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This Product Contains Sensitive Taxpayer Data

Wage and Income Transcript

Request Date: 06-14-2024
Response Date: 06-14-2024
Tracking Number: 106130510109

SSN Provided: 647-40-0297
Tax Period Requested: December, 2020

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):201406720
XERIOM INC
916 E BASELINE RD
MESA, AZ 85204-0000

Employee:

Employee's Social Security Number: 647-40-0297
CHANDLER S KINSEY
5135 E EVERGREEN ST
MESA, AZ 85205-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$17,135.00
Federal Income Tax Withheld:$1,353.00
Social Security Wages:$17,135.00
Social Security Tax Withheld:$1,062.00
Medicare Wages and Tips:$17,135.00
Medicare Tax Withheld:$248.00
Social Security Tips:$0.00
Allocated Tips:$0.00
Dependent Care Benefits:$0.00
Deferred Compensation:$0.00
Code "Q" Nontaxable Combat Pay:$0.00
Code "W" Employer Contributions to a Health Savings Account:$0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan:$0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan:$0.00
Code "R" Employer's Contribution to MSA:$0.00
Code "S" Employer's Contribution to Simple Account:$0.00
Code "T" Expenses Incurred for Qualified Adoptions:$0.00
Code "V" Income from exercise of non-statutory stock options:$0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:$0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:$0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$0.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:$0.00
Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement:$0.00
Code "GG" Income from Qualified Equity Grants Under Section 83(i):$0.00
Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close of the Calendar Year:$0.00
Third Party Sick Pay Indicator:Unanswered
Retirement Plan Indicator:Unanswered
Statutory Employee:Not Statutory Employee
W2 Submission Type:
W2 WHC SSN Validation Code:Correct SSN

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):462852392
DOORDASH FKA PALO ALTO DELIVERY
303 2ND STREET
SAN FRANCISCO, CA 94107-0000

Employee:

Employee's Social Security Number: 647-40-0297
CHANDLER S KINSEY
5135 E EVERGREEN ST UN
MESA, AZ 85205-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$12,939.00
Federal Income Tax Withheld:$77.00
Social Security Wages:$12,939.00
Social Security Tax Withheld:$802.00
Medicare Wages and Tips:$12,939.00
Medicare Tax Withheld:$187.00
Social Security Tips:$0.00
Allocated Tips:$0.00
Dependent Care Benefits:$0.00
Deferred Compensation:$0.00
Code "Q" Nontaxable Combat Pay:$0.00
Code "W" Employer Contributions to a Health Savings Account:$0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan:$0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan:$0.00
Code "R" Employer's Contribution to MSA:$0.00
Code "S" Employer's Contribution to Simple Account:$0.00
Code "T" Expenses Incurred for Qualified Adoptions:$0.00
Code "V" Income from exercise of non-statutory stock options:$0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:$0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:$0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$159.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:$0.00
Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement:$0.00
Code "GG" Income from Qualified Equity Grants Under Section 83(i):$0.00
Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close of the Calendar Year:$0.00
Third Party Sick Pay Indicator:Unanswered
Retirement Plan Indicator:Unanswered
Statutory Employee:Not Statutory Employee
W2 Submission Type:
W2 WHC SSN Validation Code:Correct SSN

Form W-2 Wage and Tax Statement

Employer:

Employer Identification Number (EIN):943312731
3D DATACOM
11365 SUNRISE GOLD CIR
RANCHO CORDOVA, CA 95742-0000

Employee:

Employee's Social Security Number: 647-40-0297
CHANDLER S KINSEY
5135 E. EVERGREEN STRE
MESA, AZ 85205-0000

Submission Type:Original document
Wages, Tips and Other Compensation:$1,250.00
Federal Income Tax Withheld:$85.00
Social Security Wages:$1,250.00
Social Security Tax Withheld:$77.00
Medicare Wages and Tips:$1,250.00
Medicare Tax Withheld:$18.00
Social Security Tips:$0.00
Allocated Tips:$0.00
Dependent Care Benefits:$0.00
Deferred Compensation:$0.00
Code "Q" Nontaxable Combat Pay:$0.00
Code "W" Employer Contributions to a Health Savings Account:$0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation plan:$0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation plan:$0.00
Code "R" Employer's Contribution to MSA:$0.00
Code "S" Employer's Contribution to Simple Account:$0.00
Code "T" Expenses Incurred for Qualified Adoptions:$0.00
Code "V" Income from exercise of non-statutory stock options:$0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:$0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:$0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:$0.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b) Plan:$0.00
Code "FF" Permitted benefits under a qualified small employer health reimbursement arrangement:$0.00
Code "GG" Income from Qualified Equity Grants Under Section 83(i):$0.00
Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close of the Calendar Year:$0.00
Third Party Sick Pay Indicator:Unanswered
Retirement Plan Indicator:Unanswered
Statutory Employee:Not Statutory Employee
W2 Submission Type:
W2 WHC SSN Validation Code:Correct SSN

