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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: 106130510057

SSN Provided: 647-40-0297
Tax Period Requested: December, 2021

Form W-2 Wage and Tax Statement

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

Form W-2 Wage and Tax Statement

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

Form W-2 Wage and Tax Statement

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

Form 1099-NEC Nonemployee Compensation

Issuer/Provider:

Issuer's/Provider's Federal ID No.:300997468
GB LOGISTICS LLC
537 N 3RD STREET
PHILADELPHIA, PA 19123-0000

Recipient:

Recipient's ID No.: 647-40-0297
KINSEY CHANDLER
5135 EAST EVERGREEN ST
MESA, AZ 85205-0000

Submission Type:Original document
Second Notice Indicator:No Second Notice
Federal Income Tax Withheld:$0.00
Non-Employee Compensation::$2,668.00
Direct Sales Indicator:No direct sales

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

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

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

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

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

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

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

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

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

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

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

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

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

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

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

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

This Product Contains Sensitive Taxpayer Data