Text extracted via OCR from the original document. May contain errors from the scanning process.
EFTA00025624
Return Information
WARNING
Schedule E. Unrecaptured section 1250 gains are entered on the
Partnership Passthrough worksheet, Activity section,
Unrecaptured section 1250 but no entry was made for section 1231
gain (loss). The unrecaptured section 1250 gain entry should
be included in the section 1231 gain (loss) entry on this
activity. If the unrecaptured section 1231 gain is included in
net long-term capital gain (loss), reduce the long-term capital
gain (loss) by the amount of the unrecaptured section 1250 gain.
(10228)
CAUTION
Form 3800. An entry has not been made on Business, Farm,
Fiduciary Passthrough, Partnership Passthrough, or S-Corporation
Passthrough worksheet, Form 6765 - Research Credit section,
Itemized deductions field for the portion of itemized deductions
that apply to the entity. Itemized deductions have not been
taken into account when calculating the entity's income for
limiting the credit from Form 6765. (29889)
•
Form 114 Electronic Filing. No PIN number is required for Form
114, FBAR, filed through ProSystem fx Tax, as indicated on the
PIN line on page 1 of Form 114. (24070)
•
Form 114 Electronic Filing. The Filer Signature Date has been
populated automatically for the electronic file. A different
date may be entered on 114 and 8938 - Foreign Assets worksheet,
Form 114 Filer Information section, Date Signed by
Filer-Override field. Future dates are not allowed by FinCEN.
(24421)
• Massachusetts. For the 2017 tax year taxpayers must file and
make extension payments electronically if making a payment of
$5,000 or more. As a substitute for an electronically filed
extension, payment may be telefiled or filed on Massachusetts
TaxConnect web site: mass.gov/masstaxconnect. Form M-4868 is no
longer allowed if there is no amount due. (20712)
. Massachusetts. The return due date and/or date filed are after
April 17, 2018 and the return has a balance due and/or Schedule
HC penalty amount due. No late payment interest or penalties
have been requested. Taxpayers with a Schedule HC penalty may
receive a notice of underpayment of tax due if late payment
interest and penalties are not calculated on any Schedule HC
penalty amount due if paid after April 17, 2018. Check your
input and recalculate the return, if necessary. (20942)
INFORMATIONAL
EFTA00025625
Return Information
•
Schedule A. The state and local income tax deduction is greater
than the general sales tax deduction calculation of $1,788. To
force the general sales tax deduction, enter "Force sales tax
deduction" on the Itemized Deductions worksheet, State and Local
Sales Tax Information section, State and local taxes or sales
taxes option field. (32549)
. Schedule A. Total available income used in the sales tax
deduction calculation is as follows:
Form 1040, line 38 (adjusted gross income)
Tax-exempt interest
Nontaxable combat pay
Nontaxable part of social security
and railroad retirement benefits
Nontaxable part of IRA,
pension, or annuity distributions
Additional nontaxable income
2017 total available income used
in the sales tax deduction calculation
(32563)
$ 484,192
$ 1,941
$ 0
$ 0
$ 0
$ 0
$ 486,133
Schedule A. The IRS has not provided guidance on 2017 state
overpayments as it relates to the Tax Cuts and Jobs Act's
language on prepayments of tax. Schedule A, line 5 has not been
limited to actual 2017 state income tax liability. To make
adjustments or override this calculation, make entries on the
Itemized Deductions worksheet, Taxes Paid section or Other Taxes
Paid section with a Tax Code of "1". If the current
interpretation is desired, this diagnostic should be ignored.
(33663)
•
Form 1040. An overpayment is present in the return and all or
part will be credited to next year's tax. Please review the
return to make sure this is correct. (37513)
•
Electronic Filing. Electronic filing has been requested for
this return. The IRS requires all negative numbers to print
with minus signs when filing electronically. In this return, a
request was made to print with parenthesis either on the
Processing Options section of the Return Options worksheet or in
Office Manager. This option was not used in this return.
(30853)
Form 1040. The Refund Attributable to Estimate Tax Paid in
Following Year on the Other Income worksheet, Refunds of State
and Local Income Taxes - Detail/IRS 1099-G section shows $3,021.
There is a math discrepancy regarding this amount. Please
review your entries on the Other Income worksheet, Refunds of
State and Local Income Taxes - Detail/IRS 1099-G section and
recalculate the return if necessary. (32267)
EFTA00025626
Return Information
Form 1040. The Refund Attributable to Estimate Tax Paid in
Following Year on the Other Income worksheet, Refunds of State
and Local Income Taxes - Detail/IRS 1099-G section shows
$12,773. There is a math discrepancy regarding this amount.
Please review your entries on the Other Income worksheet,
Refunds of State and Local Income Taxes - Detail/IRS 1099-G
section and recalculate the return if necessary. (32267)
Form 1040. The full-year coverage box for health care has been
checked on this return. If this is not the case, entries must
be made on the Basic Data worksheet, General section, No health
insurance for the entire year and claiming no exemptions field
or the Health Coverage worksheet or the Employer Provided Health
Insurance Offer and Coverage worksheet to calculate a shared
responsibility payment or claim an exemption. Please make any
necessary entries and recalculate the return. (38548)
Form 1040. The filing status of married filing joint produced a
tax liability that was lower than the estimated tax liability
under the alternative filing status of married filing separate
by $ 14,313. (31606)
Electronic Filing. The following form has been prepared but is
not available for electronic filing: Partnership Basis
Limitation Worksheet. Please review the form's printed
instructions for proper filing. (37054)
Schedule A. Nondeductible miscellaneous deduction is $9 684.
(31731)
Schedule C. Input for the questions regarding filing Form(s)
1099 were left blank. The default answer "No" has been checked
for question I and question J has been left blank. To change
these answers, make an entry on the Business worksheet, General
section, Payments made during the tax year that would require
you to file Form(s) 1099 and/or Filed, or will file required
Form(s) 1099 fields. (37706)
Form 8582. A nonpassive activity with a prior year suspended
passive loss has been entered. This loss has been applied
against the activity's current net income, if any. Any unused
carryover was then applied against other passive activities.
(36505)
Schedule SE. Schedule SE has not been prepared for the spouse
because self-employment income is less than $400.00. If
Schedule SE is desired, select Mandatory Printing on the Return
Options worksheet, Form Printing Options section, Schedule SE
(self-employment tax) field. (31108)
EFTA00025627
Return Information
Form 1116. Passive income and taxes have been included with the
General Limitation category because the foreign taxes paid on
the income (after allocation of expenses) exceeds the highest
U.S. tax that can be imposed on the income. To prevent this
high tax kickout treatment enter an "X" on the Foreign Tax
Credit worksheet, Processing Options section, Prevent high tax
kickout treatment field. (31558)
Form 2210. The filing date hasn't been entered on the Penalties
worksheet, Federal Late Payment Penalty and Interest section
and the processing date of the return is after 04/17/18. The
amount of 2210 penalty calculated may be understated. Please
review return and recalculate if necessary. (37240)
. Form 8582. One of the exceptions to filing Form 8582 has been
met. Form 8582 has only been printed in the accountant's and
taxpayer's copies of the return. (31220)
. Form 8582-CR. 100 percent disposition of a passive activity has
occurred and the disallowed passive credit from that activity
is $ 16. (31777)
Filing Status Comparison. The Form 2210 penalty has not been
included in the calculation of the tax underpayment on the
Filing Status Comparison Worksheet. (36333)
Letters and Filing Instructions. Axcess Tax sequencing numbers
will be considered as "(Y) include in letter." See
Correspondence help for paragraph positioning. (34782)
Depreciation. The option to prepare state-if-different
depreciation report(s) has been selected by the entry on the
Depreciation and Depletion Options and Overrides worksheet,
Depreciation Options section, State-if-different depreciation
report field. There are no state-if-different assets in this
return and therefore the report(s) are not produced since they
are identical to the federal depreciation report(s). (30940)
Schedule E. A nonpassive partnership activity has been entered
with no entry for self-employment income (loss). Please review
and enter self-employment income (loss) on the Partnership
Passthrough worksheet, General - Activity section, Net earnings
from self-emp field, if applicable. (31410)
Schedule E. A nonpassive partnership activity has been entered
with no entry for self-employment income (loss). Please review
and enter self-employment income (loss) on the Partnership
Passthrough worksheet, General - Activity section, Net earnings
from self-emp field, if applicable. (31410)
EFTA00025628
Return Information
Schedule E. A nonpassive partnership activity has been entered
with no entry for self-employment income (loss). Please review
and enter self-employment income (loss) on the Partnership
Passthrough worksheet, General - Activity section, Net earnings
from self-emp field, if applicable. (31410)
Form 1116 AMT. Passive income and taxes have been included with
the General Limitation category because the foreign taxes paid
on the income (after allocation of expenses) exceeds the highest
U.S. tax that can be imposed on the income. To prevent this
high tax kickout treatment enter an "X" on the Foreign Tax
Credit worksheet, Processing Options section, Prevent high tax
kickout treatment - Form 1116AMT field. (31564)
Electronic Filing. This return has qualified for electronic
filing and the Practitioner PIN program has been elected to
allow for paperless filing. Please review the return with the
taxpayer, secure required signatures on Form 8879, and authorize
the return to be released for transmission to the IRS. The
Electronic Return Originator (ERO) should retain Form 8879. Do
not submit unless requested to do so by the Internal Revenue
Service. (31404)
Direct Deposit. Bank information has been entered but is not
being used on Forms 1040, 1040A, 1040EZ or 1040NR. (33628)
Form 114 Electronic Filing. This FBAR return has qualified for
electronic filing. If a printed copy of the FBAR is generated
and electronic processing is completed, do not mail the printed
copy of the return to the FinCEN. Form 114A should be signed
and retained by the electronic return originator. (33981)
Massachusetts. Form M-4868 has been locked with the passing of
the due date. The amount paid with the extension has been
included on Form 1 or Form 1-NR/PY. (30472)
Massachusetts. Due to Massachusetts' multiple
capital gain income, there may be some benefit
overrides on the Taxes > Net Investment Income
worksheet, Adjustments / Overrides section for
8960, Line 9b and state Form 8960 Lines 9 - 11
tax rates for
to using the
Tax (Form 8960)
federal Form
. (33214)
Massachusetts Electronic Filing. The Massachusetts return has
been selected for electronic filing. The state return will be
included in the electronic file and transmitted to the MDOR.
