| |
Employer:
| |
Employer Identification Number (EIN):203754038 |
VIVINT INC | |
4931 NORTH 300 WEST | |
PROVO, UT 84604-0000 | |
| |
Employee:
| |
Employee's Social Security Number:
647-40-0297 |
CHANDLER S KINSEY | |
2160 S KEENE | |
MESA, AZ 85209-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $11,264.00 |
Federal Income Tax Withheld: | $71.00 |
Social Security Wages: | $11,264.00 |
Social Security Tax Withheld: | $698.00 |
Medicare Wages and Tips: | $11,264.00 |
Medicare Tax Withheld: | $163.00 |
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 |
| |
Employer:
| |
Employer Identification Number (EIN):861915037 |
HOWARD ET AL V WEBCOM GROUP INC | |
14751 PLAZA DR STE J | |
TUSTIN, CA 92780-8011 | |
| |
Employee:
| |
Employee's Social Security Number:
647-40-0297 |
CHANDLER S KINSEY | |
5135 E EVERGREEN 1250 | |
MESA, AZ 85206-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $74.00 |
Federal Income Tax Withheld: | $16.00 |
Social Security Wages: | $74.00 |
Social Security Tax Withheld: | $4.00 |
Medicare Wages and Tips: | $74.00 |
Medicare Tax Withheld: | $1.00 |
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 |
| |
Employer:
| |
Employer Identification Number (EIN):943312731 |
3D TECHNOLOGY SERVICES | |
11365 SUNRISE GOLD CIR | |
RANCHO CORDOVA, CA 95742-0000 | |
| |
Employee:
| |
Employee's Social Security Number:
647-40-0297 |
CHANDLER S KINSEY | |
5135 E EVERGREEN STREE | |
MESA, AZ 85205-0000 | |
| |
Submission Type: | Original document |
Wages, Tips and Other Compensation: | $45,712.00 |
Federal Income Tax Withheld: | $5,025.00 |
Social Security Wages: | $45,712.00 |
Social Security Tax Withheld: | $2,834.00 |
Medicare Wages and Tips: | $45,712.00 |
Medicare Tax Withheld: | $662.00 |
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 |
| |
Payer:
| |
Payer's Federal Identification Number (FIN):455356564 |
DRIVEWEALTH, LLC | |
15 EXCHANGE PLACE | |
JERSEY CITY, NJ 07302-0000 | |
| |
Recipient:
| |
Recipient's Identification Number:
647-40-0297 |
CHANDLER KINSEY | |
5135 E EVERGREEN | |
MESA, AZ 85205-0000 | |
| |
Submission Type: | Original document |
Account Number (Optional): | 5710731 |
Date Sold or Disposed: | 06-08-2021 |
CUSIP Number: | 00206R102 |
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: | $11.00 |
Wash Sale Loss Disallowed: | $0.00 |
Accrued Market Discount Amount: | $0.00 |
Description: | 0.38022813 AT&T INC COM |
Second Notice Indicator: | No Second Notice |
Date Acquired: | 06-08-2021 |
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 |
| |
Payer:
| |
Payer's Federal Identification Number (FIN):464364776 |
ROBINHOOD CRYPTO LLC | |
85 WILLOW ROAD | |
MENLO PARK, CA 94025-0000 | |
| |
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): | 9520324 |
Date Sold or Disposed: | 02-05-2021 |
CUSIP Number: | DOGEUSD |
Gross Proceeds: | Net 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: | $0.00 |
Wash Sale Loss Disallowed: | $0.00 |
Accrued Market Discount Amount: | $0.00 |
Description: | 321 DOGECOIN TO US DOLLAR |
Second Notice Indicator: | No Second Notice |
Date Acquired: | 00-00-0000 |
Noncovered Security Indicator: | Noncovered Security Basis not reported to IRS |
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 |
| |
Payer:
| |
Payer's Federal Identification Number (FIN):464364776 |
ROBINHOOD CRYPTO LLC | |
85 WILLOW ROAD | |
MENLO PARK, CA 94025-0000 | |
| |
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): | 9520329 |
Date Sold or Disposed: | 07-27-2021 |
CUSIP Number: | DOGEUSD |
Gross Proceeds: | Net Proceeds |
Bartering: | $0.00 |
Federal Income Tax Withheld: | $0.00 |
Proceeds: | $5.00 |
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: | 28 DOGECOIN TO US DOLLAR |
Second Notice Indicator: | No Second Notice |
Date Acquired: | 00-00-0000 |
Noncovered Security Indicator: | Noncovered Security Basis not reported to IRS |
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 |
| |
Payer:
| |
Payer's Federal Identification Number (FIN):800429876 |
BLOCK, INC. | |
F/K/A 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): | 26615407T7 |
Date Sold or Disposed: | 12-22-2021 |
CUSIP Number: | 0000000000000 |
Gross Proceeds: | Nothing checked |
Bartering: | $0.00 |
Federal Income Tax Withheld: | $0.00 |
Proceeds: | $19.00 |
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: | No Second Notice |
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 |
| |
Payer:
| |
Payer's Federal Identification Number (FIN):800429876 |
BLOCK, INC. | |
F/K/A 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): | 26616981T7 |
Date Sold or Disposed: | 12-13-2021 |
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: | No Second Notice |
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 |
| |
Payer:
| |
Payer's Federal Identification Number (FIN):800429876 |
BLOCK, INC. | |
F/K/A 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): | 26618948T7 |
Date Sold or Disposed: | 06-25-2021 |
CUSIP Number: | 0000000000000 |
Gross Proceeds: | Nothing checked |
Bartering: | $0.00 |
Federal Income Tax Withheld: | $0.00 |
Proceeds: | $9.00 |
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: | No Second Notice |
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 |
| |
Payer:
| |
Payer's Federal Identification Number (FIN):800429876 |
BLOCK, INC. | |
F/K/A 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): | 26620890T7 |
Date Sold or Disposed: | 07-16-2021 |
CUSIP Number: | 0000000000000 |
Gross Proceeds: | Nothing checked |
Bartering: | $0.00 |
Federal Income Tax Withheld: | $0.00 |
Proceeds: | $9.00 |
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: | No Second Notice |
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 |
| |
Payer:
| |
Payer's Federal Identification Number (FIN):800429876 |
BLOCK, INC. | |
F/K/A 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): | 26623793T7 |
Date Sold or Disposed: | 03-25-2021 |
CUSIP Number: | 0000000000000 |
Gross Proceeds: | Nothing checked |
Bartering: | $0.00 |
Federal Income Tax Withheld: | $0.00 |
Proceeds: | $9.00 |
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: | No Second Notice |
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 |