 If you answered 'Yes' to line 5 complete a I that a (1) Foreign currency in which account is maintained UNITED KINGDOM, POUND $ 55,668. (2) Foreign currency exchange rate used to convert to U.S. dollars (3) Source of exchange rate used if not from U.S. Treasury Department's Bureau of the Fiscal Service 7a Name of financial institution in which account is maintained b Reserved WEALTH AT WORK LIMITED 8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no. 5 TEMPLE SQUARE, TEMPLE STREET 9 City or town. province or state, and country (including postal code) LIVERPOOL L2 5RH UNITED KINGDOM 573031 06-24.15 67 EFTA00026360
Last Name or Organization Name GH I SLAINE MAXWELL Part V Foreign Deposit and Custodial Accounts (see instructions) 1 Type of account Deposit LJ Custodial MM. Form 8938 umber or other designation 3 Check all that apply a U Account opened during tax year b U Account closed during tax year c ILI Account jointly owned with spouse d El No tax item reported in Part III with respect to this asset 4 Maximum value of account during tax year 5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? LXJ Yes Li No 6 If you answered *Yee' to line 5 complete all that a (1) Foreign currency in which account is maintained UNITED KINGDOM, POUND $ 916,141. (2) Foreign currency exchange rate used to convert to U.S. dollars (3) Source of exchange rate used if not from U.S. Treasury Department's Bureau of the Fiscal Service 7a Name of financial institution in which account is maintained BARCLAYS 8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no. b Reserved 8 WEST HALKIN STREET 9 City or town, province or state, and country (including postal code) LONDON SW1X 8JE UNITED KINGDOM 1 Type of account I I Deposit I I Custodial 2 Account number or other designation 3 Check all that apply a LJ Account opened during tax year c ILI Account jointly owned with spouse 4 Maximum value of account during tax year 5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? 6 If you answered 'Yes' to line 5. complete all that apply. b LJ Account closed during tax year d C No taxi em reported in Part III with respect to this asset (1) Foreign currency in which account is maintained (2) Foreign currency exchange rate used to convert to U.S. dollars LJ Yes I I No (3) Source of exchange rate used if not from U.S. Treasury Department's Bureau of the Fiscal Service 7a Name of financial institution in which account is mantalned • b Reserved r 8 Mailing address of financial institution In which account is maintained. Number. street. and room or suite no. 9 City or town, province or state, and country (Including postal code) 1 Type of account 1= Deposit I 1 Custodial 2 Account number or other designation 3 Check all that apply a I I Account opened during tax year bLJ Account closed during tax year owned with spouse d El No taxi em reported in Part III with respect to this asset c ILI Account jointly 4 Maximum value of account during tax year Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? I I Yes LJ No 6 If you answered *Yee to line 5 complete a I that apply. (1) Foreign currency in which account is maintained (2) Foreign currency exchange rate used to convert to U.S. dollars (3) Source of exchange rate used if not from U.S. Treasury Department's Bureau of the Fiscal Service 7a Name of financial institution in which account is maintained b Reserved 8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no. 9 City or town, province or state, and country (including postal code) 523031 06-24.15 68 EFTA00026361
Last Name or Organization Name Form 8938 GHISLAINE MAXWELL Part VI Other Foreign Assets Note. you reported specified torsion financial assets on Forms 3520, 352O.,4, 5477, 8627, or 8865, you do not have to Include the assets on Font, 8938. You must complete Part IV. See instructions. If you have more than one asset to report. attach a continuation sheet with the same information for each additional asset (see instructions). 1 Description of asset 2 Identifying number or other designation INVESTMENT IN GNAT & COMPANY LTD 3 Complete all that apply a Date asset acquired during tax year, if applicable b Date asset disposed of during tax year. if applicable c 0 Check if asseljoiMly owned with spouse d Check if no tax Item reported in Part III with respect to this asset 4 Maximum value of asset durgi! tax year (check box that apaer a 0 $0 • $50,000 b Li $50,001 • $100,000 c Li $100,001 • $150,000 d C $150,001 • $200,000 e If more than $200.000. list value 6 Did you use a foreign currency exchange rate to convert the value of the asset Into U.S. dollars? Yes 8 If you answered 'Yes' to line 5, complete a I that apply. (1) Foreign currency in which asset is denominated No UNITED KINGDOM, POUND (2) Foreign currency exchange rate used to convert to U.S. dollars (3) Source of exchange rate used if not from U.S. Treasury Department's Bureau of the Fiscal Service 7 a Name of foreign entity b Reserved c Type of foreign entity (1) I I Partnership (2) Li Corporation d Mailing address of foreign entity. Number, street. and room or suite no. If asset reported on line 1 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset. (3) I I Trust (4) Li Estate e City or town, state or province, and country (Including postal code 8 If asset reported on line 1 is not stock of a foreign entity or an interest In 'a foreign entity, enter the following information for the asset. Note. If this asset has more than one issuer or counterparty. attach a continuation sheet with the same information for each additional issuer or counterparty (see instructions). a Name of issuer or counterparty GNAT & COMPANY LTD Check if information is for LXJ Issuer Li Counterparty b Type of issuer or counterparty (1) ILI Individual (2) 0 Partnership 5 5) M Corporation c Check if issuer or counterparty is a 0U S person Foreign person d Mailing address of issuer or counterparty. Number, street, and room or suke no. (4) 0 Trust (6) ILI Estate e City or town, province or state, and country (including postal code) 523032 06-24.15 69 EFTA00026362
Form 1116 U.S. and Foreign Source Income Summary went GHISLAINE MAXWELL FOREIGN INCOME TYPE TOTAL U.S. Compensation Dividends/Distributions Interest Capital Gains Business/Profession RenURoyally State/Local Refunds Parthership/S Corporation Trust/Estate Other Income Gross Income STMT 45 Less: Section 911 Exclusion Capital Losses Capital Gains Tax AdjustmeM Total Income - Form 1116 Deductions: Business/Profession Expenses Rent/Royalty Expenses Parthership/S Corporation Losses Trust/Estate Losses Capital Losses Non-capital Losses Individual Retirement Account Moving Expenses Self-employment Tax Deduction Self-employment Health Insurance Keogh Contributions Alimony Forfeited Interest Foreign Housing Deduction Other Adjustments Capital Gains Tax Adjustment Total Deductions Adjusted Gross Income 223,491. 223,491. 182,240. 63,088. 220,491. 182,240. 40,833. 220,491. 9. 9. 121. 121. 5,310. -45,966. 471,259. 397,728. l i k -98. 4,272. 4,174. 243,496. 170,063. Less itemized Deductions: Specifically Allocated 5,353. 5,353. Home Mortgage Interest Other Interest 17. 17 . Ratably Allocated 160,355. 135,333. ... Total Adjustments to Adjusted Gross Income 165,725. 140,703. a a Taxable Income Before Exemptions 77,771. 29,360. GENERAL PASSIVE 19. 22,255. 51,257. 19. 73,512. 19. 73,512. 98. 98. 19. 73,414. 7. 25,015. 7. 25,015. 12. 48,399. 70 EFTA00026363
Form 1116 Allocation of Itemized Deductions NALIF GHISLAINE MAXWELL Taxes Interest - Not Including Investment Interest Contributions Miscelaneous Deductions Subject to 2% Other Miscellaneous Deductions - Not Including Gambling Losses Foreign Adjustment Total Itemized Deductions Subject to Sec. 68 Add Itemized Deductions Not Subject to Sec. 68: Medical/Dental Investment Interest Casualty Losses Gambling Losses Foreign Adjustment Total Itemized Deductions Total Allowed on Schedule A Total Itemized Deductions Itemized Deductions After Sec. 68 Reduction Form 1116 Specifically U.S. Specificaly Foreign Ratable 119,703. 119,703. 119,703. 5,353. 5,353. 5,353. 40,652. 40,652. 40,652. 165,708. 165,708. 17. 17. 17. 165,725. 165,725. 5,370. 160,355. 527871 W.01.15 71 EFTA00026364
Form 1116 Foreign Tax Credit Carryover Statement (Page 1 of 2) mmE GHISLAINE MAXWELL Foreign Income Category Regular 1. Foreign tax paid/accrued 2. FTC carryback to 2015 for amended returns 3. Reduction in foreign taxes 4. Foreign lax available 5. Maximum credit allowable 6. Unused foreign tax + ) or excess of knit ( - ) 7. Foreign tax carryback 8. Foreign tax carryforward 9. Foreign lax or excess limit remaining Total foreign taxes from all GENERAL LIMITATION INCOME 2010 2011 2012 2013 2014 2015 2. 2. 1. 1. 1. available years to be c rried to next year ... 1 . 1. Foreign tax paid/accrued 2. FTC carryback to 2015 for amended returns 3. Reduction in foreign taxes 4. Foreign lax available 5. Maximum credit allowable 6. Unused foreign tax ( + ) or excess of limit - ) 7. Foreign tax carryback 9. Foreign lax or excess limit remaining 8. Foreign tax carryforward 2005 2006 2007 2008 2009 t ill 527115 04.01.15 72 EFTA00026365