Form M-8453 must be signed by the taxpayer prior to transmitting
the return. Do not mail Form M-8453 to the MDOR. Original Forms
M-8453 are to be retained by the ERO for a period of three
years from the date the return is filed. (31613)
EFTA00025629
Return Information
Massachusetts Electronic Filing. The following electronic funds
withdrawal information has been selected for this return on the
Basic Data worksheet > Direct Deposit/Electronic Funds
Withdrawal section:
Routing Number:
Midi.
Account Number:
Account Type:
Checking
Payment Date:
10/12/18
Payment Amount:
$2429
(31921)
EFTA00025630
Federal Tax Comparison for Married Filing Joint and Separate
Total Income
Less: Adjustments
Adjusted Gross Income
Standard/ftemizedOmuctiom
Exemptions
Taxable Income
Total Tax (regular & MIT)
Less: Credits
Add: Other Taxes
Less: Earned Income Credit
Less: Additional child tax credit
Less: Payments (excludes ext.)
Tax Underpayment/(Overpayment)
Taxpayer
Spouse
Married Filing Separate
Married Filing Joint
266,796.
314,241.
581,037.
581,037.
96,845.
96,845.
96,845.
169,951.
314,241.
484,192.
484,192.
125,755.
175,366.
301,121.
301,121.
6,318.
6,318.
37,878.
138,875.
176,753.
183,071.
40,143.
43,012.
83,155.
69,311.
24,005.
7,191.
31,196.
30,727.
40,929.
40,928.
81,857.
81,857.
23,219.
9,275.
32,494.
18,181.
14,313.
712601
04-01-.7
EFTA00025631
Tax Return Carryovers to 2018
Disallowing
Form
Description
Originating
Form
Entity/
Activity
SV
Obi
Amount
1116
1116
3,225.
1116
GENERAL LIMITATION INC C/O FROM 2015 1116
1.
1116
GENERAL LIMITATION INC C/O FROM 2017 1116
1,397.
1116AMT GENERAL LIMITATION INC C/O FROM 2017 1116 AMT
856.
3800
GENL BUS CR C/O OFFSET AMT FROM 2017
- INCR RESEARCH ACT (POST-2015 SB)
397.
3800
GENERAL BUSINESS CREDIT C/O FROM 2017
- INCREASED RESEARCH ACTS
3800
13.
6765
SCH E P2
2
4,937.
8582CR
8582CR
16.
8801
8801
4.
ID Number
71254104-0I-17
EFTA00025632
Extension Information Report
ID Humber.
Unit
Extension form
name
Balance due
shown
on oxtension
Amount Pao
withextenson
Due
Date
Unlocked
FED
FORM 4868
60,000.
60,000. 04/17/18
MA
M 4868
15,000.
15,000. 04/17/18
717051 0441-17
EFTA00025633
Direct DeposIt/Deblt Report
Name: SCOTT G. BORGERSON & GHISLAINE MAXWELL
Unit
Form
Name of Financial Institution
Account Type
Routing Number
Account Number
Debit/Deposit
Date
Amount
;A
1
CITIZENS BANK
CHECKING
211070175
DEBIT
10/12/18
2,429.
ID Number:
EFTA00025634
MAX4883.0
Input Override Report
10/12/2018
Worksheet: Extensions (Forms 4868 and 2350)
Section: Automatic Extension (Form 4868)
State tax liability - 0/R
37,294
Fed inc tax liab - 0/R
141,857
12,600
Worksheet: Payments
Section: Federal Extension Payments
4868 extension payment - 0/R
60,000
Section: State Extension Payments
Amount paid with extension
15,000
EFTA00025635
REVIEW 17I:DGC17I (TEMPLATE)
Global Note
000821 04-0i-17
EFTA00025636
LANNELLO - 10/10/17 10:21AM INTERVIEW FORM C-2
PAYROLL SS
430.00
100.00
530.00
WHERLIHY - 04/06/18 18:13 PM WORKSHEET PROFIT OR LOSS FROM BUS
CONSULTING
7,530.00
0.00
7,530.00
0.00
XSANTILLAN - 10/05/16 11:18AM WORKSHEET ITEMIZED DEDUCTIONS
0.00
7,330.00
0.00
10.00
0.00
7,340.00
LANNELLO - 04/10/17 02:26PM INTERVIEW FORM A-2
FROM HUD
0.00
17,524.00
TIDEWOOD
7,132.00
15,468.00
MANCHESTER
12,631.00
0.00
ANGARA TRUST
7,133.00
0.00
26,896.00
32,992.00
LANNELLO - 04/10/17 01:34PM INTERVIEW FORM M-3
0.00
9,138.00
0.00
483.00
0.00
9,621.00
LANNELLO - 04/10/17 01:45PM INTERVIEW FORM M-2
$5,500 X 12
0.00
66,000.00
0.00
66,000.00
LANNELLO - 09/05/18 11:15 AM WORKSHEET PARTNERSHIP PASSTHROUGH
LINE 5
LINE 11F
673.00
0.00
5,059.00
0.00
5,732.00
0.00
List
000901 04-01.17
EFTA00025637
LANNELLO - 04/13/18 15:44 PM WORKSHEET STATE ESTIMATED TAX PAY
GM
SB
12,773.00
3,021.00
0.00
0.00
15,794.00
0.00
WHERLIHY - 10/04/18 14:33 PM WORKSHEET PARTNERSHIP PASSTHROUGH
48,770.00
-7,622.00
0.00
0.00
41,148.00
0.00
List
000901 04-0i-17
EFTA00025638
2017 Return Summary
484,192.
656,774.
-301,121.
0.
EXEMPTIONS
0.
-9,800.
TAXABLE INCOME
183,071.
646,974.
TAX
16,076.
39,583.
53,235.
22,914.
7,813.
0.
0.
-81,857.
-22,294.
-60,000.
-15,000.
81.
140.
AMOUNT OVERPAID
41,819.
AMOUNT DUE <REFUND>
0.
2,429.
41,738.
0.
AVERAGE TAX RATE - 8.78%
MARGINAL RATE OF ORDINARY INCOME - 10%
MARGINAL RATE OF LT CAPITAL GAIN - 15%
776310 C“.01-17
EFTA00025639
2017 Return Summary
RESIDENCY
FILING STATUS
FEDERAL
FULL YEAR
MARRIED-JOINT
1
YES
MASSACHUSETTS
FULL YEAR
JOINT
1
YES
DUE DATE
04/17/2018
04/17/2018
10/15/2018
10/15/2018
DIRECT DEPOSIT
N/A
NO
N/A
YES
DATE CALCULATED
10/12/2018
10/12/2018
TIME CALCULATED
10:42:28
10:42:28
RELEASE VERSION
2017.04030
2017.04030
EXPORT VERSION
2017.04030
2017.04030
DATE EXPORTED
10/12/2018
10/12/2018
TIME EXPORTED
10:43:46
10:43:46
04/16/2018
04/16/2018
17:32:46
17:32:46
776310 04.01.1)
EFTA00025640
RETURN STATUS
DATE EXPORTED
FEDERAL
QUALIFIED
10/12/2018
FEDERAL 4868
04/16/2018
FORM 114 GHISLAI20170001
QUALIFIED
10/12/2018
MASSACHUSETTS
QUALIFIED
10/12/2018
04/16/2018
778131 04.01.17
EFTA00025641
DGC
ACCOUNTING • TAX• ADVISORY
C/O DGC, 150 PRESIDENTIAL WAY APT. NO. 510
WOBURN, MA 01801
ENCLOSED ARE YOUR 2017 INCOME TAX RETURNS, AS FOLLOWS...
2017 U.S. INDIVIDUAL INCOME TAX RETURN
2017 FEDERAL REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS
2017 MASSACHUSETTS INDIVIDUAL INCOME TAX RETURN
FORM(S) 114, REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS, WILL BE
150 Presidential Way. Suite 510. Woburn, MA 01801 781.937.5300 dgccpa.com
EFTA00025642
2017 TAX RETURN FILING INSTRUCTIONS
DECEMBER 31, 2017
PREPARED FOR:
C/O DGC, 150 PRESIDENTIAL WAY APT. NO. 510
WOBURN, MA 01801
PREPARED BY:
150 PRESIDENTIAL WAY, SUITE 510
WOBURN, MA 01801
AMOUNT OF TAX:
TOTAL TAX
100,038
$
141.857
$
81
OVERPAYMENT
$
41,738
OVERPAYMENT:
$
41,738
REFUNDED TO YOU
$
0
NOT APPLICABLE
FORM 8879 TO OUR OFFICE. WE WILL THEN TRANSMIT YOUR RETURN
RETURN FEDERAL FORM 8879 TO US BY OCTOBER 15, 2018.
8879 AND MA FORM M-8453, WHICH YOU MUST SIGN TO AUTHORIZE THE E-
THE STATUS OF YOUR 2018 INDIVIDUAL ESTIMATED TAXES FOR THE FOURTH
EFTA00025643
2017 TAX RETURN FILING INSTRUCTIONS
PREPARED FOR:
C/O DGC, 150 PRESIDENTIAL WAY APT. NO. 510
WOBURN, MA 01801
PREPARED BY:
150 PRESIDENTIAL WAY, SUITE 510
WOBURN, MA 01801
RETURN FORM(S) 114A TO US ON OR BEFORE OCTOBER 15, 2018.
THE SPOUSE'S FORM 114 HAS BEEN PREPARED FOR ELECTRONIC FILING.
PLEASE SIGN, DATE, AND RETURN FORM 114A TO OUR OFFICE. WE WILL THEN
TRANSMIT THE SPOUSE'S FORM TO THE FINCEN.
EFTA00025644
Tentative Credit for Prior Year Minimum Tax
Name(s)
Social security number
Part! Net Minimum Tax on Exclusion Items
1 Combine lines 1, 6 and 10 of your 2017 Form 6251
2 Enter adjustments and preferences treated as exclusion items
3 Minimum tax credit net operating loss deduction
4 Combew lines 1, 2, and 3. If more than zero OR you filed Form 2555 for 2017, go to line 5. If zero or less
AND you did not file Form 2555 for 2017. enter 0 here and on line 15 and go to Part II.
5 Enter $84,500 if maMed filing jointly or qualifying widow(er) for 2017; $54,300 if single or head of household for
2017; or $42,250 if married filing separately for 2017
8 Enter $180,900 if maMed filing jointly or qualifying widow(er) for 2017; $120,700 if single or head of household
for 2017; or $80,450 if married filing separately for 2017
7 Subtract line 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 line 8 from line 5. If zero or less, enter 4}
10 Subtract line 9 from line 4. If zero or less, enter 41 here and on line 15 and go to Part II
11 • If you filed Form 2555 for 2017, enter the amount from line 6 of the Foreign Earned Income Tax Worksheet.
