| |
|
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 | |
| 2217 N POWER RD | |
| MESA, AZ 85215-0000 | |
| |
| Submission Type: | Original document |
| Wages, Tips and Other Compensation: | $78,339.00 |
| Federal Income Tax Withheld: | $726.00 |
| Social Security Wages: | $78,755.00 |
| Social Security Tax Withheld: | $4,882.00 |
| Medicare Wages and Tips: | $78,755.00 |
| Medicare Tax Withheld: | $1,141.00 |
| Social Security Tips: | $0.00 |
| Allocated Tips: | $0.00 |
| Dependent Care Benefits: | $0.00 |
| Deferred Compensation: | $416.00 |
| 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: | $41.00 |
| 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: | Yes - retirement plan |
| 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): | 29153644 |
| Date Sold or Disposed: | 11-14-2022 |
| CUSIP Number: | 143658300 |
| 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: | $3.00 |
| Wash Sale Loss Disallowed: | $0.00 |
| Accrued Market Discount Amount: | $0.00 |
| Description: | 0.47080979 CARNIVAL CORP COMMON ST |
| Second Notice Indicator: | No Second Notice |
| Date Acquired: | 10-24-2022 |
| 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):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): | 29153645 |
| Date Sold or Disposed: | 11-15-2022 |
| CUSIP Number: | 143658300 |
| Gross Proceeds: | Gross 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: | $4.00 |
| Wash Sale Loss Disallowed: | $0.00 |
| Accrued Market Discount Amount: | $0.00 |
| Description: | 0.53956834 CARNIVAL CORP COMMON ST |
| Second Notice Indicator: | No Second Notice |
| 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 |
| |
|
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): | 29153646 |
| Date Sold or Disposed: | 11-16-2022 |
| CUSIP Number: | 143658300 |
| Gross Proceeds: | Gross proceeds |
| Bartering: | $0.00 |
| Federal Income Tax Withheld: | $0.00 |
| Proceeds: | $28.00 |
| 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: | $29.00 |
| Wash Sale Loss Disallowed: | $1.00 |
| Accrued Market Discount Amount: | $0.00 |
| Description: | 3.00000000 CARNIVAL CORP COMMON ST |
| Second Notice Indicator: | No Second Notice |
| 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 |
| |
|
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): | 29153647 |
| Date Sold or Disposed: | 11-15-2022 |
| CUSIP Number: | 143658300 |
| 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: | 0.08992805 CARNIVAL CORP COMMON ST |
| Second Notice Indicator: | No Second Notice |
| 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 |
| |
|
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): | 29153648 |
| Date Sold or Disposed: | 11-15-2022 |
| CUSIP Number: | 143658300 |
| Gross Proceeds: | Gross proceeds |
| Bartering: | $0.00 |
| Federal Income Tax Withheld: | $0.00 |
| Proceeds: | $11.00 |
| 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: | 1.00000000 CARNIVAL CORP COMMON ST |
| Second Notice Indicator: | No Second Notice |
| 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 |
| |
|
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): | 29153649 |
| Date Sold or Disposed: | 11-15-2022 |
| CUSIP Number: | 143658300 |
| 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: | 0.07815742 CARNIVAL CORP COMMON ST |
| Second Notice Indicator: | No Second Notice |
| 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 |
| |
|
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): | 29153650 |
| Date Sold or Disposed: | 12-06-2022 |
| CUSIP Number: | 45773H201 |
| Gross Proceeds: | Gross 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: | $5.00 |
| Wash Sale Loss Disallowed: | $0.00 |
| Accrued Market Discount Amount: | $0.00 |
| Description: | 3.00000000 INOVIO PHARMACEUTICALS INC |
| Second Notice Indicator: | No Second Notice |
| 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 |
| |
|
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): | 29153651 |
| Date Sold or Disposed: | 11-16-2022 |
| CUSIP Number: | 143658300 |
| Gross Proceeds: | Gross proceeds |
| Bartering: | $0.00 |
| Federal Income Tax Withheld: | $0.00 |
| Proceeds: | $3.00 |
| 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: | $3.00 |
| Wash Sale Loss Disallowed: | $0.00 |
| Accrued Market Discount Amount: | $0.00 |
| Description: | 0.31378911 CARNIVAL CORP COMMON ST |
| Second Notice Indicator: | No Second Notice |
| 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 |
| |
|
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): | 29153652 |
| Date Sold or Disposed: | 11-21-2022 |
| 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: | 0.80151546 CARNIVAL CORP COMMON ST |
| Second Notice Indicator: | No Second Notice |
| 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 |
| |
|
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): | 29153653 |
| Date Sold or Disposed: | 11-29-2022 |
| CUSIP Number: | 143658300 |
| Gross Proceeds: | Gross proceeds |
| Bartering: | $0.00 |
| Federal Income Tax Withheld: | $0.00 |
| Proceeds: | $8.00 |
| 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: | $10.00 |
| Wash Sale Loss Disallowed: | $0.00 |
| Accrued Market Discount Amount: | $0.00 |
| Description: | 0.90838806 CARNIVAL CORP COMMON ST |
| Second Notice Indicator: | No Second Notice |
| 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 |
| |
|
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): | 29153654 |
| Date Sold or Disposed: | 12-06-2022 |
| CUSIP Number: | 45773H201 |
| 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: | 0.70725714 INOVIO PHARMACEUTICALS INC |
| Second Notice Indicator: | No Second Notice |
| 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 |
| |
|
Payer:
| |
| Payer's Federal Identification Number (FIN):800429876 |
| BLOCK, INC. | |
| F/K/A SQUARE, INC. | |
| 1955 BROADWAY | |
| OAKLAND, CA 94612-0000 | |
| |
|
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): | 53584372T7 |
| Date Sold or Disposed: | 04-17-2022 |
| CUSIP Number: | 0000000000000 |
| Gross Proceeds: | Nothing checked |
| 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: | $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. | |
| 1955 BROADWAY | |
| OAKLAND, CA 94612-0000 | |
| |
|
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): | 53588607T7 |
| Date Sold or Disposed: | 10-30-2022 |
| CUSIP Number: | 0000000000000 |
| 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: | 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):941687665 |
| BANK OF AMERICA, N.A. | |
| TAX REPORTING | |
| PO BOX 15293 | |
| WILMINGTON, DE 19850-5293 | |
| |
|
Recipient:
| |
| Recipient's Identification Number:
647-40-0297 |
| CHANDLER SCOTT KINSEY | |
| 5135 E EVERGREEN ST UNIT 1250 | |
| MESA, AZ 85205-0000 | |
| |
| Submission Type: | Original document |
| Account Number (Optional): | 60801000457047460489 |
| Interest: | $100.00 |
| Tax Withheld: | $0.00 |
| Savings Bonds: | $0.00 |
| Investment Expense: | $0.00 |
| Interest Forfeiture: | $0.00 |
| Foreign Tax Paid: | $0.00 |
| Tax-Exempt Interest: | $0.00 |
| Specified Private Activity Bond Interest: | $0.00 |
| Market Discount: | $0.00 |
| Bond Premium: | $0.00 |
| Bond Premium on Tax Exempt Bond: | $0.00 |
| Bond Premium on Treasury Obligations: | $0.00 |
| Second Notice Indicator: | No Second Notice |
| Foreign Country or US Possession: | |
| CUSIP Number: | |
| FATCA Filing Requirement: | Box not checked no Filing Requirement |