Form 1116 Foreign Tax Credit Carryover Statement (Page 2 of 2) NAM? GHISLAINE MAXWELL Foreign Income Category GENERAL LIMITATION INCOME AMT 1. Foreign tax paid/accrued 2. FTC carryback to 2015 for amended returns 3. Reduction in foreign taxes 4. Foreign lax available 5. Maximum credit allowable 2010 2011 2012 2013 2014 2015 2. 2. 3. 6. Unused foreign tax + ) or excess of knit ( - ) 7. Foreign tax carryback 8. Foreign tax carryfonvard 9. Foreign lax or excess limit remaining Total foreign taxes from all available years to be carried to next year 1. Foreign tax paid/accrued 2. FTC carryback to 2015 for amended returns 3. Reduction in foreign taxes 4. Foreign lax available 5. Maximum credit allowable 6. Unused foreign tax ( + ) or excess of limit - ) 7. Foreign tax carryback 9. Foreign lax or excess limit remaining 8. Foreign tax carryforward 2005 2006 2007 2008 2009 t ill 527116 04.01.15 73 EFTA00026366
Form 1116 Foreign Tax Credit Carryover Statement (Page 1 of 2) NAM? GHISLAINE MAXWELL Foreign Income Category Regular 1. Foreign tax paid/accrued 2. FTC carryback to 2015 for amended returns 3. Reduction in foreign taxes 4. Foreign lax available 5. Maximum credit allowable 6. Unused foreign tax + ) or excess of knit(- ) 7. Foreign tax carryback 8. Foreign tax carryforward 9. Foreign lax or excess limit remaining Total foreign taxes from all PASSIVE INCOME 2010 2011 2012 2013 2014 2015 8,307. 8,307. 4,419. -1,459. 3,888. 1,459. 1,459. 2,429. available years to be c rried to next year ... 2,429. 1. Foreign tax paid/accrued 2. FTC carryback to 2015 for amended returns 3. Reduction in foreign taxes 4. Foreign lax available 5. Maximum credit allowable 6. Unused foreign tax ( + ) or excess of limit - ) 7. Foreign tax carryback 9. Foreign lax or excess limit remaining 8. Foreign tax carryforward 2005 2006 2007 2008 2009 t i 527115 04.01.15 74 EFTA00026367
Form 1116 Foreign Tax Credit Carryover Statement (Page 2 of 2) NAM? GHISLAINE MAXWELL Foreign Income Category AMT 1. Foreign tax paid/accrued 2. FTC carryback to 2015 for amended returns 3. Reduction in foreign taxes 4. Foreign lax available 5. Maximum credit allowable 6. Unused foreign tax + ) or excess of knit ( - ) 7. Foreign tax carryback 8. Foreign tax carryforward 9. Foreign lax or excess limit remaining Total foreign taxes from all !PASSIVE INCOME 2010 2011 2012 2013 2014 2015 8,307. 8,307. 11,389. -18,342. -3,082. -18,342. -3,082. available years to be carried to next year .... 1. Foreign tax paid/accrued 2. FTC carryback to 2015 for amended returns 3. Reduction in foreign taxes 4. Foreign lax available 5. Maximum credit allowable 6. Unused foreign tax ( + ) or excess of limit - ) 7. Foreign tax carryback 9. Foreign lax or excess limit remaining 8. Foreign tax carryforward 2005 2006 2007 2008 2009 t ill 527116 04.01.15 75 EFTA00026368
52784104.01.15 Form 1116 Pro Rata Share of Allocated Losses GHISLAINE MAXWELL Allocation of Losses from Other Categories INCOME CLASSIFICATION Passive income Income re-sourced by treaty General limitation income Totals ALLOCATED LOSS NOT INCOME LOSS LOSS ALLOCATED 48,399. 12. 48,411. Allocation of U.S. Losses INCOME CLASSIFICATION Passive income Income re-sourced by treaty General limitation income Totals REMAINING U.S. ALLOCATED LOSS NOT INCOME LOSS LOSS ALLOCATED 48,399. 12. 48,411. Recapture of Prior Year Overall Foreign Loss INCOME CLASSIFICATION Passive income Income re-sourced by treaty General limitation income Totals Recapture percentage REMAINING OVERALL PRIOR YEAR RECAPTURED LOSS NOT INCOME LOSS LOSS RECAPTURED 48,399. 12. 48,411. Recapture of Separate Limitation Loss Accounts INCOME CLASSIFICATION Passive income Income re-sourced by treaty General limitation income Totals REMAINING INCOME 48,399. 12. 48,411. PRIOR YEAR RECHARACTERIZED LOSS NOT LOSS LOSS RECHARACTERIZED Recapture of Overall Domestic Loss Prior to 2012 INCOME CLASSIFICATION Passive income Income re-sourced by treaty General limitation income Totals U.S. TAXABLE INCOME LIMIT PRIOR YEAR RECAPTURED LOSS NOT LOSS LOSS RECAPTURED Recapture of Overall Domestic Loss INCOME CLASSIFICATION U.S. TAXABLE PRIOR YEAR RECAPTURED LOSS NOT INCOME LIMIT LOSS LOSS RECAPTURED Passive income 14,680. 19,289. 14,680. 4,609. Income re-sourced by treaty General limitation income Totals 14,680. 19,289. 14,680. 4,609. Adjustments to Form 1116, Line 15 OTHER U.S. PRIOR YEAR RECAPTURE OF DOMESTIC FORM 1116. INC. CLASSIFICATION CATEGORIES LOSSES OVERALL LOSS ACCOUNTS RECAPTURE LINE 16 Passive Re-sourced by treaty General limitation 14,680. 14,680. 76 EFTA00026369
GHISLAINE MAXWELL FORM 1040 STATE AND LOCAL INCOME TAX REFUNDS STATEMENT 1 2014 2013 2012 NEW YORK GROSS STATE/LOCAL INC TAX REFUNDS 17,622. LESS: TAX PAID IN FOLLOWING YEAR NET TAX REFUNDS NEW YORK 17,622. TOTAL NET TAX REFUNDS 17,622. Go 77 STATEMENT(S) 1 EFTA00026370
GHISLAINE MAXWELL FORM 1040 TAXABLE STATE AND LOCAL INCOME TAX REFUNDS STATEMENT 2 2014 2013 2012 NET TAX REFUNDS FROM STATE AND LOCAL INCOME TAX REFUNDS STMT. 17,622. LESS:REFUNDS-NO BENEFIT DUE TO AMT 17,622. -SALES TAX BENEFIT REDUCTION 1 NET REFUNDS FOR RECALCULATION 2 TOTAL ITEMIZED DEDUCTIONS BEFORE PHASEOUT 3 DEDUCTION NOT SUBJ TO PHASEOUT 4 NET REFUNDS FROM LINE 1 5 LINE 2 MINUS LINES 3 AND 4 6 MULT LN 5 BY APPL SEC. 68 PCT 7 PRIOR YEAR AGI 8 ITEM. DED. PHASEOUT THRESHOLD 175,469. 1. 175,468. 140,374. 233,510. 254,200. 9 SUBTRACT LINE 8 FROM LINE 7 (IF ZERO OR LESS, SKIP LINES 10 THROUGH 15, AND ENTER AMOUNT FROM LINE 1 ON LINE 16) 10 MULT LN 9 BY APPL SEC. 68 PCT 11 ALLOWABLE ITEMIZED DEDUCTIONS (LINE 5 LESS THE LESSER OF LINE 6 OR LINE 10) 12 ITEM DED. NOT SUBJ TO PHASEOUT -20,690. 13A TOTAL ADJ. ITEMIZED DEDUCTIONS 13B PRIOR YR. STD. DED. AVAILABLE 14 PRIOR YR. ALLOWABLE ITEM. DED. 15 SUBTRACT THE GREATER OF LINE 13A OR LINE 13B FROM LINE 14 16 TAXABLE REFUNDS (LESSER OF LINE 15 OR LINE 1) 17 ALLOWABLE PRIOR YR. ITEM. DED. 18 PRIOR YEAR STD. DED. AVAILABLE 19 SUBTRACT LINE 18 FROM LINE 17 20 LESSER OF LINE 16 OR LINE 19 21 PRIOR YEAR TAXABLE INCOME 175,469. 6,200. 169,269. 54,091. 22 AMOUNT TO INCLUDE ON FORM 1040, LINE 10 * IF LINE 21 IS -0- OR MORE, USE AMOUNT FROM LINE 20 * IF LINE 21 IS A NEGATIVE AMOUNT, NET LINES 20 AND 21 STATE AND LOCAL INCOME TAX REFUNDS PRIOR TO 2012 0. TOTAL TO FORM 1040, LINE 10 0. 78 STATEMENT(S) 2 EFTA00026371
GHISLAINE MAXWELL FORM 1040 TAX-EXEMPT INTEREST STATEMENT 3 NAME OF PAYER AMOUNT UBS - Y1 23574 - T/E 5,672. TOTAL TO FORM 1040, LINE 8B 5,672. FORM 1040 QUALIFIED DIVIDENDS NAME OF PAYER UBS - Y1 23568 UBS - Y1 23570 UBS - Y1 23571 UBS - Y1 23574 UBS - Y1 23572 FROM K-1 - THE BLACKSTONE GROUP, LP FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. TOTAL INCLUDED IN FORM 1040, LINE 9B STATEMENT 4 ORDINARY DIVIDENDS QUALIFIED DIVIDENDS 40,340. 40,340. 21,805. 88. 33,471. 7,817. 20,493. 20,109. 54,713. 50,817. 126. 53. 681. 327. 119,551. SCHEDULE A DESCRIPTION MISCELLANEOUS DEDUCTIONS SUBJECT TO FLOOR STATEMENT 5 UBS Y1-23574 U Y1-23571 UBS Y1-23568 UBS Y1-23570 UBS Y1-23571 FROM K-1 - THE BLACKSTONE GROUP, LP FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. AMOUNT 7,744. 5,074. 8,111. 4,832. 8,488. 21. 252. TOTAL TO SCHEDULE A, LINE 23 34,522. 79 STATEMENT(S) 3, 4, 5 EFTA00026372
GHISLAINE MAXWELL SCHEDULE A STATE AND LOCAL INCOME TAXES STATEMENT 6 DESCRIPTION AMOUNT NEW YORK 2ND QTR ESTIMATE PAYMENTS 2,000. NEW YORK 3RD QTR ESTIMATE PAYMENTS 5,000. NEW YORK PRIOR YEAR OVERPAYMENT APPLIED 17,571. NEW YORK PRIOR YEAR BALANCE DUE AND EXTENSION PAYMENTS 10,000. TOTAL TO SCHEDULE A, LINE 5 34,571. SCHEDULE A INVESTMENT INTEREST STATEMENT 7 DESCRIPTION GROUP, 14 LP AMOUNT FROM K-1 - THE BLACKSTONE TOTAL TO SCHEDULE A, LINE 17. 17. SCHEDULE A MEDICAL AND DENTAL EXPENSES STATEMENT 8 DESCRIPTION AMOUNT DOCTORS, DENTISTS, ETC. TOTAL TO SCHEDULE A, LINE 1 I 6,955. 6,955. SCHEDULE B INTEREST INCOME STATEMENT 9 NAME OF PAYER AMOUNT BARCLAYS 16,736. CATER ALLEN PRIVATE BANK 5,519. IMPUTED INTEREST - LOAN FROM TERRAMAR PROJECT 1,515. UBS - Y1 23568 6. UBS - Y1 23571 1. UBS - Y1 23574 - INTEREST 37,673. UBS - Y1 23574 - BOND PREMIUM -51. UBS - Y1 23574 - T/E 10,000. UBS - Y1 23575 12. UBS - Y1 23572 7. UBS - Y1 23680 17. FROM K-1 - THE BLACKSTONE GROUP, LP 416. 80 STATEMENT(S) 6, 7, 8, 9 EFTA00026373