• If for 2017 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 $187,800 or less ($93,900 or less if married filing separately for 2017), multiply line 10
by 28% (.26). Otherwise, multiply line 10 by 28% (.28) and subtract $3,758 ($1,878 if married filing separately
for 2017) from the result
12 Minimum tax foreign tax credit on exclusion items
13 Tentative minimum tax on exclusion items. Subtract line 12 from line 11
14 Enter the amount from your 2017 Form 8251, line 34
15 Net minimum tax on exclusion items. Subtract line 14 from line 13. If zero or less. enter A•
1
177 959.
283 769.
2
3
4
461 728.
5
84 500.
6
7
8
9
10
160,900.
300,828.
75,207.
9,293.
452 435.
11
69 852.
12
13
14
541.
69 311.
16 076.
15
53 235.
Part II Tentative Minimum Tax Credit
16 Enter the amount from your 2017 Form 8251, 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 2017 minimum tax credit carryforward. Enter the amount from your 2017 Form 8801, line 26
20 Enter the 2017 unallowed qualified electric vehicle credit
21 Tentative minimum tax credit for 2018. Combine lines 18, 19, and 20
Lines 22 through 28 do not apply.
18
17
18
19
20
21
53 235.
53 235.
0.
4.
4.
719941 10-3047
EFTA00025645
Page 2
Part Ill I
Tax Computation Using Maximum Capital Gains Rates
27
Enter the amount from line 10. If you filed Form 2555 or 2555.EZ for 2017. enter
the amount from line 3 of the worksheet in the instructions
28
Enter the amount from line 6 of your 2017 Qualified Dividends and Capital
Gain Tax Worksheet, or the amount from line 13 of your 2017 Schedule D Tax
Worksheet
If you figured your 2017 tax using the 2017 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 2017 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 2017 Schedule D Tax Worksheet
31
Enter the smaller of line 27 or line 30
32
Subtract line 31 from line 27
33
If line 32 Is $187,800 or less ($93,900 or less if married filing separately for 2017). multiply line
32 by 26% (.26). Otherwise. multiply line 32 by 28% (.28) and subtract 53,756 ($1,878 if married
filing separately for 2017) from the result.
►
34
Enter:
• $75.900 if married filing jointly or qualifying widow(er) for 2017,
• $37.950 if single or married filing separately for 2017, or
• $50.800 if head of household for 2017.
35
Enter the amount from line 7 of your 2017 Qualified Dividends and Capital
Gain Tax Worksheet, or the amount from line 14 of your 2017 Schedule D Tax
Worksheet, whichever applies. If you did not complete either worksheet, enter
the amount from 2017 Form 1040. line 43; but not less than 0.
36
Subtract line 35 from line 34. If zero or less, enter 0.
37
Enter the smaller of line 27 or line 28
38
Enter the smaller of line 36 or line 37
39
Subtract line 38 from line 37
40
Enter.
• $418,400 if single
• $235,350 if married filing separately
• $470,700 if married filing jointly or qualifying widow(er)
• $444,550 if head of household
41
Enter the amount from line 36
42
Enter the amount from line 7 of your 2017 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 2017
Form 1040, line 43; but not less than
43
Add lines 41 and 42
44
Subtract line 43 from line 40, but not less than 41.
45
Enter the smaller of line 39 or line 44
46
Multiply line 45 by 15%(.15)
►
47
Add lines 38 and 45
If lines 47 and 28 are the same, skip lines 48 through 62 and go to line 63 Othenvlse, 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 60 through 52 and go to line 53. Otherwise, go to Ilne 60.
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
54
If line 27 is $187,800 or less ($93,900 or less if married filing separately for 2017), multiply line 27 by 26% (.26).
Otherwise, multiply line 27 by 28% (.28) and subtract $3,756 ($1,878 if married filing separately for 2017)
from the result.
55
Enter the smaller of line 53 or line 64 here and on line 11. If you filed Form 2555 or 2ggris7 to 2017, do not
enter this amount on line 11. Instead. enter it on line 4 of the worksheet.
27
28
29
452,435.
330,869.
30
31
32
33
34
35
36
37
38
39
330,869.
330,869.
121,566.
31,607.
75,900.
40
41
42
43
44
45
75,900.
330,869.
75,900.
254,969.
470,700.
75,900.
46
47
48
49
75,900.
394,800.
254,969.
38,245.
330,869.
50
51
52
53
54
55
69,852.
122,926.
69,852.
9942
.e[-
EFTA00025646
Worksheet for Adjusting the Basis of a Partner's Interest in the Partnership
(Keep for your records.)
Name of Entity: CARGOMETRICS TECHNOLOGIES LLC
ON: 90 0907396
1. Your adjusted basis at the end of the prior year. Do not enter less than zero.
Enter -0- if this is your first tax year
1.
42,075.
Increases:
2. Money and your adjusted basis in property contributed to the partnership less
the associated liabilities (but not less than zero)
2.
3. Your increased share of or assumption of partnership liabilities (Subtract your share of
liabilities shown in Item K of your 2016 Schedule K-1 from your share of liabilities
shown in Item K of your 2017 Schedule K•1 and add the amount of any partnership
liabilities you assumed during the tax year) (but not less than zero)
3.
4. Your share of the partnership's income or gain (Including tax-exempt income) reduced by
any amount included in interest income with respect to the credit to holders of clean renewable
energy bonds
4.
9 .
5. My gain recognized this year on contributions of property. Do not include gain from
transfer of liabilities
5.
6. Your share of the excess of the deductions for depletion (other than oil and gas
depletion) over the basis of the property subject to depletion
8.
Decreases:
7. Withdrawals and distributions of money and the adjusted basis of property distributed
to you from the partnership. Do not include the amount of property distributions
included in the partner's income (taxable income)
7.
Caution: A distribution may be taxable if the amount exceeds your adjusted basis of
your partnership interest immediately before the distribution.
8. Your decreased share of partnership liabilities and any decrease in your individual liabilities
because they were assumed by the partnership. (Subtract your share of liabilities shown in
item K of your 2017 Schedule K-1 from your share of liabilities shown in item K of your 2016
Schedule K-1 and add the amount of your individual liabilities that the partnership assumed
during the tax year (but not less than zero))
9. Your share of the partnership's nondeductible expenses that are not capital
expenditures
9.
12.
10. Your share of the partnership's losses and deductions (including capital losses).
However, include your share of the partnership's section 179 expense deduction for
this year even if you cannot deduct all of it because of limitations
10.
21,896.
11. The amount of your deduction for depletion of any partnership oil and gas property,
not to exceed your allocable share of the adjusted basis of that property
11.
12. Your adjusted basis in the partnership at end of this tax year. (Add lines 1 through 6
and subtract Ines 7 through 11 from the total. If zero or less, enter -0-.)
12.
Caution: The deduction for your share of the partnership's losses and deductions is
limited to your adjusted basis in your partnership interest. If you entered zero on line 12
and the amount figured for line 12 was less than zero, a portion of your share of the
partnership losses and deductions may not be deductible.
20,176.
719061 Q441-17
EFTA00025647
Worksheet for Adjusting the Basis of a Partner's Interest in the Partnership
(Keep for your records.)
Name ofEntitc ALPHAKEYB MILLENNIUM FUND. L.L.C.
at 27-5238213
1. Your adjusted basis at the end of the prior year. Do not enter less than zero.
Enter .0- if this is your first tax year
1.
670,206.
Increases:
2. Money and your adjusted basis in property contributed to the partnership less
the associated liabilities (but not less than zero)
2.
3. Your increased share of or assumption of partnership liabilities (Subtract your share of
liabilities shown in Item K of your 2016 Schedule K-1 from your share of liabilities
shown in Item K of your 2017 Schedule K•1 and add the amount of any partnership
liabilities you assumed during the tax year) (but not less than zero)
3.
4. Your share of the partnership's income or gain (Including tax-exempt income) reduced by
any amount included in interest income with respect to the credit to holders of clean renewable
energy bonds
4.
135,947.
5. My gain recognized this year on contributions of property. Do not include gain from
transfer of liabilities
5.
6. Your share of the excess of the deductions for depletion (other than oil and gas
depletion) over the basis of the property subject to depletion
6.
Decreases:
7. Withdrawals and distributions of money and the adjusted basis of property distributed
to you from the partnership. Do not include the amount of property distributions
included in the partner's income (taxable income)
7.
Caution: A distribution may be taxable if the amount exceeds your adjusted basis of
your partnership interest immediately before the distribution.
8. Your decreased share of partnership liabilities and any decrease in your individual liabilities
because they were assumed by the partnership. (Subtract your share of liabilities shown in
item K of your 2017 Schedule K-1 from your share of liabilities shown in item K of your 2016
Schedule K-1 and add the amount of your individual liabilities that the partnership assumed
during the tax year (but not less than zero))
&
9. Your share of the partnership's nondeductible expenses that are not capital
expenditures
9.
25.
10. Your share of the partnership's losses and deductions (including capital losses).
However, include your share of the partnership's section 179 expense deduction for
this year even if you cannot deduct all of it because of limitations
SEE STATEMENT 1
10.
11. The amount of your deduction for depletion of any partnership oil and gas property.
not to exceed your allocable share of the adjusted basis of that property
11.
12. Your adjusted basis in the partnership at end of this tax year. (Add lines 1 through 6
and subtract Ines 7 through 11 from the total. If zero or less, enter .0-.)
Caution: The deduction for your share of the partnership's losses and deductions is
limited to your adjusted basis in your partnership interest. If you entered zero on line 12
and the amount figured for line 12 was less than zero, a portion of your share of the
partnership losses and deductions may not be deductible.
92,880.
12.
713,248.
719061 Q441-17
EFTA00025648
Worksheet for Adjusting the Basis of a Partner's Interest in the Partnership
(Keep for your records.)
Name of Entity:
LI\ 37 1791864
1. Your adjusted basis at the end of the prior year. Do not enter less than zero.
Enter -0- if this is your first tax year
1.
1,006,719.
Increases:
2. Money and your adjusted basis in property contributed to the partnership less
the associated liabilities (but not less than zero)
2.
3. Your increased share of or assumption of partnership liabilities (Subtract your share of
liabilities shown in Item K of your 2016 Schedule K-1 from your share of liabilities
shown in Item K of your 2017 Schedule K.1 and add the amount of any partnership
liabilities you assumed during the tax year) (but not less than zero)
3.
4. Your share of the partnership's income or gain (Including tax-exempt income) reduced by
any amount included in interest income with respect to the credit to holders of clean renewable
energy bonds
4.
11,113.