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):384019216
ROBINHOOD SECURITIES LLC
500 COLONIAL CENTER PARKWAY SUITE 100
LAKE MARY, FL 32746-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN ST 1250
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):WSC308887127
Date Sold or Disposed:09-10-2020
CUSIP Number:71948P100
Gross Proceeds:Nothing checked
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$48.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$49.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:PHUNWARE INC COMMON STOCK
Second Notice Indicator:
Date Acquired:00-00-0000
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):384019216
ROBINHOOD SECURITIES LLC
500 COLONIAL CENTER PARKWAY SUITE 100
LAKE MARY, FL 32746-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN ST 1250
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):WSC308887128
Date Sold or Disposed:12-29-2020
CUSIP Number:71948P100
Gross Proceeds:Nothing checked
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$0.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$0.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:PHUNWARE INC COMMON STOCK
Second Notice Indicator:
Date Acquired:09-04-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804694
Date Sold or Disposed:09-18-2020
CUSIP Number:143658300
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$45.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$45.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:3 CARNIVAL CORP PAIRED CTF
Second Notice Indicator:
Date Acquired:09-18-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804695
Date Sold or Disposed:09-18-2020
CUSIP Number:143658300
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$14.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$14.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:0.92927308 CARNIVAL CORP PAIRED CT
Second Notice Indicator:
Date Acquired:09-18-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804696
Date Sold or Disposed:12-22-2020
CUSIP Number:143658300
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$7.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$8.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:0.37771482 CARNIVAL CORP PAIRED CT
Second Notice Indicator:
Date Acquired:12-22-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804697
Date Sold or Disposed:09-17-2020
CUSIP Number:45773H201
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$45.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$49.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:3 INOVIO PHARMACEUTICALS INC COM NEW
Second Notice Indicator:
Date Acquired:09-17-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804698
Date Sold or Disposed:09-17-2020
CUSIP Number:45773H201
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$10.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$12.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:0.68357487 INOVIO PHARMACEUTICALS INC
Second Notice Indicator:
Date Acquired:09-17-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804699
Date Sold or Disposed:11-04-2020
CUSIP Number:54975P102
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$25.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$25.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:2 LUFAX HOLDING LTD ADS REP SHS CL
Second Notice Indicator:
Date Acquired:11-04-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804700
Date Sold or Disposed:11-04-2020
CUSIP Number:54975P102
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$4.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$4.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:0.33826968 LUFAX HOLDING LTD ADS RE
Second Notice Indicator:
Date Acquired:11-04-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804701
Date Sold or Disposed:09-04-2020
CUSIP Number:594918104
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$48.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$50.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:0.23138507 MICROSOFT CORP COM
Second Notice Indicator:
Date Acquired:09-04-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804702
Date Sold or Disposed:09-17-2020
CUSIP Number:68389X105
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$59.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$59.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:1 ORACLE CORP COM
Second Notice Indicator:
Date Acquired:09-17-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804703
Date Sold or Disposed:09-17-2020
CUSIP Number:68389X105
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$1.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$1.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:0.01757322 ORACLE CORP COM
Second Notice Indicator:
Date Acquired:09-17-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804706
Date Sold or Disposed:09-18-2020
CUSIP Number:68389X105
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$59.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$60.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:1.000000 ORACLE CORP COM
Second Notice Indicator:
Date Acquired:00-00-0000
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):455356564
DRIVEWEALTH, LLC
97 MAIN ST 2ND FLOOR
CHATHAM, NJ 07928-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER KINSEY
5135 E EVERGREEN
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):7804707
Date Sold or Disposed:09-18-2020
CUSIP Number:68389X105
Gross Proceeds:Gross proceeds
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$0.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$0.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:0.01548193 ORACLE CORP COM
Second Notice Indicator:
Date Acquired:09-17-2020
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):800429876
SQUARE, INC.
1455 MARKET STREET
SAN FRANCISCO, CA 94103-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER SCOTT KINSEY
5135 EAST EVERGREEN STREET
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):16546561T7
Date Sold or Disposed:12-17-2020
CUSIP Number:0000000000000
Gross Proceeds:Nothing checked
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$2.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$0.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:SEE DETAIL STATEMENT
Second Notice Indicator:
Date Acquired:00-00-0000
Noncovered Security Indicator:Noncovered Security Basis not reported to IRS
Type of Gain or Loss Code:
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN):800429876
SQUARE, INC.
1455 MARKET STREET
SAN FRANCISCO, CA 94103-0000