GHISLAINE MAXWELL FROM K-1 - CARGOMETRICS TECHNOLOGIES LLC 75. FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 269. FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 893. TOTAL TO SCHEDULE B, LINE 1 73,088. SCHEDULE B TAX-EXEMPT INTEREST STATEMENT 10 NAME OF PAYER AMOUNT UBS - Y1 23574 - T/E 5,672. TOTAL TAX-EXEMPT INTEREST TO SCHEDULE B, LINE 1 5,672. SCHEDULE B AMORTIZABLE BOND PREMIUM ADJUSTMENT STATEMENT 11 NAME OF PAYER AMOUNT AO TOTAL ABP ADJUSTMENT TO SCHEDULE B, LINE 1 4,328. UBS - Y1 23574 - T/E 4,328. SCHEDULE D NET SHORT-TERM GAIN OR LOSS FROM STATEMENT 12 FORMS 6252, 4684, 6781 AND 8824 DESCRIPTION OF PROPERTY GAIN OR LOSS FORM 6781, PART I 10. TOTAL TO SCHEDULE D, PART I, LINE 4 10. SCHEDULE D NET LONG-TERM GAIN OR LOSS FROM FORMS STATEMENT 13 4797, 2439, 6252, 4684, 6781 AND 8824 DESCRIPTION OF PROPERTY GAIN OR LOSS 28% GAIN FORM 6781, PART I 15. FORM 4797 347. TOTAL TO SCHEDULE D, PART II, LINE 11 362. 81 STATEMENT(S) 9, 10, 11, 12, 13 EFTA00026374
GHISLAINE MAXWELL SCHEDULE D NET SHORT-TERM GAIN OR LOSS FROM STATEMENT 14 PARTNERSHIPS, S CORPORATIONS, AND FIDUCIARIES DESCRIPTION OF ACTIVITY GAIN OR LOSS THE BLACKSTONE GROUP, LP -7. TOTAL TO SCHEDULE D, PART I, LINE 5 -7. SCHEDULE D NET LONG-TERM GAIN OR LOSS FROM STATEMENT 15 PARTNERSHIPS, S CORPORATIONS, AND FIDUCIARIES DESCRIPTION OF ACTIVITY GAIN OR LOSS 28% GAIN THE BLACKSTONE GROUP, LP 1,471. ALPHAKEYS MILLENNIUM FUND, L.L.C. 6. TOTAL TO SCHEDULE D, PART II, LINE 12 1,477. SCHEDULE D CAPITAL GAIN DISTRIBUTIONS STATEMENT 16 NAME OF PAYER UBS - Y1 23571 UBS - Y1 23575 a TOTAL CAPITAL GAIN 28% GAIN 8,868. 629. TOTALS TO SCHEDULE D, LINE 13 9,497. 82 STATEMENT(S) 14, 15, 16 EFTA00026375
GHISLAINE MAXWELL SCHEDULE D CAPITAL LOSS CARRYOVER STATEMENT 17 1. ENTER THE AMOUNT FROM FORM 1040, LINE 41 2. ENTER THE LOSS FROM SCHEDULE D, LINE 21, AS A POSITIVE AMOUNT 3. COMBINE LINES 1 AND 2. IF ZERO OR LESS, ENTER -0- 4. ENTER THE SMALLER OF LINE 2 OR LINE 3 77,771. 3,000. 80,771. 3,000. 5. ENTER THE LOSS FROM SCHEDULE D, LINE 7, AS A POSITIVE AMOUNT 179,183. 6. ENTER THE GAIN, IF ANY, FROM SCHEDULE D, LINE 15 7. ADD LINES 4 AND 6 3,000. 8. SHORT-TERM CAPITAL LOSS CARRYOVER TO NEXT YEAR. SUBTRACT LINE 7 FROM LINE 5. IF ZERO OR LESS, ENTER 176,183. 9. ENTER THE LOSS FROM SCHEDULE D, LINE 15, AS A POSITIVE AMOUNT 6,119,108. 10. ENTER THE GAIN, IF ANY, FROM SCHEDULE D, LINE 7 11. SUBTRACT LINE 5 FROM LINE 4. IF ZERO OR LESS, ENTER -0- 12. ADD LINES 10 AND 11 13. LONG-TERM CAPITAL LOSS CARRYOVER TO NEXT YEAR. SUBTRACT LINE 12 FROM LINE 9. IF ZERO OR LESS, ENTER 6,119,108. SCHEDULE E OTHER EXPENSES STATEMENT 18 THE BLACKSTONE GROUP, LP - ROYALTY DESCRIPTION AMOUNT ROYALTY INCOME DEDUCTION - THE BLACKSTONE GROUP, LP 6. TOTAL TO SCHEDULE E, PAGE 1, LINE 19 6. FORM 1116 EXPENSES DIRECTLY ALLOCABLE TO FOREIGN INCOME STATEMENT 19 DESCRIPTION OTHER EXPENSES DIRECTLY ALLOCATED COUNTRY AMOUNT OTHER COUNTRIES 98. TOTAL TO FORM 1116, PART I, LINE 2 98. 83 STATEMENT(S) 17, 18, 19 EFTA00026376
GHISLAINE MAXWELL FORM 3800 RESEARCH CREDIT LIMITATION STATEMENT 20 CARGOMETRICS TECHNOLOGIES LLC 1 TAXABLE INCOME ATTRIBUTABLE TO THIS ACTIVITY 75. 2 TAXABLE INCOME FROM FORM 1040, LINE 43 73,771. 3 DIVIDE LINE 1 BY LINE 2 .001016660 4 NET INCOME TAX FROM FORM 3800, LINE 11 28,633. 5 TAX LIABILITY LIMITATION (LINE 3 X LINE 4) 29. A CURRENT YEAR CREDIT 4,569. B CREDIT CARRIED FORWARD FROM PRIOR YEAR(S) C TOTAL CREDITS 4,569. CURRENT YEAR CREDIT (LESSER OF 5A OR 5 - 5B) 29. FORM 6251 PASSIVE ACTIVITIES STATEMENT 21 NAME OF ACTIVITY NET INCOME (LOSS) FORM AMT REGULAR ADJUSTMENT THE BLACKSTONE GROUP, SCH E LP - PTP -9. -19. 10. TOTAL TO FORM 6251, LINE 19 10. 84 STATEMENT(S) 20, 21 EFTA00026377
GHISLAINE MAXWELL FORM 6251 EXEMPTION WORKSHEET STATEMENT 22 1 ENTER: $53,600 IF SINGLE OR HEAD OF HOUSEHOLD; $83,400 IF MARRIED FILING JOINTLY OR QUALIFYING WIDOW(ER); $41,700 IF MARRIED FILING SEPARATELY 2 ENTER YOUR ALTERNATIVE MINIMUM TAXABLE INCOME (AMTI) FORM 6251, LINE 28 238,136. 3 ENTER: $119,200 IF SINGLE OR HEAD OF HOUSEHOLD; $158,900 IF MARRIED FILING JOINTLY OR QUALIFYING WIDOW(ER); $79,450 IF MARRIED FILING SEPARATELY 119,200. 4 SUBTRACT LINE 3 FROM LINE 2. IF ZERO OR LESS ENTER -0- 118,936. 5 MULTIPLY LINE 4 BY 25% (.25) 6 SUBTRACT LINE 5 FROM LINE 1. IF ZERO OR LESS, ENTER -0-. IF ANY OF THE THREE CONDITIONS UNDER CERTAIN CHILDREN UNDER AGE 24 APPLY TO YOU, COMPLETE LINES 7 THROUGH 10. OTHERWISE, STOP HERE AND ENTER THIS AMOUNT ON FORM 6251, LINE 29, AND GO TO FORM 6251, LINE 30 7 MINIMUM EXEMPTION AMOUNT FOR CERTAIN CHILDREN UNDER AGE 24 8 ENTER YOUR EARNED INCOME, IF ANY 9 ADD LINES 7 AND 8 10 ENTER THE SMALLER OF LINE 6 OR LINE 9 HERE AND ON FORM 6251, LINE 29, AND GO TO FORM 6251, LINE 30 53,600. 29,734. 23,866. FORM 4952 INVESTMENT INTEREST EXPENSE STATEMENT 23 DESCRIPTION CURRENT CARRYOVER FROM K-1 - THE BLACKSTONE GROUP, LP 17. FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 1,985. TOTALS TO FORM 4952, LINES 1 AND 2 2,002. FORM 4952 INCOME FROM PROPERTY HELD FOR INVESTMENT STATEMENT 24 DESCRIPTION AMOUNT INTEREST INCOME DIVIDEND INCOME THE BLACKSTONE GROUP, LP - ROYALTY THE BLACKSTONE GROUP, LP - ACTIVITY NO. 1 THE BLACKSTONE GROUP, LP 63,088. 182,240. 9. 328. 95. TOTAL TO FORM 4952, LINE 4A 245,760. 85 STATEMENT(S) 22, 23, 24 EFTA00026378
GHISLAINE MAXWELL FORM 4952 INVESTMENT EXPENSES STATEMENT 25 DESCRIPTION AMOUNT THE BLACKSTONE GROUP, LP - ROYALTY 6. SCHEDULE A DEDUCTIONS 34,522. TOTAL TO FORM 4952, LINE 5 34,528. FORM 4952 INVESTMENT INTEREST EXPENSE DEDUCTION SUMMARY STATEMENT 26 NAME DISALLOWED ALLOWED INVESTMENT INVESTMENT INVESTMENT INVESTMENT FORM OR INTEREST INTEREST INTEREST INTEREST SCHEDULE EXPENSE EXPENSE C/O EXPENSE EXPENSE FROM K-1 - THE BLACKST SCH A FROM K-1 - ALPHAKEYS M SCH E TOTALS 17. 0. 0. 17. 1,985. 0. 0. 1,985. 2,002. 0. 0. 2,002. FORM 4952AMT INVESTMENT INTEREST EXPENSE STATEMENT 27 DESCRIPTION CURRENT CARRYOVER FROM K-1 - THE BLACKSTONE GROUP, LP 17. FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 1,985. TOTALS TO FORM 4952AMT, LINES 1 AND 2 2,002. FORM 8960 TRADE OR BUSINESS INCOME STATEMENT 28 ALPHAKEYS MILLENNIUM FUND, L.L.C. 1,736. AMOUNT TO FORM 8960, LINE 4B 1,736. 86 STATEMENT(S) 25, 26, 27, 28 EFTA00026379
GHISLAINE MAXWELL FORM 8960 NET GAINS FROM DISPOSITION OF PROPERTY USED STATEMENT 29 IN A NON-SECTION 1411 TRADE OR BUSINESS NAME OF TRADE OR BUSINESS AMOUNT ALPHAKEYS MILLENNIUM FUND, L.L.C. 5,310. TOTAL TO NET GAINS AND LOSSES WORKSHEET, LINE 2A 5,310. FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY STATEMENT 30 ALLOCABLE TO INVESTMENT INCOME BEFORE LIMITATIONS DESCRIPTION LINE AMOUNT UBS Y1-23574 9C 7,744. UBS Y1-23571 9C 5,074. UBS Y1-23568 9C 8,111. UBS Y1-23570 9C 4,832. UBS Y1-23571 9C 8,488. FROM K-1 - THE BLACKSTONE GROUP, LP 9C n 21. FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L. 9C 252. TOTAL TO LINES 9 AND 10 WORKSHEET, PART I, LINE 1 34,522. FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY ALLOCABLE TO INVESTMENT INCOME AFTER LIMITATION STATEMENT 31 DESCRIPTION LINE COLUMN A AMNT RATIO COLUMN C AMNT UBS Y1-23574 9C 7,744. 1.0000 7,744. UBS Y1-23571 9C 5,074. 1.0000 5,074. UBS Y1-23568 9C 8,111. 1.0000 8,111. UBS Y1-23570 9C 4,832. 1.0000 4,832. UBS Y1-23571 9C 8,488. 1.0000 8,488. FROM K-1 - THE BLACKSTONE GROUP, LP 9C 21. 1.0000 21. FROM K-1 - ALPHAKEYS MILLENNIUM FUN 9C 252. 1.0000 252. TOTAL TO LINES 9 & 10 WKST, PART II 34,522. 34,522. 87 STATEMENT(S) 29, 30, 31 EFTA00026380
GHISLAINE MAXWELL FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY STATEMENT 32 ALLOCABLE TO INVESTMENT INCOME AFTER LIMITATION DESCRIPTION LINE AMOUNT UBS Y1-23574 9C 7,744. UBS Y1-23571 9C 5,074. UBS Y1-23568 9C 8,111. UBS Y1-23570 9C 4,832. UBS Y1-23571 9C 8,488. FROM K-1 - THE BLACKSTONE GROUP, LP 9C 21. FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 9C 252. TOTAL TO LINES 9 AND 10 WORKSHEET, PART III, LINE 1 34,522. FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY ALLOCABLE TO INVESTMENT INCOME STATEMENT 33 DESCRIPTION LINE COLUMN A AMNT RATIO COLUMN C AMNT UBS Y1-23574 UBS Y1-23571 UBS Y1-23568 UBS Y1-23570 UBS Y1-23571 FROM K-1 - THE BLACKSTONE GROUP, LP FROM K-1 - ALPHAKEYS MILLENNIUM FUN TOTAL TO LINES 9 & 10 WORKSHEET, PART IV, LINE 1 9C 9C 9C 9C 9C141I 9C 9C 7,744. 5,074. 8,111. 4,832. 8,488. 21. 252. 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 7,744. 5,074. 8,111. 4,832. 8,488. 21. 252. 34,522. 34,522. FORM 8582 OTHER PASSIVE ACTIVITIES - WORKSHEET 3 STATEMENT 34 CURRENT YEAR PRIOR YEAR OVERALL GAIN OR LOSS NAME OF ACTIVITY NET UNALLOWED INCOME NET LOSS LOSS GAIN LOSS CARGOMETRICS TECHNOLOGIES TOTALS LLC 0. -118,351. -4,275. -122,626. 0. -118,351. -4,275. -122,626. 88 STATEMENT(S) 32, 33, 34 EFTA00026381
GHISLAINE MAXWELL FORM 8582 ALLOCATION OF UNALLOWED LOSSES - WORKSHEET 5 STATEMENT 35 NAME OF ACTIVITY CARGOMETRICS TECHNOLOGIES LLC FORM OR UNALLOWED SCHEDULE LOSS RATIO LOSS SCH E 122,626. 1.000000000 122,626. TOTALS 122,626. 1.000000000 122,626. FORM 8582 ALLOWED LOSSES - WORKSHEET 6 STATEMENT 36 NAME OF ACTIVITY CARGOMETRICS TECHNOLOGIES LLC FORM OR UNALLOWED ALLOWED SCHEDULE LOSS LOSS LOSS SCH E 122,626. 122,626. TOTALS 122,626. 122,626. FORM 8582 SUMMARY OF PASSIVE ACTIVITIES STATEMENT 37 R R FORM E OR PRIOR NET UNALLOWED ALLOWED A NAME SCHEDULE GAIN/LOSS YEAR C/O GAIN/LOSS LOSS LOSS CARGOMETRICS SCH E TECHNOLOGIES LLC -118,351. -4,275. -122,626. 122,626. TOTALS -118,351. -4,275. -122,626. 122,626. PRIOR YEAR CARRYOVERS ALLOWED DUE TO CURRENT YEAR NET ACTIVITY INCOME TOTAL TO FORM 8582, LINE 16 89 STATEMENT(S) 35, 36, 37 EFTA00026382