5. My gain recognized this year on contributions of property. Do not include gain from
transfer of liabilities
5.
6. Your share of the excess of the deductions for depletion (other than oil and gas
depletion) over the basis of the property subject to depletion
6.
Decreases:
7. Withdrawals and distributions of money and the adjusted basis of property distributed
to you from the partnership. Do not include the amount of property distributions
included in the partner's income (taxable income)
7.
Caution: A distribution may be taxable if the amount exceeds your adjusted basis of
your partnership interest immediately before the distribution.
8. Your decreased share of partnership liabilities and any decrease in your individual liabilities
because they were assumed by the partnership. (Subtract your share of liabilities shown in
item K of your 2017 Schedule K-1 from your share of liabilities shown in item K of your 2016
Schedule K-1 and add the amount of your individual liabilities that the partnership assumed
during the tax year (but not less than zero))
9. Your share of the partnership's nondeductible expenses that are not capital
expenditures
9.
10. Your share of the partnership's losses and deductions (including capital losses).
However, include your share of the partnership's section 179 expense deduction for
this year even if you cannot deduct all of it because of limitations
10.
11. The amount of your deduction for depletion of any partnership oil and gas property.
not to exceed your allocable share of the adjusted basis of that property
11.
12. Your adjusted basis in the partnership at end of this tax year. (Add lines 1 through 6
and subtract Ines 7 through 11 from the total. If zero or less, enter 8-)
12.
Caution: The deduction for your share of the partnership's losses and deductions is
limited to your adjusted basis in your partnership interest. If you entered zero on line 12
and the amount figured for line 12 was less than zero, a portion of your share of the
partnership losses and deductions may not be deductible.
22,442.
995,390.
719061 0441-17
EFTA00025649
Worksheet for Adjusting the Basis of a Partner's Interest in the Partnership
(Keep for your records.)
Name of Entity: CARGOMETRICS TECHNOLOGIES LLC
ON: 90 0907396
1. Your adjusted basis at the end of the prior year. Do not enter less than zero.
Enter -0- if this is your first tax year
Increases:
2. Money and your adjusted basis in property contributed to the partnership less
the associated liabilities (but not less than zero)
3. Your increased share of or assumption of partnership liabilities (Subtract your share of
liabilities shown in Item K of your 2016 Schedule K-1 from your share of liabilities
shown in Item K of your 2017 Schedule K•1 and add the amount of any partnership
liabilities you assumed during the tax year) (but not less than zero)
1.
42,075.
2.
0 .
3.
4, Your share of the partnership's income or gain (Including tax-exempt income) reduced by
any amount included in interest income with respect to the credit to holders of clean renewable
energy bonds
4.
9.
5. My gain recognized this year on contributions of property. Do not include gain from
transfer of liabilities
5.
0 .
6. Your share of the excess of the deductions for depletion (other than oil and gas
depletion) over the basis of the property subject to depletion
8.
Decreases:
7. Withdrawals and distributions of money and the adjusted basis of property distributed
to you from the partnership. Do not include the amount of property distributions
included in the partner's income (taxable income)
7.
Caution: A distribution may be taxable if the amount exceeds your adjusted basis of
your partnership interest immediately before the distribution.
8. Your decreased share of partnership liabilities and any decrease in your individual liabilities
because they were assumed by the partnership. (Subtract your share of liabilities shown in
item K of your 2017 Schedule K-1 from your share of liabilities shown in item K of your 2016
Schedule K-1 and add the amount of your individual liabilities that the partnership assumed
during the tax year (but not less than zero))
9, Your share of the partnership's nondeductible expenses that are not capital
expenditures
9.
12.
10. Your share of the partnership's losses and deductions (including capital losses).
However, include your share of the partnership's section 179 expense deduction for
this year even if you cannot deduct all of it because of limitations
10.
21,896.
it The amount of your deduction for depletion of any partnership oil and gas property,
not to exceed your allocable share of the adjusted basis of that property
11.
12. Your adjusted basis in the partnership at end of this tax year. (Add lines 1 through 6
and subtract Ines 7 through 11 from the total. If zero or less, enter .0•.)
12.
Caution: The deduction for your share of the partnership's losses and deductions is
limited to your adjusted basis in your partnership interest. If you entered zero on line 12
and the amount figured for line 12 was less than zero, a portion of your share of the
partnership losses and deductions may not be deductible.
20,176.
719061 Q441-17
EFTA00025650
Worksheet for Adjusting the Basis of a Partner's Interest in the Partnership
(Keep for your records.)
Name ofEntitc ALPHAKEYS MILLENNIUM FUND. L.L.C.
at 27-5238213
1. Your adjusted basis at the end of the prior year. Do not enter less than zero.
Enter -0- if this is your first tax year
1.
670,208.
Increases:
2. Money and your adjusted basis in property contributed to the partnership less
the associated liabilities (but not less than zero)
2.
0 .
3. Your increased share of or assumption of partnership liabilities (Subtract your share of
liabilities shown in Item K of your 2016 Schedule K-1 from your share of liabilities
shown in Item K of your 2017 Schedule K•1 and add the amount of any partnership
liabilities you assumed during the tax year) (but not less than zero)
,
3.
4. Your share of the partnership's income or gain (Including tax-exempt income) reduced by
any amount included in interest income with respect to the credit to holders of clean renewable
energy bonds
4.
135,947.
5. My gain recognized this year on contributions of property. Do not include gain from
transfer of liabilities
5.
0
6. Your share of the excess of the deductions for depletion (other than oil and gas
depletion) over the basis of the property subject to depletion
6.
Decreases:
7. Withdrawals and distributions of money and the adjusted basis of property distributed
to you from the partnership. Do not include the amount of property distributions
included in the partner's income (taxable income)
7.
Caution: A distribution may be taxable if the amount exceeds your adjusted basis of
your partnership interest immediately before the distribution.
8. Your decreased share of partnership liabilities and any decrease in your individual liabilities
because they were assumed by the partnership. (Subtract your share of liabilities shown in
item K of your 2017 Schedule K-1 from your share of liabilities shown in item K of your 2016
Schedule K-1 and add the amount of your individual liabilities that the partnership assumed
during the tax year (but not less than zero))
&
9. Your share of the partnership's nondeductible expenses that are not capital
expenditures
9.
25.
10. Your share of the partnership's losses and deductions (including capital losses).
However, include your share of the partnership's section 179 expense deduction for
this year even if you cannot deduct all of it because of limitations
SEE STATEMENT 2
10.
ft The amount of your deduction for depletion of any partnership oil and gas property.
not to exceed your allocable share of the adjusted basis of that property
11.
12. Your adjusted basis in the partnership at end of this tax year. (Add lines 1 through 6
and subtract Ines 7 through 11 from the total. If zero or less, enter .0-.)
Caution: The deduction for your share of the partnership's losses and deductions is
limited to your adjusted basis in your partnership interest. If you entered zero on line 12
and the amount figured for line 12 was less than zero, a portion of your share of the
partnership losses and deductions may not be deductible.
92,881.
12.
713,249.
719061 Q441-17
EFTA00025651
Worksheet for Adjusting the Basis of a Partner's Interest in the Partnership
(Keep for your records.)
Name of Entity:
LI\ 37 1791864
1. Your adjusted basis at the end of the prior year. Do not enter less than zero.
Enter -0- if this is your first tax year
Increases:
2. Money and your adjusted basis in property contributed to the partnership less
the associated liabilities (but not less than zero)
3. Your increased share of or assumption of partnership liabilities (Subtract your share of
liabilities shown in Item K of your 2016 Schedule K-1 from your share of liabilities
shown in Item K of your 2017 Schedule K.1 and add the amount of any partnership
liabilities you assumed during the tax year) (but not less than zero)
1.
1,006,719.
2.
0.
3.
4. Your share of the partnership's income or gain (Including tax-exempt income) reduced by
any amount included in interest Income with respect to the credit to holders of clean renewable
energy bonds
4.
11,113.
5. My gain recognized this year on contributions of property. Do not include gain from
transfer of liabilities
5.
0
6. Your share of the excess of the deductions for depletion (other than oil and gas
depletion) over the basis of the property subject to depletion
6.
Decreases:
7. Withdrawals and distributions of money and the adjusted basis of property distributed
to you from the partnership. Do not include the amount of property distributions
included in the partner's income (taxable income)
7.
Caution: A distribution may be taxable if the amount exceeds your adjusted basis of
your partnership interest immediately before the distribution.
8. Your decreased share of partnership liabilities and any decrease in your individual liabilities
because they were assumed by the partnership. (Subtract your share of liabilities shown in
item K of your 2017 Schedule K-1 from your share of liabilities shown in item K of your 2016
Schedule K-1 and add the amount of your individual liabilities that the partnership assumed
during the tax year (but not less than zero))
9. Your share of the partnership's nondeductible expenses that are not capital
expenditures
9.
10. Your share of the partnership's losses and deductions (including capital losses).
However, include your share of the partnership's section 179 expense deduction for
this year even if you cannot deduct all of it because of limitations
10.
ft The amount of your deduction for depletion of any partnership oil and gas property.
not to exceed your allocable share of the adjusted basis of that property
11.
12. Your adjusted basis in the partnership at end of this tax year. (Add lines 1 through 6
and subtract Ines 7 through 11 from the total. If zero or less, enter -0-.)
12.
Caution: The deduction for your share of the partnership's losses and deductions is
limited to your adjusted basis in your partnership interest. If you entered zero on line 12
and the amount figured for line 12 was less than zero, a portion of your share of the
partnership losses and deductions may not be deductible.
22,442.
995,390.
719061 0441-17
EFTA00025652
STATEMENT 1
DESCRIPTION
AMOUNT
FTC
673.
INCLUDED IN BASIS WORKSHEET, LINE 10
673.
AMT PARTNERSHIP
BASIS WORKSHEET
STATEMENT 2
DESCRIPTION
AMOUNT
FTC
673.
INCLUDED IN BASIS WORKSHEET, LINE 10
673.
STATEMENT(S) 1, 2
EFTA00025653
BSA E-Filing - Report of
Foreign Bank and Financial
Accounts (FBAR)
GHISLAI20170001
Filing Name GHISLAINE MAXWELL
Submission Type NEW
FinCEN Form 114
Check here
if this report Is submitted by an authorized third party, and complete the 3rd party preparer section on page one of the
report. The E-tile system will auto complete item 46.
NOTE: The FBAR must be received by the Department of the Treasury on or before April 17, 2018. An automatic extension to October 15.2018
is available.
This report filed late for the following reason (Check only one):
a.
Q
Forgot to file
b.
Q
Dld not know that I had to file
c.