Recipient:

Recipient's Identification Number: 647-40-0297
CHANDLER SCOTT KINSEY
5135 EAST EVERGREEN STREET
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):16546567T7
Date Sold or Disposed:12-22-2020
CUSIP Number:0000000000000
Gross Proceeds:Nothing checked
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Proceeds:$1.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$0.00
Wash Sale Loss Disallowed:$0.00
Accrued Market Discount Amount:$0.00
Description:SEE DETAIL STATEMENT
Second Notice Indicator:
Date Acquired:00-00-0000
Noncovered Security Indicator:Noncovered Security Basis not reported to IRS
Type of Gain or Loss Code:
Applicable Check Box on Form 8949:Transactions that do not flow to Form 8949
Loss Not Allowed Indicator:
FATCA Filing Requirement:Box not checked no Filing Requirement
Proceeds from:Box not checked

Form 1099-G

Payer:

Payer's Federal Identification Number (FIN):860369595
ARIZONA DEPARTMENT OF ECONOMIC SECURITY
SITE CODE 721A
PO BOX 6123
PHOENIX, AZ 85005-6123

Recipient:

Recipient's Identification Number: 647-40-0297
KINSEY CHANDLER S
5135 E EVERGREEN ST UNIT 1250
MESA, AZ 85205-5313

Submission Type:Original document
Account Number (Optional):0007477344
RTAA Payments:$0.00
Tax Withheld:$137.00
Taxable Grants:$0.00
Unemployment Compensation:$5,213.00
Agricultural Subsidies:$0.00
Prior Year Refund:$0.00
Market gain on Commodity Credit Corporation loans repaid:$0.00
Year of Refund:Not Set
1099G Offset:Not Refund, Credit, or Offset for Trade or Business
Second TIN Notice:

Form 1099-G

Payer:

Payer's Federal Identification Number (FIN):866004791
ARIZONA DEPARTMENT OF REVENUE
1600 W MONROE
PHOENIX, AZ 85007-0000

Recipient:

Recipient's Identification Number: 647-40-0297
KINSEY CHANDLER
5135 E EVERGREEN ST APT 1250
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):202001995505
RTAA Payments:$0.00
Tax Withheld:$0.00
Taxable Grants:$0.00
Unemployment Compensation:$0.00
Agricultural Subsidies:$0.00
Prior Year Refund:$75.00
Market gain on Commodity Credit Corporation loans repaid:$0.00
Year of Refund:2019
1099G Offset:Not Refund, Credit, or Offset for Trade or Business
Second TIN Notice:

Form 1099-R Distributions from Pensions, Annuities, Retire or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.

Payer:

Payer's Federal Identification Number (FIN):046568107
FIDELITY INVESTMENTS
100 MAGELLAN WAY KW1C
COVINGTON, KY 41015-0000

Recipient:

Recipient's Identification Number: 647-40-0297
KINSEY CHANDLER
5135 E EVERGREEN ST
MESA, AZ 85205-0000

Submission Type:Original document
Account Number (Optional):20210109032106332499
Distribution Code Value:Early Distribution, no known exception (in most cases, under age 59 1/2)
Distribution Code:1
Distribution Code Value:Not significant
Distribution Code:Blank
Tax Amount Undetermined Code:Not checked
Total Distribution Code:Total Distribution
First Year Roth Contribution:0000
SEP Indicator:IRA/SEP/SIMP box not checked
FATCA Indicator:not FATCA
Date of Payment for Reportable Death Benefits under Section 6050Y:00-00-0000
Tax Withheld:$0.00
Total Employee Contributions:$0.00
Unrealized Appreciation:$0.00
Other Income:$0.00
Gross Distribution:$197.00
Taxable Amount:$197.00
Eligible Capital Gains:$0.00
Amount to IRR:$0.00

This Product Contains Sensitive Taxpayer Data