GHISLAINE MAXWELL FORM 8582-CR OTHER PASSIVE ACTIVITY CREDITS STATEMENT 38 WORKSHEET 4 NAME OF ACTIVITY PRIOR YEAR FROM CURRENT UNALLOWED TOTAL FORM YEAR CREDITS CREDITS CREDITS CARGOMETRICS TECHNOLOGIES6765/3800, LLC LINE 2 29. 29. TOTALS 29. 29. FORM 8582-CR ALLOCATION OF UNALLOWED CREDITS - WORKSHEET 8 STATEMENT 39 NAME OF ACTIVITY CARGOMETRICS TECHNOLOGIES LLC TOTALS FORM REPORTED UNALLOWED ON CREDITS RATIO CREDITS FORM 3800, LINE 3 29. 1.000000000 29. 29. 1.000000000 29. FORM 8582-CR ALLOWED CREDITS - WORKSHEET 9 STATEMENT 40 NAME OF ACTIVITY i r FORM REPORTED UNALLOWED ALLOWED ON CREDITS CREDITS CREDITS CARGOMETRICS TECHNOLOGIES LLC FORM 3800, LINE 3 29. 29. 0. TOTALS 29. 29. 0. 90 STATEMENT(S) 38, 39, 40 EFTA00026383
GHISLAINE MAXWELL FORM 8582 ALTERNATIVE MINIMUM TAX STATEMENT 41 OTHER PASSIVE ACTIVITIES - WORKSHEET 3 CURRENT YEAR PRIOR YEAR OVERALL GAIN OR LOSS UNALLOWED NAME OF ACTIVITY NET INCOME NET LOSS LOSS GAIN LOSS CARGOMETRICS TECHNOLOGIES LLC 0. -118,351. -4,275. -122,626. TOTALS 0. -118,351. -4,275. -122,626. FORM 8582 ALTERNATIVE MINIMUM TAX STATEMENT 42 ALLOCATION OF UNALLOWED LOSSES - WORKSHEET 5 NAME OF ACTIVITY FORM OR UNALLOWED SCHEDULE LOSS RATIO LOSS CARGOMETRICS LLC TECHNOLOGIES SCH E 122,626. 1.000000000 122,626. TOTALS 122,626. 1.000000000 122,626. FORM 8582 ALTERNATIVE MINIMUM TAX STATEMENT 43 ALLOWED LOSSES - WORKSHEET 6 NAME OF ACTIVITY k FORM OR UNALLOWED ALLOWED SCHEDULE LOSS LOSS LOSS CARGOMETRICS TECHNOLOGIES LLC SCH E 122,626. 122,626. TOTALS 122,626. 122,626. 91 STATEMENT(S) 41, 42, 43 EFTA00026384
GHISLAINE MAXWELL FORM 8582AMT SUMMARY OF PASSIVE ACTIVITIES - AMT STATEMENT 44 R R FORM E OR PRIOR NET UNALLOWED ALLOWED A NAME SCHEDULE GAIN/LOSS YEAR C/O GAIN/LOSS LOSS LOSS CARGOMETRICS SCH E TECHNOLOGIES LLC -118,351. -4,275. -122,626. 122,626. TOTALS -118,351. -4,275. -122,626. 122,626. PRIOR YEAR CARRYOVERS ALLOWED DUE TO CURRENT YEAR NET ACTIVITY INCOME TOTAL TO FORM 8582AMT, LINE 16 FORM 1116 U.S. AND FOREIGN SOURCE INCOME SUMMARY FOREIGN INTEREST INCOME STATEMENT 45 DESCRIPTION AMOUNT BARCLAYS 16,736. ION444‘l CATER ALLEN PRIVATE BANK 5,519. TOTAL FOREIGN INTEREST INCOME 22,255. FORM 1116 U.S. AND FOREIGN SOURCE INCOME SUMMARY TOTAL PARTNERSHIP/S-CORPORATION INCOME/LOSS STATEMENT 46 DESCRIPTION THE BLACKSTONE GROUP, LP ALPHAKEYS MILLENNIUM FUND, L.L.C. TOTAL PARTNERSHIP/S-CORPORATION INCOME/LOSS INCOME LOSS 121. -3,721. 121. -3,721. 92 STATEMENT(S) 44, 45, 46 EFTA00026385
2015 TAX RETURN FILING INSTRUCTIONS NEW YORK INCOME TAX RETURN FOR THE YEAR ENDING DECEMBER 31, 2015 Prepared for GHISLAINE MAXWELL C/O MARKS PANETH LLP-685 3RD AV NEW YORK, NY 10017 Prepared by MARKS PANETH LLP 685 THIRD AVENUE NEW YORK, NY 10017 Amount of tax Total tax Less: payments and credits Plus: interest and penalties OVERPAYMENT $ 15,560 Auk 24 634 0 9, .074 Overpayment Miscellaneous Donations 0 Credited to your estimated tax 9,074 Refunded to you 0 Make check payable to NOT APPLICABLE Mail tax return and check (if applicable) to THIS RETURN HAS BEEN PREPARED FOR ELECTRONIC FILING. PLEASE SIGN, DATE, AND RETURN FORM TR-579-IT TO OUR OFFICE. WE WILL SUBMIT YOUR ELECTRONIC RETURN TO THE NY TAX DEPT. Return must be mailed on or before RETURN FORM TR-579-IT TO US BY OCTOBER 17, 2016. Special Instructions 521;081 04•01• IS EFTA00026386
NEW YORK STATE 2015 Department of Taxation and Finance New York State E-File Signature Authorization for Tax Year 2015 For Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Electronic return originator (ERG): do not mail this form to the Tax Department. Keep it for your records. Taxpayers name: GHISLAINE MAXWELL Purpose Form TR57SIT must be completed to authorize an ERO toe-file a personal income tax return and to transmit bank account information for the electronic funds withdrawal. General Instructions Taxpayers must complete Part B before the ERO transmits the taxpayer's electronically filed Form 11201, ResWent Income Tax Return, IT-201-X, Amended Resident Income Tax Return,11-203, Nonresident and Part-Year Resident Income Tax Return,11-203-)( Amended Nonresident and Pad-Year Resident Income Tax Return, IT-214, Claim for Real Property Tax Credit, NYC-208, Claim for New York City Enhanced Real Property Tax Credit, or Ny0210, Claim for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR-5791T. Spouse's name: (Jointly filed return only) 588351 11.2545 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms IT-201, 11-201-X. IT-203, IT-20&X.17214, NYC-208, and NYC-210). Both the paid preparer and the ERO are required to sign Part C. However, if an individual performs as both the paid preparer and the ERO, he or she is only required to sign as the paid preparer. It is not necessary to include the ERO signature in this case. Please note that an alternative signature can be used as described in Publication 58. Information for Income Tax Return Preparers. Go to our Web site at wnw.tax.ny.gov to view this document. Do not mall Form TR-579-IT to the Tax Department. EROs must keep this form for three years and present it to the Tax Department upon request. This form is not required for electronically filed Form IT-370, Application for Automatic Six-Month Extension of Time to File for Individuals. See Form TR.579.14T. New York State Taxpayer Authorization for Electronic Funds Withdrawal for Tax Year 2015 Form IT-370. Part A - Tax return Information 1 Federal adjusted gross Income (from applicable line) 2 Refund 1. 2. 3 Amount you owe 3. 243496 0 Part B Declaration of taxpayer and authorizations for Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Under penalty of perjury, I declare that I have examined the information on my 2015 New York State electronic personal income tax return, including any accompanying schedules, attachments, and statements, and certify that my electronic return is true, correct, and complete. The ERO has my consent to send my 2015 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 State of all information pertaining to the transmission of my tax form electronically. I understand that by executing this Form TR-579-IT, I am authorizing the ERO to sign and file this return on my behalf and agree that the ERO's submission of my personal income tax return to the IRS. together with this authorization, will serve as the electronic signature for the return and any authorized payment transaction. If I am paying my New York State personal income taxes due by electronic funds withdrawal, I authorize the New York State Tax Department and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on my 2015 electronic return, and I authorize my financial institution to withdraw the amount from my account As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only by contacting the Tax Department no later than five (5) business days prior to the payment date. Taxpayers signature: Date: Spouse's signature: (jointly filed return only) Date: Part C Declaration of electronic return originator (ERO) and paid preparer Under penalty of perjury, I declare that the information contained in this 2015 New York State electronic personal income tax return is the information furnished to me by the taxpayer. If the taxpayer furnished me a completed paper 2015 New York State retum signed by a paid preparer, I declare that the information contained in the taxpayer's 2015 New York State electronic return is identical to that contained in the paper copy of the return. If I am the paid preparer, under penalty of perjury I declare that I have examined this 2015 New York State electronic personal income tax return, and, to the best of my knowledge and belief, the return is true, correct, and complete. I have based this declaration on all information available to me. ERO's signature: Print name: Paid preparer's signature: Print name: BLECHER , ALAN Date: Date: TR-579-IT (12/15) 1 1019 EFTA00026387