Q
Thought account balance was below reporting threshold
d.
Q
Did not know that my account qualified as foreign
e.
Q
Account statement not received in time
f.
Q
Account statement lost (Replacement requested)
g.
Q
Late receiving missing required account information
h.
Q
Unable to obtain joint spouse signature in time
Unable to access BSA E.filing system
z.
Q
Other (please provide explanation below)
723151 08.21-17
EFTA00025654
FinCEN Form 114
Part I
Filer information
Do NOT filo with your Federal Tax Return
GHISLAI20170001
1 This report is for calendar
year ended 12/31
2017
Amended
2 Type of filer
a 1=1 Individual
b O
Partnershp c
Corporation d O
Consolidated e 0
Fiduciary or other • Enter type
3 U.S. Taxpayer Identification Number
If filer has no U S Identification
3a TIN type
4 Foreign identification (Complete only it item 3 is not applicable)
5 Individuals date of birth
MWDD/YYYY
SSN/ITIN a Type: Q
Passport Q
Foreign TIN 0
Other
ON
b Number
c Country of Issue
number complete item 4
6 Last name or organization name
MAXWELL
?First name
GHISLAINE
8 Middle Initial
8a Suffix
9 Mailing address (number. street, and apt. or suite no.)
C/O DGC
150 PRESIDENTIAL WAY APT. NO. 510
10 City
WOBURN
11 State
MA
12 ZIP/Postal Code
01801
13 Country
USA
14 a) Does the filer have a financial interest in 25 or more financial accounts?
Yes Q
Enter number of accounts
Do not complete Past II or Part III, but maintain records of the information.
No W
b) Does the filer have signature authority over but no financial interest in 25 or more financial accounts?
Yes Q
Enter number of accounts
Comp. Part IV, items 34 through 43 for each person on whose behalf the filer has sign. authority.
No DC I
Part llJ
Information on financial account(s) owned separately
15 Maximum value of account during calendar year
15a Amount 16 Type of account a0 Bank bO Securities cO Other • Enter type below
unknown
282,451.
I
I
17 Name of financial institution in which account is held
BARCLAYS
18 Account number or other designation
19 Mailing address (number, street. apt. or suite no.) of financial institution in which account is held
137 BROMPTION ROAD KNIGHTSBRIDGE
20 City
LONDON
21 State. if known
22 Foreign postal code, if known
SW3 1QF
23 Country
UNITED KINGDOM
Sigel
44a Check here IXI lf this report is completed by a third pasty preparer and complete the third parry preparer section.
4,1 Filer signatu e
meiorion..fleomocronicmy
simechoierimed
47 Preparees last name
48 First name
49 MI 50 Check
if 51 TIN
51a TIN type 1=1 PTIN
AROOSHIAN
LAURA
K
self-employed
SSWITIN In Foreign
Third Party 52 Contact phone no.
Fern's name
32a
ExtID5I
54 Firm' TIN
54a TIN type ®EIN
Preparer
C I CCO ,
GULMAN
COMPA 4-3296226
3
Foreign
Use Only
55 Mailing address (number, street, apt. or suite no.) 56 City
57 State 58 ZIP/Postal Code
59 Country
50 PRESIDENTIAL WAY, SUITE WOBURN
MA
01801
US
45 Filer title, if not reporting a personal account
46 Date (MWDD/YYYY)
1110040l win auto-NI when VW
FBA aeoloctrcnicaIN signed
723141 04-01-17
EFTA00025655
Part II I
Continued - Information on Financial Account(s) Owned Separately
FORM 114
Complete a Separate Block for Each Account Owned Separately
1 Filing for calendar
3-4 Check appropriate Identification Number
year
2017
In Taxpayer Identification Number
Foreign Identification Number
Enter identification number here:
I
8 Last Name or Organization Name
MAXWELL
15 Maximum value of account during calendar year 16a N000011.111(00^11
0
8 Type of account
a ICI Bank b 0
Securities c
I Other - Enter type below
17 Name of Financial Institution in which account is h Id
18 Account number or other designation
19 Mailing Address (Number, Street, Suite Number) of financial institution in which account is held
9 NELSON STREET
21 State, if known
20 City
BRADFORD
15 Maximum value of account during calendar year na amount wow,
2,671,835.
17 Name of Financial Institution in which account is h Id
BARCLAYS
18 Account number or other designation
22 ZIP/Postal Code, if known
BD1 5AN
23 Country
ITED KINGDOM
6 Type of account
a 0
Bank b In VisSlecurities c F
I Other - Enter type below
16 Mailing Address (Number, Street, Suite Number) of financial institution in which account is held
137 BROMPTION ROAD KNIGHTSBRIDGE
20 City
23 Country
LONDON
UNITED KINGDOM
15 Maximum value of account during calendar year isa Amount U*nown 16 Type of account
a 0
Bank b
Securities c lXI
Other - Enter type below
50,778.
0
PENSION
17 Name of Financial Institution in which account is h Id
18 Account number or other designation
16 Mailing Address (Number, Street, Suite Number) of financial institution in which account is held
5 TEMPLE SQUARE, TEMPLE STREET
20 City
22 ZIP/Postal Code, if known
23 Country
LIVERPOOL
L2 5RH
ITED KINGDOM
15 Maximum value of account during calendar year isa Amount wow,
16 Type of account
a M
Bank b li
ThSlecurities c El
Other - Enter type below
675,676.
21 State, if known
17 Name of Financial Institution in which account is h Id
BARCLAYS
18 Account number or other designation
19 Mailing Address (Number, Street, Suite Number) of financial institution in which account is held
137 BROMPTION ROAD KNIGHTSBRIDGE
21 State, if known
20 City
LONDON
15 Maximum value of account during calendar year 16a Amount Unknotn
O
17 Name of Financial Institution in which account is held
22 ZIP/Postal Code, if known
SW3 1OF
16 Type of account
a 0
Bank b
23 Country
UNITED KINGDOM
Securities c
I Other - Enter type below
18 Account number or other designation
19 Mailing Address (Number, Street, Suite Number) of financial institution in which account is held
20 City
21 State, if known
22 ZIP/Postal Code, if known
23 Country
15 Maximum value of account during calendar year 16a Amount Unknotn
O
17 Name of Financial Institution in which account is h Id
16 Type of account
a 0
Bank b 0
Securities c in Other - Enter type below
18 Account number or other designation
18 Mailing Address (Number, Street, Suite Number) of financial institution in which account is held
20 City
21 State, if known
22 ZIP/Postal Code, if known
23 Country
721015 0141-17
21 State, if known
22 ZIP/Postal Code, if known
$W3 1OF
EFTA00025656
as my signature on my tax year 2017 electronically filed income tax return.
Form 8879
Department of the Treasury
Internal Revenue Service
IRS e-file Signature Authorization
IP Return completed Form 8879 to your ERO. (Do not send to IRS.)
IP Go to www.irs.gov/Form8879 for the latest Information.
OMB No. 1545 0074
2017
Submission Identification Number (SID)
Taxpayers name
Spouse's name
Social security number
Spouse's social securi number
Part I
Tax Return Information - Tax Year Ending December 31,2017 (Whole dollars only)
1 Adjusted gross income (Form 1040. line 38: Form 1040A, line 22; Form 1040EZ, line 4: Form 1040NR. line 37)
2 Total tax (Form 1040. line 63; Form 1040A tine 39; Form 1040EZ. line 12; Form 1040NR, line 61)
3 Federal income tax withheld from Forms W.2 and 1099 (Form 1040, line 64; Form 1040A, line 40;
Form 1040EZ, line 7; Form 1040NR, line 62a)
4 Refund (Form 1040. line 76a; Form 1040A, line 48a; Form 1040EZ, line 13a; Form 1040•SS, Pal I, line 13a;
Form 1040NR. line 73a)
5 Amount you owe (Form 1040. line 78: Form 1040A. line 50: Form 1040EZ, line 14: Form 1040NR. line 75)
5
484 192.
100 038.
4
0.
a
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 31,2017, and to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income I received during
the tax year. 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 (ER0) 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 acknowledge 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 DICICCO, GULMAN & COMPANY LLP
to enter or generate my PIN
ERO firm name
Enter five digits, but
as my signature on my tax year 2017 electronically filed income tax return.
don't enter all zeros
I will enter my PIN as my signature on my tax year 2017 electronically filed income tax return. 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.
I
I
Your signature IP.
Spouse's PIN: cheek one box only
IC I authorize DICICCO, GULMAN & COMPANY LLP
to enter or generate my PIN
Date IP 10/12/2018
I II II II II I
ERO firm name
Enter five digits, but
don't enter all zeros
CI I will enter my PIN as my signature on my tax year 2017 electronically filed income tax return. 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 IP
Date la• 10/12/2018
Practitioner PIN Method Returns Only - continue below
Part III I Certification and Authentication - Practitioner PIN Method Only
ERO's EFIN/PIN. Enter your six.dlgit EFIN followed by your five.digit selfselected PIN.
Don't enter all zeros
I certify that the above numeric entry is my PIN. which is my signature for the tax year 2017 electronically filed income tax return 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 Pub. 1345,
Handbook for Authorized IRS a.firo Providers of Individual Income Tax Returns.
0 4 4 gi 4 9
ER0's signature ►
Date IP 10/12/2018
noull-m-17
ERO Must Retain This Form - See Instructions
Don't Submit This Form to the IRS Unless Requested To Do So
LHA
For Paperwork Reduction Act Notice, see your tax return instructions.
Form 8879 (2017)
EFTA00025657
Tax Year 2017 e-file Jurat/Disclosure
for Form 1040, 1040A, 1040EZ, or 1040NR
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
044549
(enter EFIN plus 5 self-selected numerics)
Taxpayer Declarations
Perjury Statement
Under penalties of perjury. I declare that I have examined this return and accompanying schedules and statements.
and to the best of my knowledge and belief, they are true. correct and accurately list all amounts and sources of income I
received during the tax year. Declaration of preparer (other than the taxpayer) is based on all information of which the
preparer has any knowledge.
Consent to Disclosure
I consent to allow my Intermediate Service Provider, transmitter, or Electronic Return Originator (ERO) to send my retum/form
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:
Spouse's PIN:
Date 10122018
7199136 04-01-17
EFTA00025658
Form 1143
Department of the Treasury
Financial Crimes Enforcement
Network (FinCEN)
May 2015
Record of Authorization to
Electronically File FBARs
(See instructions below for completion)
Do not send to FinCEN. Retain this form for your records.
GHISLAI20170001
The farm 114a may be digitally signed
Part I
Persons who have an obligation to file a Report of Foreign Bank and Financial Accountls)
1. Owner last name or entity's legal name
ELL
2. Owner first name
3HISLAINE
3. Owner Mt
4. Spouse last name (if jointly filing FBAR • see instructions below)
5. Spouse first name
6. Spouse M.I.
Vwe declare that I/we have provided information concerning
5 (enter number of accounts) foreign bank and financial account(s) for the
filing year ending December 31, 2017 to the prepare( listed in Part II: that this information is to the best of my/our knowledge true, correct.
and complete: that Vwe authorize the preparer listed in Part II to complete and submit to the Financial Crimes Enforcement Network (FinCEN) a
Report of Foreign Bank and Financial Accounts (FBAR) based on the information that Vwe have provided: and that Vwe authorize the prepare(
listed in Part II to receive information from FinCEN. answer inquiries and resolve issues relating to this submission. Vwe acknowledge that.
notwithstanding this declaration, it is my/our legal responsibility, not that of the prepare( listed in Part II, to timely file an FBAR if required by law
to do so.
7. Owner signature (Authorized representative if entity)
8. Date
9. Owner or entity TIN
10. TIN
a
type b
c
0
El ri
EIN
SSN/ITIN
Foreign
MM DD 'MY
11. Spouse signature
12. Date
13. Spouse TIN
14. TIN
a 0
EIN
type b 0
SSN/ITIN
c 0
Foreign
MM DD
YYYY
Part II I Individual or Entity Authorized to File FBAR on behalf of Persons who have an obligation to file.
15. Prepare, last name
AROOSHIAN
16. Preparer first name
LAURA
17. Preparer M.I.
IC
18. Preparer PTIN
19. Address
150 PRESIDENTIAL WAY, SUITE 510
20. City
WOBURN
21. State
MA
22 ZIP/postal code
01801
23. Country
code
US
24. Preparer's (item 15) employer's (En ty) name
pICICCO, GULMAN & COMPANY, L
25. Employer EIN
04-3296226
26. Preparer's signature
Instructions for completing the FBAR Signature Authorization Record
This record may be completed by the individual or entity granting such authorization (Part I) OR the individuaVentity authorized to perform such
services. The completed record must be signed by the individual(sWentity granting the authorization (Part I) and the individuaVentity that will file the
FBAR. The Preparer/filing entity must be registered with FinCEN BSA EFile system. (See hdp://bsaefiling.fincen.treas.gov/main.html for registration).
Read and complete the account owner statement in Part I.
To authorize a third party to file the Foreign Bank and Financial Arrnints Report (FBAR). the account owner should complete Part I, items 1 through
3 (as required), sign and date the document in Part I. items 7/8 and complete items 9 and 10. Item 7 may be digitally signed.
Accounts Jointly Owned by Spouses (see exceptions in the FBAR instructions)
If the account owner is filing an FBAR jointly with his/her spouse, the spouse must also complete Part I. items 4 through 6. The spouse must also
sign and date the report in items 11/12. (item 11 may be digitally signed) and complete items 13 and 14. A third party preparer may be one of the
spouses of the jointly owned foreign account. In this case, both spouses must complete Pan I of form 114a in its entirety. The third party prepare(
(spouse) that will file the FBAR on behalf of both spouses will complete Part II in its entirety (do not use such terms as see above, or same as item
numbers).
Complete Past II, items 15 through 18 with the prepares information. The address, items 19 through 23. is that of the prepare: or the preparer's
employer if the prepare( is an employee. Record the employer's information (if any) in items 24 and 25. If the prepare( does not have a PTIN, leave
item 18 blank. The third party preparer must sign in item 26 (digital signature acceptable) of Part II indicating that the FBAR will be filed as directed
by the authorizing authority.
The person(s) listed in Part I, and the person listed in Part II as authorized to file on behalf of the person(s) listed in Part I. should retain copies
of this record of authorization and the filing itself, both for a period of 5 years. See 31 CFR 1010.430(d).
DO NOT SEND THIS RECORD TO FinCEN UNLESS REQUESTED TO DO SO.
720011 04-01-17
Rev. 10.7 May 21, 2015
EFTA00025659
718711 054547
V DETACH HERE V
Fom 4868
DOOOttMent Ot 9m Frenemy
Internal Revenue Sesta f99)l For cmndw yea 2017. Or oilier lax yew tunoloring
Tang Identification
1
vow WINS)
C/O DGC, 150 PRESIDENTIAL WAY APT.
WOBURN, MA 01801
Application for Automatic Extension of Time
To File U.S. Individual Income Tax Return
Your social *yew
rumba
3
WWI) social sacral number
2017. Bodin;
Part II I individual Income Tax
101.
2017
4 Estimate of total tax liability for 2017
141,857.
5 Total 2017 payments
81,857.
6 Balance due. Subtract line 5
from line 4
60,000.
7 Amount you me paying
►
60,000.
8 Check here it you are "out of the country and a U.S.
citizen or resident
►
9 Gem* here It you Ills Form KIIONR or IISCeat-EZ and v0 net MOM
wean as an employee subject to U.S. inane tax Melia:Una
►
487920610 NP BORG 30 0 201712 670
EFTA00025660
!, 1040 us. Individual Income Tax Return
20111
016115No. 1545-0074 I ou-S Me Only- DO nal valt0 or staple in INs SOK*
For thews Jan. I -Oec. 51.2017. cc other tax ye* begriming
2017. ending
.20
See separate Instructions.
Your first name and initial
Last name
You camel secuilly number
SCOTT G.
BORGERSON
If a joint return, spouse's first name and initial
Last name
SpOYse's social scanty flue*
GHISLAINE
HAXWELL
Home address (number and street). If you have a P.D. ox, see instructions.
Apt. no.
A MOM sue
the 592010bOve
C/O DGC, 150 PRESIDENTIAL WAY
510
andantino Oc are caeca
City. 'own te pail office. state. and DP cede. If yOu rave a 10nair adders. a k>00M01010 spaces WON
Presidential Election Campaign
Ma
YOu. a yOrs SpOuse
WOBURN, MA 01801
in
cuing
piney. went 1313 tO 03 tO
this And awnings tox below
Foreign country name
Foreign province/state/county
Foreign postal code
will nOl slangs Y001 tax cc retina
El You in Spouse
Filing Status
Check only
one box.
1 U
Single
2 El Married filing jointly (even if only one had income)
3 Q
Married filing separately. Enter spouses SSN above
and full name here. Ile
6a I X I Yourself. If someone can claim you as a dependent, do not check box 6a
4 CI Head of household (with qualify ng person). lf the qualifying
person i a child but not your dependent, enter this child's
name here. le
6
Qualifying widower) (see instructions)
Exemptions
If more than four
dependents, see
instructions and
C
check here le
b
e Dependents:
(II Feat name
Last name
12/Dependents social
way numb.
(310ependenrs
m
you
asonsuo to
IAm o
Al Mid
iallUil fleichl
iaw 17
wow
SON
X
d Total number of exemptions claimed
Boxes checked
en Ca and (1b
No. of children
on 6c who:
* Ned with you
• did nettle., with
you OA to &KW9
Cr separation
lane rtstructmal
Oroenclanteon fit.
not inched elxnu
Add nuntsece
on lines ►
above
2
1
3
Income
7
Wages, salaries, tips, etc. Attach Form(s) W-2
7
8a
91,404.
8a Taxable interest. Attach Schedule B if required
b Tax-exempt interest. Do not include on line 8a
8b
1,941.
1,941.
Attach Form(s)
W-2 here. Also
9a Ordinary dividends. Attach Schedule B if required
9a
176,082.
attach Forms
b Qualified dividends
1 9b
I
30,647.
W-20 and
10
Taxable refunds, credits, or offsets of state and local income taxes
STMT
3
$TMT 5
10
0.
1099-R if tax
was withheld.
11
Alimony received
11
12
-99,490.
12
Business income or (loss). Attach Schedule C or C-EZ
If you did not
get a W-2,
see instructions.
13
14
15a
Capital gain or (loss). Attach Schedu
Other gains or (losses). Attach Form
IRA distributions
e 0 if required.
4797
"a
If not required, check here
b Taxable
13
300,222.
amount
14
119,602.
16b
16a
17
Pensions
I
and annuities
Rental
Rental real estate, royalties, partnerships,
16a I
b Taxable amount
Schedule E
16b
S corporations, trusts, etc. Attach
17
-6,783.
18
Farm income or (loss). Attach Schedule F
18
19
Unemployment compensation
19
20a Social security benefits
I 20a I
I
D Taxable amount
20b
21
Other income. List type and amount
21
22
Combine the amounts in the far right column for lines 7 through 21. This is your total Income
►
22
581,037.
23
Educator expenses
23
Adjusted
24
certain bUSIMU expenses d reUni Ste. Peden, rig an164.11:1
• OOVOMMO
°most knack Form 2106IX 2106-EZ
24
Gross
25
Health savings account deduction. Attach Form 8889
25
Income
26
Moving expenses. Attach Form 3903
26
27
Deductible part of self-employment tax. Attach Schedule SE
27
11,457.
28
Self-employed SEP, SIMPLE, and qualified plans
28
29
Self-employed health insurance deduction
29
19,388.
30
Penalty on early withdrawal of savings
30
31a Alimony paid
b Recipient's SSN 1010
31a
66,000.
32
IRA deduction
32
33
Student loan interest deduction
33
34
Tuition and fees. Attach Form 8917
34
35
Domestic production activities deduction. Attach Form 8903
35
36
Add lines 23 through 35
36
96,845.
710001 02.72-18
37
Subtract line 36 from line 22. This is vour adiusted cross Income
37
484,192.
LHA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions.
EFTA00025661
rem. 1040(201?'
38 Amount from line 37 (adjusted gross income)
; ,, 2
38
484,192.
39a Check
O
You were born before January 2, 1953,
El Blind.