er NEW YORK , STATE 2015 Department of Taxation and Finance Application for Automatic Six-Month IT-370 Extension of Time to File for Individuals (with instructions) 5683°°94645 Instructions New for 2015 Selfemployed individuals engaging in business within the Metropolitan Commuter Transportation District (MCTD) must now submit then application for automatic six•month extension of time to file, along with any required payment for metropolitan commuter transportation mobility tax (MCTMT). using Form IT-370 rather than Form MIA?, Application for Automatic Six-Month Extension of Time To File a Metropolitan Commuter Transportation Mobility Tax Return. Form MTA•7 is obsolete. General information Purpose Ale Form IT370 on or before the due date of the return to get an automatic six•month extension of time to file Form IT201. Resident income Tax Return, or Form 11203, Nonresident and Pan-Year Resident Income Tax Return. Note: We no longer accept a copy of the federal extension form in place of Form IT370. If you are requesting an extension of time to file using Form IT-370, you may still file Form IT•201 or Form IT203 electronically, provided you meet the conditions for electronic fling as listed in the instructions for the forms. It you have to file Form Y.203, Yonkers Nonresident Earnings Tax Return, the time to file Is automatically extended when you fie Form IT,370. For more information on who is required to file Form Y203, see the instructions for the form. We cannot grant an extension of time to fie for more than six months if you live in the United States. However, you may qualify for an extension of time to file beyond st< months under section 157.3(b)(1) of the personal income tax regulations because you are outside the United States and Puerto Rico, or you intend to claim nonresident status under section 605(b)(1)(A)00 of the Tax Law (548.day rule). as explained in the instructions for Form IT-203 under Additional information. Also see the special condition code instructions for the return you will be filing (Form IT201 or Form IT-203). When to file File one completed Form 17370 on or before the filing deadline for your return (extension applications filed after the filing deadline for the return are invalid). Generally, the filing deadline is the fifteenth day of the fourth month following the close of your tax year (April 18, 2016, for calendarlear filers). However, you may file Form ITS70 on or before: • June 15, 2016, if you qualify for an automatic twomonth extension of time to file your federal and New York State income tax returns because you are out of the country (for additional information, see When to file/Important dates on the back cover of the instructions for the return you are filing) and you need an additional four months to file (October 17, 2016): • June 15, 2016. if you are a U.S. nonresident alien for federal income tax purposes and you qualify to file your federal and New York State Income tax returns on June 15, 2016, and you need an additional six months to file (December 15, 2016): or • July 14, 2016. (if your due date is April 18, 2016) or September 13, 2016 (if you are a nonresident alien and your due date is June 15, 2016), if you qualify for a 90.day extension of time to file because your spouse died within 30 days before your retum due date and you need additional time to file. However, you must file your return on or before October 17. 2016, if your due date is April 18. 2016. or on or before December 15, 2016, if you are a nonresident alien and your due date is June 15. 2016. See Special condition codes on page 2. If you qualify for an extension of time to file beyond six months. you must file Form IT•370 on or before the filing deadline for your return. .bito llow to file Complete Form 11%370 and file it, along with payment for any tax due, on or before the due date of your return. Use the worksheet on page 3 to determine if a payment is required. V Detach (cut) here• Do not submit with your return. 2015 NEW YORK Department of Taxation and Finance STATE Application for Automatic Six-Month Extension of Time to File for Individuals IT-370 Paid paperer/ Mark an X In tha box and complete pegs 2 Your scent sacunty number (SSM Spotc,e's SSN (only a Nog a pm room) Your test name and middle i111S GHISLAINE Your last name MAXWELL Spouse's Wet name and middleinitial CMS's last name Mailing address (number and *veal or PO boxl Apartment number C/0 MARKS PANETH LLP -685 3RD AV City. village. or post *Moe We inisectersi NEW YORK Slate NY ZIP coda 10017 E.mall: Enter your 2-climactor spacial 'Sender, Cede It applicable (see InstructionM Mark an X m the box to each tax that yOu we subject to: •I= NYS lax El NYC lax El Seekers tax D mcimr LI I Sales and use tax 2 Total payment Dollen 0 0 Cents 3701151019 1111111 1111 1111111 111111111 EFTA00026388
Page 2 of 2 IT-370 (2015) 568302 09.16-15 Spouses who file separate returns must complete separate Forms IT•370. Do not include your spouse's SSN or name on your separate Form IT•370. Payment of tax • To obtain an extension of time to file. you must make full payment of the properly estimated tax balances due. Payment may be made by check or money order. See Payment options below. Penalties Late payment penalty If you do not pay your tax liability when due (determined with regard to any extension of time to pay). you will have to pay a penalty of 1/2 of 1% of the unpaid amount for each month or part of a month it is not paid, up to a maximum of 25%. The penalty will not be charged if you can show reasonable cause for paying late. This penalty is in addition to the interest charged for late payments. Reasonable cause will be presumed with respect to the addition to tax for late payment of tax if the requirements relating to extensions of time to file have been complied with, the balance due shown on the :looms tax return, reduced by any sales or use tax that is owed, is no greater than 10% of the total New York State, New York City, Yonkers. and MCTMT tax shown on the income tax return, and the balance due shown on the income tax return is paid with the return. Late filing penalty • If you do not file your Form IT•201 or Form 11.203 when due (determined with regard to any extension of time to file), or if you do not file Form IT•370 on time and obtain an extension of time to file, you win have to pay a penalty of 5% of the tax due for each month, or part of a month, the return is late, up to a maximum of 25%. However• if your return is not filed within 60 days of the time prescribed for filing a return (including extensions). this penalty win not be less than the lesser of 5100 or 100% of the amount required to be shown as tax due on the return reduced by any tax paid and by any credit that may be claimed. The penalty will not be charged if you can show reasonable cause for filing late. Interest Interest will be charged on income tax. MCTMT. or sales or use tax that is not paid on or before the due date of your return. even if you received an extension of time to file your return. Interest is a charge for the use of Ilxxay and in most cases may not be waived. Interest is compounded daily and the rate is adjusted quarterly. Fee for payments returned by banks The law allows the Tax Department to charge a $50 fee when a check, money order. or electronic payment is returned by a bank for nonpayment. However• if an electronic payment is returned as a result of an error by the bank or the department, the department won't charge the fee. If your payment is returned, we will send a separate bill for $50 for each return or other tax document associated with the returned payment. Privacy notification See our Web site or Publication 54, Privacy Notification. Specific instructions Name and address box' Enter your name (both names if filing a joint application). address and social security number(s). Failure to provide a social security number may invalidate this extension. If you do not have a social security number, enter do not have one. If you do not have a social security number, but have applied for one, enter applied for. Foreign addresses Enter the information in the following order: city. province or state, and then country (all in the City, village. or post office box). Follow the country's practice for entering the postal code. Do not abbreviate the country name. Special condition codes • If you are out of the country and need an additional four months to file (October 17. 2016). enter special condition code Ed. If you are a nonresident alien and your filing due date is June 15, 2016. and you need an additional six months to file (December 15. 2016), enter special condition code fa If you qualified for a 9Oday extension of time to file because your spouse died, and you need additional time to file (on or before October 17, 2016, or in the case of a nonresident alien, on or before December 15. 2016). enter special condition code 00. Also enter the applicable special condition code, Ed. Ea or (19 on Form IT•201 or Form IT•203 when you file your return. • DetachIcutThere • Do not submit with Your return IT-370 (2015) (page 2) Payment options • Ful payment must be made by check or money order of any balance due with this automatic extension of time to file. Make the check or MLR rofy order payable in U.S. funds to New York State Income Tax and write your social security number and 2016 Income Tax on it. For online payment options. see our Web site (at www.tany.goln. Paid preparers • Under the law, all paid preparers must sign and complete he paid prepare/ section of the form. Paid preparers may be subject to civil and/or criminal sanctions if they fail to complete this section in full. When completing this section, enter your New York tax preparer registration identification number (NYTPRIN) if you are required to have one. If you are not required to have a NYTPRIN, enter in the NYTPRIN act code box one of the specified 2-digit codes listed below that indicates why you are exempt from the registration requirement. You must enter a NYTPRIN or an exclusion code. Also, you must enter your federal preparer tax identification number (PTIN) if you have one; if not, you must enter your social security number. V Paid preparer must complete ova instructions) V Data: Noon's slow. 0 IIIP. Pro/00meg NYIPRIN name (Or Mgt 6 640-001PIOYOW F MARKS PANETH LLP V Pc mars PTIN or AddrieS 685 THIRD AVENUE NEW YORK, NY 10017 e Empi“.icr ltlfintlf CATO) A.Ifill'rty 113518842 'vu ra 01 E.rnaii: Code Exemption type Code Exemption type 01 Attorney 02 Employee of attorney 03 CPA 04 Employee of CPA 05 PA (Public Accountant) 06 Employee of PA 07 Enrolled agent 08 Employee of enrolled agent 09 Volunteer lax preparer 10 tmpioyee ot business preparing that business return See ou Web site for more information about the tax preparer registr lion requirements. 3702151019 1111111 11111 11111111 111111111 EFTA00026389