Total boxes
it
0
Spouse was born before January 2, 1953, El Blind.
checked ... ► 890
b If your spouse itemizes on a separate return or you were a dual-status alien, check here
► zieo
40 Itemized deductions (from Schedule A) or your standard deduction (see left margin)
41 Subtract tine 40 from line 38
42 Exemptions. If line 38 is $156,900 or less, multiply $4,050 by the number on line 6d. Otherwise, see inst.
43 Taxable Income. Subtract line 42 from line 41.11 line 42 is more than line 41, enter -0-
44 Tax. Check if any from:
a 0
Form(s) 8814 b C
Form 4972 c
45 Alternative minimum tax. Attach Form 6251
46 Excess advance premium tax credit repayment. Attach Form 8962
47 Add lines 44,45, and 46
►
48 Foreign tax credit. Attach Form 1116 if required
49 Credit for child and dependent care expenses. Attach Form 2441
50 Education credits from Form 8863, line 19
51 Retirement savings contributions credit. Attach Form 8880
52 Child tax credit. Attach Schedule 8812, it required
53 Residential energy credits. Attach Form 5695
54 Other credits from Form:
a El 3800
b El 8801
c
55 Add lines 48 through 54. These are your total credits
56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-
57
58
Unreported social security and Medicare tax from Form: a
4137
b O
8919
59 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required
60a Household employment taxes from Schedule H
b First-time homebuyer credit repayment Attach Form 5405 if required
61 Health care: Individual responsibility (see instructions)
Full-year coverage
62 Taxes from: a El Form 8959 b I= Form 8960 c 0
lost; enter code(s)
63 Add lines 56 through 62. This is your total tax
Tax and
Credits
Standard
Deduction Ice
• Pm% who
check any box
on line 3% or
3% or who can
beckoned es a
deport:lent see
hstrusbore
• All others
Slnale or
Willed MOO
Separately.
$8,350
Willed tiling
jointly°,
Ciaalaylng
wickniferli
$12.700
HBO of
household.
$9.350
Other
Taxes
►
Payments 64 Federal income tax withheld from Forms W-2 and 1099
65 2017 estimated tax payments and amount applied from 2016 return
" Yaa have a
66a Earned Income credit (EIC)
qualifying
crud. attach
b Nontaxable combat pay election
I 66b
Schoch% DC. F
67 Additional child tax credit Attach Schedule 8812
68 American opportunity credit from Form 8863, line 8
69 Net premium tax credit Attach Form 8962
70 Amount paid with request for extension to file
it
Excess social security and tier 1 RRTA tax withheld
72 Credit for federal tax on fuels. Attach Form 4136
73 Credits from Form: a 02439 bEIrsunedc 08885 di=
74 Add lines 64.65.66a, and 67 through 73. These are your total Payments
Refund
75
78a Amount of line 75 you want refunded to you. It Form 8888 is attached, check here
d
nuaw, p
I il• e Tyre0
00frog 0
wine 0' =HI
min deposit? 0. ,
0
Paulin I
See
instructions.
77 Amount of line 75 you want aoolled to your 2018 estimated tax
II,.
1 77 I
41 738.
Amount
78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions
_
ls•
You Owe 79 Estimated tax penalty (see instructions)
I 79 I
81.
Third Party Do you want to allow another person to discuss this return with the IRS (see instructions ?
Core t lete belo .
0
No
Designee
rirrel , LINDSAY J. ANNELLO
110
0
onal
i
Pers
denthsadon II .
nurnbee PI
UAW Mill% 0 rimy. I014114 M11 I Not moires alewife al ICCOnalfung Mask Ina St OMNI. ZOO il ItiliNg el lay knitting led atild.lbly ife gat MCI. lill
=uglilyKt ai wows Md SOtgteS Of OCOftn Infanta deep IN lit intr. Clubritifie 010tetten (Otter Ital lixttiMii Wald on al %unman of copromo hat trikt0Cat4t.
Here
Vote imganwe
Dale
Yin occupation
I Daytime phone number
TECHNOLOGY
SWUM'SOW-Wien
;-' ONSULTANT
64
65
68a
55
56
57
58
59
60a
60b
61
62
63
69,311.
22,914.
81,857.
I-
87
88
89
70
71
72
73
60,000.
If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid
►
74
75
76a
78
7,813.
100,038.
STATEMENT 9
141,857.
41,819.
Sign
40
41
42
43
44
45
46
47
301,121.
183,071.
0.
183,071.
16,076.
53,235.
69,311.
48
49
50
51
52
58
54
►
Self-employment tax. Attach Schedule SE
Jbell rely n?
Seeinstructions.
Keep a copy
Spouse's sigrekre. tl a ford return. bath must Sr.
fa pits
mecca&
Pthitrype prooaws nerve
Paid
PreParer LAURA K. BAROOSHIAN
Cede
Preptinietlieignatura
Date
10/12/18
use oniy Fannie name Illn DICICCO , GULMAN & COMPANY, LLP
FInnte EIN Illi 04 3296226
150 PRESIDENTIAL WAY, SUITE 510
Phone no
710002 02-22-fa
Annie 00ONS lo. WOBURN, MA 01801
checko
an errobyed
II the IRS sail you an Icknbty
PrOffiStion PIN.
enter it here
EFTA00025662
Forma
2210
Deplarnecdolthelmarry
Infernal Revenue
Underpayment of Estimated Tax by
Individuals, Estates, and Trusts
► Go to www.irs.gov/Fonn2210 for instructions and the latest information.
► Attach to Form 1040, 1040A, 1040NR, 1040NR-EZ, or 1041.
0518 N4.1545-0074
2017
Anatilaint
94001.000 NO. 08
Name(s) shown on tax return
SCOTT
G. BORGERSON
& GHISLAINE
MAXWELL
Identifying number
Do You Have To File Form 2210?
Complete lines 1 through 7 below. Is line 7 less than $1O00?
Yes
IF No
Complete lines 8 and 9 below. Is line 6 equal to or more than
line 9?
Yes
No
You may owe a penalty. Does any box in Part II below apply?
Yes
N°
Don't file Form 2210. You aren't required to figure your
penalty because the IRS will figure it and send you a bill for any
unpaid amount. If you want to figure it, you may use Part III or
Part IV as a worksheet and enter your penalty amount on your tax
return. but don't file Form 2210.
►
Don't file Form 2210. You don't owe a penalty.
You don't owe a penalty. Don't file Form 2210
(but If box E in Part II applies, you must file page 1 of
Form 2210).
You must file Form 2210. Does box B, C, or Din Part II apply?
iNo
You aren't required to figure your penalty because the IRS will
figure it and send you a bill for any unpaid amount. If you want to
figure it, you may use Part III or Part IV as a worksheet and enter
your penalty amount on your tax return, but Me only page 1 of
Form 2210.
Yes
You must figure your penalty.
Part I I Required Annual Payment
1
Enter your 2017 tax after credits from Form 1040, line 56 (see instructions if not filing Form 1040)
2
Other taxes, including self-employment tax and, if applicable, Additional Medicare Tax and/or Net Investment
Income Tax (see instructions)
3
Refundable credits, including the premium tax credit (see instructions)
4
Current year tax. Combine lines 1, 2, and 3. If less than $1,000, stop; you don't owe a penalty. Don't Ne Form 2210
5
Multiply line 4 by 90% (0.90)
I 5 I
90,034.
6
Withholding taxes. Don't include estimated tax payments (see instructions)
7
Subtract line 6 from line 4. If less than $1,000. stop; you don't owe a penalty. Don't file Form 2210
8
Maximum required annual payment based on prior year's tax (see instructions)
9
Required annual payment. Enter the smaller of line 5 or line 8
Next Is line 9 more than line 6?
No. You don't owe a penalty. Don't file Form 2210 unless box E below applies.
I= Yes You may owe a penalty, but don't file Form 2210 unless one or more boxes in Part II below applies.
• If box B, C, or D applies, you must figure your penalty and file Form 2210.
• If box A or E applies (but not 0, C, or D) file only page 1 of Form 2210. You aren't required to figure your penalty; the IRS will figure it and send you
a bill for any unpaid amount If you want to figure your penally, you may use Part III or W as a worksheet and enter your penalty on your tax return, but file
only page 1 of Form 2210.
1
2
3
4
69,311.
30,727.
6
7
8
9
100,038.
100,038.
328,919.
90,034.
Part III Reasons for Filing. Check applicable boxes. If none apply, don't file Form 2210.
A
You request a waiver (see instructions) of your entire penalty. You must check this box and file page 1 of Form 2210, but you aren't required
to figure your penalty.
B
You request a waiver (see instructions) of part of your penalty. You must figure your penalty and waiver amount and file Form 2210.
C
Your income varied during the year and your penalty is reduced or eliminated when figured using the annualized Income installment method. You must
figure the penalty using Schedule Al and file Form 2210.
D
Your penalty is lower when figured by treating the federal income tax withheld from your income as paid on the dates it was actually withheld, instead of in
equal amounts on the payment due dates. You must figure your penalty and file Form 2210.
E CJ You filed or are filing a joint return for either 2016 or 2017, but not for both years, and line 8 above is smaller than line 5 above. You must file page 1 of
Form 2210, but you aren't required to figure your penalty (unless box B, C, or D applies).
LNA For Paperwork Reduction Act Notice, see separate instructions.
Form 2210 (2017)
712501 01-05-15
EFTA00025663
Form2210(2017) SCOTT G. BORGERSON & GHISLAINE MAXWELL
Page 3
Part IV I Regular Method (See the instructions if you are filing Form 1040NR or 1040NR.EZ.)
Section A - Figure Your Underpayment
Payment Due Dates
(a)
4/15/17
(b)
6/15/17
(c)
9/15/17
(d)
1/15/18
18 Required installments. If box C in Part II applies, enter
the amounts from Schedule AI, line 25. Otherwise, enter
25% (0.25) 'Aline 9, Form 2210, in each column
19 Estimated lax paid and tax withheld. FiX Cetumn 00 OW. ala0enW
the amount from Ihe 19 on hie n dine 19 is equal to or mote then
line 18 tot all rerun posses. MP hoes: you don't owe a penally
Don't file Form 2210 unless you checked a box In Perth
Complete lines 20 through 26 of one column
before going to line 20 of the next column.
20 Enter the amount, if any, from line 26 in the previous
column
21 Add lines 19 and 20
22 Add the amount en lines 24 end 25 in trop,avldpaookynn
23 Subtract line 22 from line 21. ff zero or less, enter -0-.
For column (a) only, enter the amount from line 19
24 If line 23 is zero, subtract line 21 from line 22.
Otherwise, enter -0-
25 Underpayment. If line 18 is equal to or more than line
23, subtract line 23 from line 18. Then go to line 20 of
the next column. Otherwise, go to line 26
IPP
26 Overpayment. If line 23 is more than line 18, subtract line
18 from line 23. Then go to line 20 of the next column
18
22,509.
22,509.
22,509.
22,507.
19
42,857.
24,000.
15,000.
20
20,348.
21,839.
14,330.
21
44,348.
36,839.
14,330.
22
23
42,857.
44,348.
36,839.
14,330.
24
0 .
0 .
25
8,177.
26
20,348.
21,839.
14,330.
ection B - Figure the Penalty (Use the Worksheet for Form 2210. Pad IV, Section B • Figure the Penalty in the instructions.)