IT-370 (2015) Page 1 of 1 Worksheet Instructions Complete the following worksheet to determine if you must make a payment with Form IT-370. If you enter an amount on lines 1,2, 3, or 4 of this worksheet. mark an X in the appropriate box on IT-370. Line 1 • Enter the amount of your New York State income tax liability for 2015 that you expect to enter on Form IT-201, line 46. or Form IT-203, line 50. Line 2 • Enter the amount of your New York City income tax liability for 2015 that you expect to enter on Form IT-201, line 54. or Form IT-203. line 52a. Line 3 • Enter the amount of your Yonkers income tax liability for 2015 that you expect to enter on FormIT201, lines 55.56. and 57: or Form IT-203. lines 53 and 54. Line 4 • Enter the amount of your MCTMT liability for 2015 that you expect to enter on Form 11%201, line 54b. or Form IT-203, line 52c. Line 5 • Enter the amount of sales and use tax, if any, that you will be required to report when you file your 2015 return. See the instructions for your NYS income tax return for information on how to compute your sales and use tax. Also enter this amount on line 1 on IT-370. Line 7 • Enter the amount of 2015 tax already paid that you expect to enter on Form IT-201, line 76, or Form IT-203, line 66 (excluding the amount paid with Form IT-370). 1 New Yet Mato Income lax liability tot 2015 2 New York City income lax liability kw 2015 3 Yonkers income lax liability lot 2015 4 &cum liability to 2015 5 Seen anti um tax due Mt 2015 (enter ells amount how and on the a on IT-37C6 5. Total taxes (add l I though Total 2015 Income tax already mkt TOW payment istestract line 7 (tom Me 6 and en* tile amount hAra and an We 2 en 77-370) r Ilne 7 $ more than line 5. e0W 0 6 7 8 1. 2. 3. 4. Worksheet Note: You may be subject to penalties if you underestimate the balance due. How to claim credit for payment made with this form Include the amount paid with Form IT-370 on Form IT-201. line 75, or Form 11-203. line 65. For more information, see the line instructions for the return you file. 558303 Where to file If you are enclosing a payment with Form IT-370, mail to: Extension Request PO Box 4125 Binghamton NY 13902-4125 If you are not enclosing a payment with Form IT-370, mail to: Extension Request-NR PO Box 4126 Binghamton NY 13902-4126 Private delivery services If you choose, you may use a private delivery service. instead of the U.S. Postal Service, to rrei in your form and tax payment. However, if, at a later date, you need to establish the date you filed or paid your tax, you cannot use the date recorded by a private delivery service unless you used a delivery service that has been designated by the U.S. Secretary of the Treasury or the Commissioner of Taxation and Finance. (Currently designated delivery services are listed in Publication 55, Designated Private Delivery Services. See Need help? below for information on obtaining forms and publications.) If you have used a designated private delivery service and need to establish the date you filed your form, contact that private delivery service for instructions on how to obtain written proof of the date your form was given to the delivery service for delivery. See Publication 55 for where to send the form covered by these instructions. Need help? Visit our Web site at www.tax.ny.gov e get information and manage your taxes online • check for new online services and features Telephone assistance Automated income tax refund status: (518) 457-5149 Personal Income Tax Information Center: (518) 457-5181 To order forms and publications: (518) 457-5431 Text Telephone (TTY) Hotline (for persons with heating and speech disabilities using a TTY): (518) 485-5082 Persons with disabilities: In compliance with the Americans with Disabilities Act. we will ensure that our lobbies. offices, meeting rooms, and other facilities are accessible to persons with disabilities. If you have questions about special accommodations for persons with disabilities, call the information center. 10-1945 EFTA00026390
2015 NEW YORK STATE Now York State • New York City • Yonkers • MCTMT For the full year January 1, 2015, through December 31, 2015, or fiscal year beginning and ending Department of Taxation and Finance Resident Income Tax Return For help comoletinft your return, see the instructions Form 11-201-I Your lest name All You last name PO, a pint return. enter spaces name on linebelow) Your date of birth Immdcartry) Your social seamy number GHISLAINE MAXWELL Spouse's first name All SAO last negro Spouse's due o both trttorldiforl Spouse's Social Wintry number Mailing address (see InstructiOnS. page 13) Inumlow and street co PO be, ) Apayment nurnixe New Yak State county of residence C/O MARKS PANETH LLP -685 3RD A NY City. villagp. a post orrice State ZIP cods Country Of not li NW Slates) School district nano NEW YORK NY 10017 MANHATTAN Taxpayer's permanent home address on Instructions. G,V) 13)(number and start or rural route) Apartment numter School detrict code hurts 369 City, village. or post °Moe State al. code Infs.:150,401001h rnmO11!)0 SONSISdliCOlOtati SWAIM)/ pzezol NY IT-201 A Filing status (mark an X in one box): O W Single D Married filing joint return (enter spouse's social security number above) 0 K Married filing separate return (enter spouse's social security number above) 0 K Head of household (with qualifying person) D Qualifying widow(er) with dependent child B Did you itemize your deductions on your 2015 federal income tax return? Yes❑ No D C Can you be claimed as a dependent on another taxpayer's federal return? Yes D No El H Dependent exemption information (see Page 15) First name MI Last name Relationship Social security number Date of birth (mmddyyYY) D1 Did you have a financial account located in a foreign country? (see page 14) Yes El No El D2 Yonkers residents and Yonkers part-year residents only: (1) Dld you receive a property tax freeze credit? El Yes No (see page 74) El (2) If Yes, enter the amount 00 E (1) Did you or your spouse maintain living quarters in NYC during 2015? (see page 14) Yes El No El (2) Enter the number of days spent In NYC in 2015 (any part of a day spent in NYC Is considered a day) F NYC residents and NYC part-year residents only (see page 14): (1) Number of months you lived in NYC in 2015 (2) Number of months your spouse lived in NYC in 2015 G Enter your 2-character special conclition code(s) if applicable (see page 14) 12 If more than 7 dependents. mark an X in the box. 201001151019 For office use only EFTA00026391
Page 2 of 4 IT-201 (2015) VOX SOON ud nurrace 568002 11.1745 Federal income and adjustments (seepage 15) 1 Wages, salaries, tips, etc. 2 Taxable interest income 3 Ordinary dividends 4 Taxable refunds, credits, or offsets of state and local income taxes (also enter on line 25) 5 Alimony received 6 Business Income or loss (submit a copy of federal Schedule Cot C-EZ, Form 1040) 7 Capital gain or loss (if required, submit a copy of federal Schedule D, Form 1040) 8 Other gains or losses (submit a copy of federal Form 4797) 9 Taxable amount of IRA distriputions. If received as a beneficiary, mark an X in the box 10 Taxable amount of pensions and annuities. If received as a beneficiary. mark an X in the box 11 Rental real estate, royalties, partnerships, S corporations, trusts, etc. (submit copy of federal Schedule E, Form 1040) 12 Rental real estate included in line 11 13 Farm income or loss (submit a copy of federal Schedule F, Form 1040) 14 Unemployment compensation 15 Taxable amount of social security benefits (also enter on line 27) 16 Other income Nee Papa IS) 'Identify: 17 Add lines 1 through 11 and 13 through 16 18 Total federal adjustments to income gee page IS)) Identlfy: Whole dollars only 1 00 2 63088 00 3 182240 00 4 00 5 00 6 -500 00 7 -3000 oo a 5310 00 9 00 10 00 11 -3642 oo 121 Igo 13 14 15 16 17 18 243496 00 00 00 00 00 00 19 Federal adjusted gross Income (subtract line 18 from Ana 17) New York additions (see Page 16) 20 Interest income on state and local bonds and obligations (but not those of NYS or its local governments) 21 Public employee 4140) retirement contributions from your wage and tax statements (see page 16) 22 New York's 529 college savings program distributions (see page 16) 23 Other (Form IT-225, line 9) 24 Add lines 19 through 23 New York subtractions (see Page TV 1 25 taxable rotunda crochet oeftsets ol state and INS Income taxes Orme 4) 26 Pensions et NYS and local governments and rite Nana government (a• page I7) 27 Taxable amount of social security benefits (from Me 15) 28 Interest income on U.S. government bonds 29 Pension and annuity income exclusion (see page 18) 30 New York's 529 college savings program deduction/eamIngs 31 Other Form 1T-225, line 18) 32 Add lines 25 through 31 33 New York adjusted gross Income (subtract tine 32 from fine 24) 19 243496 00 20 21 22 23 24 10000 00 00 00 00 00 25 26 27 28 29 30 31 00 00 00 00 00 00 00 893 15 Standard deduction or itemized deduction (see page 20) 34 Enter your standard deduction (table on page 20) or your itemized deduction (from Form IT-201-D) Mark an X in the appropriate box: Standard El Itemized 35 Subtract line 34 from line 33 (If line 34 is more than line 33, leave blank) 36 Dependent exemptions (enter the number of dependents listed in item H: see page 20) 37 Taxable income (subtract line 36 from line 35) Hill 32 33 106 253602 908 00 00 252694 34 101679 oo 35 151015 oo 36 000 00 37 151015 00 EFTA00026392
Namefs) as shown on page 1 Your soc" n i r GHISLAINE MAXWELL Tax computation, credits, and other taxes sGsno3 11.17.15 IT-201 (2015) Page 3 of 4 38 Taxable income (from fine 37 on page 2) 38 151015 00 39 NYS tax on line 38 amount (see page 21) 39 10042 00 40 NYS household credit (page 21, table 1, 2, or 3) 40 00 41 Resident credit (see page 22) 41 00 42 Other NYS nonrefundable credits (Form IT-201-ATT, Hne 7) 42 00 43 Add lines 40, 41, and 42 43 00 44 Subtract line 43 from line 39 Of line 43 ls more than line 39, leave blank) 44 10042 00 45 Net other NYS taxes (Form IT-201-A7T, fine 30) 45 00 46 Total New York State taxes (add lines 44 and 45) 46 10042 00 New York City and Yonkers taxes, credits, and surcharges, and MCTMT 47 NYC resident tax on line 38 amount (see page 22) 47 5391 00 48 NYC household credit (Page 22, table 4, 5, or 6) 48 00 49 Subtract line 48 from line 47 Of line 48 is more than line 47, leave blank) 49 5391 00 50 Part•year NYC resident tax (Form 1T-360.1) 50 00 51 Other NYC taxes (Form IT-201-ATT, line 34) 51 00 52 Add lines 49, 50, and 51 52 5391 00 53 NYC nonrefundable credits (Form 1T-201•ATT, line 10) 53 00 54 Subtract line 53 from line 52 (if gm 531s more than line 52, leave blank) 54 5391 00 Ma MCTMT net earnings base Mel 54b MCTMT Mb 00 55 Yonkers resident income tax surcharge (see page 25) . 55 00 56 Yonkers nonresident earnings tax (Form V-203) 56 00 57 Part-year Yonkers resident income tax surcharge (Form lT-360. 57 00 58 Total New York City and Yonkers taxes / surcharges and MCTMT (add lines 54 and 54b through 57) sal 59 Sales or use tax (see page 26; do not leave fine 59 ) 59 Voluntary contributions 60a Return a Gift to Wildlife 60a 00 60b Misstig/Exploited Children Fund 60b 00 60c Breast Cancer Research Fund 60c 00 60d Alzheimer's Fund 60d 00 60a Olympic Fund (52 or 34; see page 27) 60e 00 601 Prostate and Testicular Cancer Research and Education Fund 601 00 60g 9/11 Memorial 60g 00 60h Vaunteer Firefighting & EMS Recruitment Fund 60h 00 601 Teen Hearth Education 60i 00 60) Veterans Remembrance 60) 00 60k Homeless Veterans 60k 00 601 Mental Illness AntiStigrna Fund 601 00 60m Women's Cancers Education and Prevention Fund 60m 00 60 Total voluntary contributions (add fines 60a through 60m) too 61 Total New York State, New York City, Yonkers, and sales or use taxes, MCTMT, and voluntary contributions (add lines 46, 58, 59, and 60) 61 15560 00 (see page 27) See instructions on pages 22 through 25 to compute New York City and Yonkers taxes, credits, and surcharges, and MCTMT. 5391 00 127 00 201003151019 III II III EFTA00026393
Page 4 of 4 IT-201 (2015) Your soc' securi numb r %S004 It. '? '!, 82 Enter amount from line 61 Payments and refundable credltel (see page 28) 63 Empire State child credit 63a Family tax relief credit 64 NYS/NYC child and dependent care credit 65 NYS earned income credit (EIC) 66 NYS noncustodial parent EIC 67 Real property tax credit 68 College tuition credit 69 NYC school tax credit (also complete F on page 1; see page 29) 70 NYC earned income credit 70a NYC enhanced real property tax credit 71 Other refundable credits (Form 1T-201-ATT, Me 18) 72 Total New York State tax withheld 73 Total New York City tax withheld 74 Total Yonkers tax withheld 76 Total estimated tax payments and amount paid with Form IT-370 76 Total payments (add lines 63 through 75) Your refund, amount you owe, and account information 62 15560 00 63 00 63a 00 64 00 65 00 66 00 67 00 68 00 69 63 00 70 00 70a 00 71 00 72 00 If applicable, complete Form(s) IT-2 73 00 and/or IT-1099-R and submit them 74 00 with your return (seepage 12). 75 24571 00 (see pages 31 through 33) 77 Amount overpaid Of line 76 is more than line 62, subtract line 62 from line 76 78 Amount of line 77 to be refunded r direct r debit' check Mark one refund choice: Lj deposit „ p3) -or- Li card -Or- K check 79 Amount of line 77 that you want applied to your 2016 estimated tax (see instructions) 80 Amount you owe (il line 761s less than line 62, subtract line 76 front line 62). To pay by electronic funds withdrawal, mark an X in the box D and fig in lines 83 and 84. If you pay by check 76 24634 00 77 9074 00 78 00 79 9074 00 81 82 83 See page 31 for information about your three refund choices. See page 32 for payment options. or money order you must complete Form IT2014/ and mail it with your return 80 00 Estimated tax penalty (include this amount in line 80 See page 35 for the proper 00 or reduce the overpayment on Me 77: see page 32) assembly of your return. Other penalties and interest (see page 32) 82 00 Account information for direct deposit or electronic funds withdra If the funds for your payment (or refund) would come from (or go to) val (see page 33). an account outside the U.S., mark a n X in this box (see pg. 33) 83a Account type: D Personal checking - or - D Personal savings - or - D Business checking • or - D Business savings 83b Routing number 83c Account number 84 Electronic funds withdrawal (see page 33) Date Amount 00 Third-party Print designee's name desigmwonseeinstrJ BLECHER, ALAN Teen( No nEmit • Paid preparer must complete(w.nvflomi iirkrrwl PrepartOS SWOOP* Preparers printed name BLECHER, ALAN Frm's name to yowl/ tl Plit-OelplOyeM MARKS PANETH LLP Personal identification number (PIN) Ieau rode .' 01 Proper • PlIN or mews 685 THIRD AVENUE NEW YORK, NY mpitypoltrilitoolionnumhor 113518842 Dal frmI 201004151019 111 o III V Taxpayor(s) must sign here Your signature • Your OCCupatiOn CONSULTANT Spouse's signature awl Gott/DOWD tl Pint (OWN Date Elms See instructions for where to mall your return. EFTA00026394
04 2 r,• !fi 2015 NEW Department of Taxation and Finance 1T-201-D YORK Resident Itemized Deduction Schedule STATE Submit this form with Form IT-201. See instructions for completing Form 11.201O in the instructions for Form IT•201. Name(s) as shown on your Form IT•201 GHISLAINE MAXWELL Your socl 1 Medical and dental expenses (federal Schedule A, line 4) 2 Taxes you paid (federal Schedule Aline 9) 3 Interest you paid (federal Schedule A, line 15) 4 Gifts to charity (federal Schedule A, fine 19) 5 Casualty and theft losses (federal Schedule A, line 20) 6 Job expenses/miscellaneous deductions (federal Schedule A, fine 27) 7 Other miscellaneous deductions (federal Schedule A, line 28) 8 Enter amount from federal Schedule A, line 29 9 State. local. and foreign income taxes (or general sales tax, if appllcati and ether subtraction adjustments (see instructions) 10 Subtract line 9 from line 8 11 Addition adjustments (see instructions) 12 Add lines 10 and 11 13 Itemized deduction adjustment (see insatructinna) ihtb. 14 Subtract line 13 frcrn line 12 15 College tuition itemized deduction (see Form IT-272) STATEMENT 1 STATEMENT 2 16 Now York State itemized deduction (add lines 14 and 15; enter on Form IT-201, line 34) illimiliiii°IiI1111111111111 11111 y. ' et' h 1 1 /1fr Whole dollars only 1 00 2 119703 oo 3 1700 4 5353 00 5 00 6 40652 00 7 00 8 165725 oo 9 34571 00 10 131154 oo 11 4418 00 12 135572 00 13 33893 oo 14 101679 00 15 00 16 101679 oo EFTA00026395
er nIEW YORK STATE 2015 Department of Taxation and Finance New York State Modifications Attachment to Form IT-201, IT-203, IT-204, or IT-205 SCR-391 V•02-L. 1T-225 Name(s) as shown on return Identifying number as shown on return GHISLAINE MAXWELL Complete all pals that apply to you; see Instructions (Form 11-225-I). Submit this form with Form IT-201, IT-203, IT-204, or IT-205. Mark an X in the box identifying the return you are filing: 11201 QX 11203 ri 11-204 IT-205 Schedule A - New York State additions Omer whole dollars only) Part 1 - Individuals, partnerships, and estates or trusts 1 New York State additions la lb it ld 10 if Ig Number A- 111 A- 209 A - A - A - A - A - A - Total amount 90 00 16 00 00 00 00 00 00 2 Total (add column A, lines la through 1g) B - NYS allocated amount 00 00 00 00 00 00 00 3 Total of Schedule A, Part 1, column A amounts from additional Form(s)M225. If any 4 Add lines 2 and 3 Part 2 - Partners, shareholders, and beneficiaries Form IT-201 filers: do not enter EA-103 or EA-113 Form IT-203 filers: do not enter EA•113 Form IT-205 filers: do not enter EA•113 or FA•201 5 New York State additions 5a 5b 5e 5d 5e 5f 59 Number EA - EA - EA - EA - EA - EA - EA - A - Total amount 00 00 00 00 00 00 00 2 106 00 3 00 4 106 00 B - NYS allocated amount 00 00 00 00 00 00 00 6 Total (add column A, lines 5a through 5g) 7 Total of Schedule A. Part 2, column A amounts from additional Form(s) 1225. If any 8 Add lines 6 and 7 9 Total additions (add lines 4 and 8; see instructions) 225001151019 6 00 7 00 00 9 106 00 (continued) EFTA00026396
IT-225 (2015) (page 2) 588397 12.02.15 Schedule B - New York State subtractions (enter whole dollars only) Part 1 - Individuals, partnerships, and estates or trusts 10 New York State subtractions 10a 10b 10c 10cl 10e 10t 109 Number s- 213 S - S - S - S - S - S - A - Total amount 15 00 00 00 00 00 00 00 B - NYS allocated amount 00 00 00 00 00 00 00 11 Total (add column A, lines 10a through 10g) 12 Total of Schedule B. Part 1. column A amounts from additional Form(s) IT-225. if any 13 Add lines 11 and 12 11 15 00 12 00 13 15 00 Part 2 - Partners, shareholders, and beneficiaries Form IT-201 filers: do not enter ES-103, ES-104, ES-106, ES-107, or ES•125 Form IT-203 filers: do not enter ES-106, ES-107, or ES•125 Form IT-205 filers: do not enter ES-125 14 New York State subtractions 14a 14b 14c 14d 14e 14t 14g Number ES - ES - ES - ES - ES - ES - ES - A - Total amount 00 00 00 00 00 00 00 B - NYS allocated amount 00 00 00 00 00 00 00 15 Total (add column A, lines 14a through 14g) 16 Total of Schedule B. Part 2. column A amounts from additional Form(s) IT-225. if any 17 Add lines 15 and 16 18 Total subtractions (add lines 13 and 17; see instructions) 225002151019 15 00 16 00 kid 00 18 15 00 EFTA00026397
Department of Taxation and Finance Underpayment of Estimated Tax 2015 By Individuals and Fiduciaries New York State • Now York City a Yonkers a MCTMT Name(s) as shown on return II, GHISLAINE MAXWELL art 1 - All filers must complete this part (see instructions. Form IT 2105.9.1. for assistance) NEW YORK STATE IT-2105.9 Identification number (SSN or EiN) 1 Total tax from your 2015 return before withholding and estimated tax payments (caution: see instructions) 2 Empte State child credit (from Form IT-201, fine 63) 3 NYS/NYC child and dependent care credit (from Form IT-201, fine 64) 4 NY State earned income credit (EIC) (from Form IT-201, Nne 65) 5 NY State noncustodial parent EIC (from Font) IT-201, fine 66) 6 Real property tax credit (from Form IT-201, line 67) 7 College tuition credit (from Form IT-201, line 68) 7a Property tax freeze credit (see Instructions) 7b Family tax relief credit (from Form IT-201, AS 62a) 8 NY City school tax credit (from Form IT-201, line 69, or Form IT-203, line 60) 9 NY City earned income credit (from Form IT-201, fine 70) 9a NY City enhanced real property tax credit (from Form IT-201, line 7th) 10 Other refundable credits Nom Fan, rt.201.11n0 I:Forma-203.nm CI: oFpm lr-205,M53) 11 Add fries 2 through 10 12 Current year tax (subtract AS 11 from AS 1) Ali- 13 Multiply line 12 by 909E (.90) 2 3 4 5 6 7 .00 .00 .00 .00 .00 .00 .00 .00 7a 7b e 9 63.0o .00 .00 .00 9a 10 131 13833.0o 14 Income taxes withheld (Iron Form IT.201. Mee 72.75.000 74; Fpm IT-203. lines 62.63.040 64: or Form 11.205. linos 34. 35. 000 36) 15 Subtract line 14 from line 12. If the result Is less than $300, do not complete the rest of this form (see Instructions) 16 Enter your 2014 tax (caution: see instructions) 110% 17 Enter the smaller of line 13 or line 16 Part 2 - Short method for computing the penalty -complete lines 18 through 24 if you paid withholding tax and/or estimated tax installments (on the due dates), or If you made no payments of estimated tax. Otherwise, you must complete Part 3 - 18 Enter the amount from line 14 above 18 .00 19 Enter the total amount of estimated tax payments you made (see instructions) 19 .00 20 Add lines 18 and 19 20 .00 21 Total underpayment for yea'. Subtract line 20 from line 17 (if zero or less, you do not owe the penal y) 21 .00 22 Multiply line 21 by .05000 and enter the result 22 00 23 If the amount on line 21 was paid on or alter April 15. 2016. enter 0. If the amount on line 21 was paid before April 15, 2016, make the following computation to find the amount to enter on this line: Amount on line 21 x number of days paid before April 15, 2016 x .00020 = 23 .00 24 Penalty. Subtract line 23 from file 22 24 I 00 Enter here and on Form IT-201, line 81: Form 11%203. line 71: or Form IT205. line 42. Part 3 - Regular method - Schedule A - Computing your underpayment (Schedule e is on page 2) Payment due dates A 4/15/15 B 6/15/15 C 9/15/15 D 1/15/16 25 Required installments. Enter Y. of line 17 in each column. 47f you used the annualized income installment method, see instructions.) 25 3458.00 3458.00 3458.00 3459.00 26 Estimated tax paid and tax withheld (see instructions) Complete lines 27 through 29, one column at a time, starting in column A. 27 Overpayment or underpayment from prior period 26 17571 .00 2000 .00 5000 .00 27 14113 .00 12655 .00 14197 au 28 It line 27 is an overpayment, add lines 26 and 27: it line 27 is an underpayment, subtract line 27 from line 26 (see Instr.) 29 Underpayment (subtract line 28 from line 25) or overpayment (subtract line 25 from line 28: see inst uctions) 28 17571 .00 16113 .00 17655 .00 14197.00 29 14113 .00 12655 .00 14197 .00 1073800 IIII1111ci 5oliiiiii°11 III nu 15433.0o 11 63 oo 12 15370.0o 14 .00 15370.0o 16 16130.0o 17 13833.0o paid four equal Regular method. EFTA00026398
IT-2105.9 (2015) (page 2) 568052 11-17-15 Part 3 - Regular method - Schedule B - Computing the penalty Payment due dates 30 Amount of underpayment (from line 29) First Installment (April 15 - June 15, 2015) 31 April 15 • June 15 = (61 t 365) x 7.5% = .01253 April 15 • It 365)x 7.5%= • 32 Multiply line 30. column A by line 31 A 4/15/15 30 .00 8 6/15/15 .00 C 9/15/15 .00 D 1/15/16 31 32 Second Installment (June 15 • September 15. 2015) 33 June 15. September 15 = (92 * 365) x 7.5% = .01890 June 15. = 365) x 7.5% = • 34 Multiply line 30. column B by line 33 Third installment (September 16, 2016 - January 15, 2018) 35 September 15 • December 31 = (107 + 365) x 7.5% = .02198 January 1 • January 15 = (15 366)x 7.5% = .00306 02504 Total September 15 - = ( 365) x 7.5% = January 1 • ( * 366) x 7,5% = • 33 34 36 Multiply line 30. column C by line 35 Fourth installment (January 15 - April 15, 2018)._ 37 January 15 April 15 = (91 366) x 7.5% = .01864 January 15- =(I *366)x 7.5% egg • Total 38 Multiply line 30, column D by line 37 39 Penalty. Add lines 32, 34, 36, and 38. Enter here and on Forni IT-201. tine 81: Form IT-203, line 71: or Form IT-205, line 42 059002151019 Submit this form with your New York State return. 35 36 uJ 37 38 .00 39 0.00 EFTA00026399
GHISLAINE MAXWELL NY IT-201-D ITEMIZED DEDUCTION WORKSHEET - ADDITION ADJUSTMENTS STATEMENT 1 DESCRIPTION AMOUNT INTEREST EXP. RELATED TO U.S. OBLIGATIONS 90. BOND PREMIUM 4,328. TOTAL TO FORM IT-201-D, LINE 11 4,418. 14 STATEMENT(S) 1 EFTA00026400
GHISLAINE MAXWELL NY IT-201-D WORKSHEET 3 - ITEMIZED DEDUCTION ADJUSTMENT STATEMENT 2 1. NEW YORK ADJUSTED GROSS INCOME FROM FORM IT-201, LINE 33 OR FORM IT-203, LINE 32 2. FILING STATUS 1 OR 3 ENTER $100,000, OR FILING STATUS 4 ENTER $150,000, OR FILING STATUS 2 OR 5 ENTER $200,000 3. SUBTRACT LINE 2 FROM LINE 1 4. ENTER THE LESSOR OF LINE 3 OR $50,000 5. DIVIDE LINE 4 BY $50,000 AND CARRY THE RESULT TO 4 DECIMAL PLACES 6. ENTER 25% OF FORM IT-201-D, LINE 12 (IT-203-D, LINE 13) 7. MULTIPLY LINE 5 BY LINE 6 AND TRANSFER THIS AMOUNT TO FORM IT-201-D LINE 13 (IT-203-D, LINE 14) 252,694. 100,000. 152,694. 50,000. 1.0000 33,893. 33,893. 15 STATEMENT(S) 2 EFTA00026401