27 Penalty. Enter the total penalty from line 14 of the Worksheet for Form 2210, Part IV, Section 8 - Figure the Penalty. Also include
this amount on Form 1040, line 79; Form 1040A, line 51; Form 1040NR, line 76; Form 1040NR-EZ, line 26; or Form 1041, line
26. Don't file Form 2210 unless you chedced a box in Pan II
27
81.
Form 2210 (2017)
712491 01-0548
EFTA00025664
Name(s)
Identifying Number
(A)
*Date
(B)
Amount
(C)
Adjusted
Balance Oue
(D)
Number Days
Balance Due
(E)
(laity
Penalty Rate
(F)
Penalty
-0-
04/15/17
22,509.
22,509.
04/15/17
-42,857.
-20,348.
06/15/17
22,509.
2,161.
06/15/17
-24,000.
-21,839.
09/15/17
22,509.
670.
09/15/17
-15,000.
-14,330.
01/15/18
22,507.
8,177.
90
.000109589
81.
Penalty Due (Sum of Col mn F).
81.
• Date of estimated tax payment, withholding
credit date or installment due date.
712511
04-01.17
EFTA00025665
SCHEDULE A
(Form 1040)
Depeptmen1 of as 'Nam/
Infernal Rekenuo SCIVCO
k .., 77,,
itemizes ueauctions
lot Go to www.irs.gov/ScheduleA for instructions and the latest information.
P15 Attach to Form 1040.
Caution: it vou are claiming a net Qualified disaster loss on Form 4684. see the instructons for line 28.
OMB No. 1545-0074
P17
SeeutetnCe1(0.07
karr5:01 shown ce.5orm 1040
our 'coal socunly norber
Medical
Caution: Do not include expenses reimbursed or paid by others.
and
1 Medical and dental expenses (see instructions)
1
Dental
2 Enter amount from Form 1040. line 38
12 1
Expenses
3 Multiply line 2 by 7.5% (0.075)
3
4 Subtract line 3 from line 1. If line 3 is more than line 1, enter 0.
4
Taxes You
5 State
Paid
a
and
X
local (check only one box):
Income taxes. or
$EE STATEMENT 11
5
133,562.
b O
General sales taxes
}
6 Real estate taxes (see instructions)
6
26,896.
7 Personal property taxes
7
8 Other taxes. List type and amount
Ille•
8
9 Add lines 5 through 8 .
9
160,458.
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 hgme. see instructions and show that person's name.
Identifying no.. and address IP
Note:
11
Your mortgage 12 Points not reported to you on Form 1098. See instructions for special rules
Interest
12
deduction may 13 Mortgage insurance premiums (see instructions)
13
be limited (see
14 Investment interest Attach Form 4952 if required. See instructions
$TMT 12 14
22,464.
instructions).
15 Add lines 10 through 14
Its
22,464.
Gifts to
18 Gifts by cash or check. If you made any gift of $250 or more, see instructions
16
Charity
17 Other than by cash or check. If any gift of $250 or more, see instructions.
If you made a
You must attach Form 8283 if over $500
17
gift and got a
be
for it
18 Carryover from prior year
18
see instructions. ig Add lines 16 through 18
19
Casualty and
20 Casualty or theft loss(es) other than net qualified disaster losses. Attach Form 4684 and
Theft Losses
enter the amount from line 18 of that form. 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. Illi.
Miscellaneous
Deductions
III
21
22 Tax preparation fees
n
23 Other expenses • investment, safe deposit box, etc. List type and amount IP.
SEE STATEMENT 10
m
132,995.
24 Add lines 21 through 23
24
132,995.
25 Enter amount from Form 1040, line 38
251
484,192.
26 Multiply line 25 by 2%(0.02)
26
9,684.
27
Subtract line 26 from line 24. If line 26 is more than line 24. enter 41
27
123,311.
Other
28 Other • from list in instructions. List type and amount Illo
Miscellaneous
Deductions
28
29 Is Form 1040, line 38. over $156,900?
No. Your deduction is not limited. Add the amounts in the far right column
Total
for lines 4 through 28. Also. enter this amount on Form 1040, line 40.
STMT 13
29
301,121.
Itemized
Deductions
30 If
check
X
you
Yea. Your deduction may be limited. See the Itemized Deductions
Worksheet in the instructions to figure the amount to enter.
elect to itemize deductions even though they are less than your standard deduction.
here
LHA 719501 02-22.18
For Paperwork Reduction Act Notice, see the Instructions for Form 1040.
Schedule A (Form 1040) 2017
EFTA00025666
OV6 No 1545-0
SCHEDULE B
(Form 1040A or 1040)
Depeitri1011 01 the TegeSufy
Intoned Rama* Screice
1, t0
)4=00 shown can:dun
SCOTT G.
Part I
Interest
Interest and Ordinary Dividends
IS, Attach to Form 1040A or 1040.
16, Go to www.irs.gov/ScheduleB for Instructions and the latest information.
0
2017
'008
Note: If you
received a Form
1096INT.
Form 10960ID,
or substitute
statement from
a brokerage firm.
list the firm's
name as the
payer and enter
the total interest
shown on that
form.
1 List name of payer. If any interest is from a sellerfinanced mortgage and the buyer used the
property as a personal residence. see the instructions and list this Interest first. Also, show that
buyer's social security number and address ►
SEE STATEMENT 14
SUBTOTAL FOR LINE 1
SEE STATEMENT 15
2 Add the amounts on line 1
3 Excludable interest on series EE and I U.S. savings bonds issued after 1989.
Attach Form 8815
4 Subtract line 3 from line 2. Enter the result here and on Form 1040A, or Form 1040, line 8a
Note: If tine 4 is over $1,500, you must complete Part III.
•••
Amount
91,411.
91,411.
7.
91,404.
3
4
91,404.
Amount
Part II
Ordinary
Dividends
Note: If you
received a Form
1096DIV 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
5 List name of payer
UBS - 3572 ►
UBS - 3575
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
FROM K-1
FROM K-1
FROM K-1
FROM K-1
ANGARA TRUST
6 Add the amounts on line 5. Enter the total here and on Form 1040A. or Form 1040, line 9a
Note: If tine 6 is over $1.500, you must complete Part III.
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 orantor of or a transferor to. a foreion trust.
1,455.
6,656.
17,988.
4,883.
8,075.
129 621.
7,404.
7a At any time during 2017, did you have a Mandel 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 FinCEN Form 114 and its instructions for fling
requirements and exceptions to those requirements
b If you are required to file EnCEN Form 114. enter the name of the foreign country where the financial account
Is located
Illo• UNITED KINGDOM
8 During 2017. did you receive a distribution from, or were you the grantor of. or transferor to, a foreign trust?
176,082.
727501 10.25-17
If 'Yes: you may have to file Form 3520. See instructions
Yes
X
No
X
X
LHA For Paperwork Reduction Act Notice, ace your tax return instructions.
Schedule B (Form 1040A or 1040) 2017
EFTA00025667
SCHEDULE C
(Form 1040)
Dopartmadoltherreasugy
imemallievenuoWNN(M
Name or of oft*10,
Profit or Loss From Business
(Sole Proprietorship)
► Go to www.irs.gov/ScheduleC for Instructions and the latest information.
0. Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.
OWN No. 1645-OPd
2017
meot tin
Seceanco No. Va
Social shalty number ISSN)
A
Principal business or profession, including product or service (see instructions)
B COW coda Porn newly*
CONSULTING
I. 812990
C
Business name. if no separate business name, leave blank.
D Employer ID numb" (EINI (see PS'.)
ELLMAX, LLC
27-4313665
E
Business address (including suite or room no.)► 116 EAST 65TH STREET
City. town or post office. state. and ZIP code
NEW YORK, NY 11021
F
Amounting method:
(1) El Cash
(2) 0
Accrual
(3) C
Other (specify) Po
B
Did you "materially participate' in the operation of this business during 2017? If "No," see instructions for limit on losses
Ir
Yes 0
No
II
If you started or acquired this business during 2017, check here
I
Did you make any payments in 2017 that would require you to file Form(s) 1099? (see instructions)
0
Yes M
No
3
If Wes.' did you or will you file required Forms 1099?
I-1 Yes I-1 No
Part I I Income
1
Gross receipts or sales. See instructions for line 1 and check the box it 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 gasoline or fuel tax credit or refund (see instructions)
7
Bross Income. Add lines 5 and 6
►
Part
Expenses. Enter expenses for business use of your home only on line 30.
8
9
10
11
12
13
14
15
16
a
b
17
28
Total expenses before expenses for business use of home. Add lines 8 through 27a
►
29
Tentative profit or (loss). Subtract line 28 from line 7
30
Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method (see instruct 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
31
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.
(If 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 18) and on Schedule SE, line 2.
(If 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.
1
2
3
4
5
6
7
Advertising
8
13
Office expense
Car and truck expenses
19
Pension and profit-sharing plans
(see instructions)
9
20
Rent or lease (see instructions):
Commissions and fees
10
a Vehicles, machinery, and equipment
Contract labor (see instructions)
If
36,500.
b Other business properly
Depletion
12
21
Repairs and maintenance
Depredation and section 179
expense deduction (not included in
22
Supplies (not included in Part Ill)
23
Taxes and licenses
Part Ill) (see instructions)
Employee benefit programs (other
13
24
Travel, meals, and entertainment
a Travel
than on line 19)
14
b Deductible meals and
Insurance (other than health)
15
entertainment (see instructions)
Interest:
25
Utilities
Mortgage (paid to banks, etc.)
16a
26
Wages (less employment credits)
Other
16b
27 a Other expenses (from line 48)
Legal and professional services
17
7,530.
b Reserved for future use
18
19
20a
20b
21
22
23
24a
15,232.
24b
25
26
27a
27b
28
29
38,242.
1,986.
90
99,490.
-99,490.
91
- 99,490.
32a n,ri NI investment
_ldU is at
32b n
some hv,„,...,
rct 31 Mk.
Schedule C (Form 1040) 2017
720501 10.21-17
EFTA00025668
Schedule C (Form 1040) 2017
Page 2
Part III I Cost of Goods Sold (see instructions)
33
Method(s) used to
(attach explanation)
value closing inventory:
a K
Cost
b K
Lower of cost or market
❑Other
34
Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If 'Yes; attach explanation
K
Yes
K
No
35
Inventory at beginning of year. If different from last year's closing inventory, attach explanation
35
36
Purchases less cost of items withdrawn for personal use
36
37
Cost of labor. Do not include any amounts paid to yourself
37
38
Materials and supplies
38
39
Other costs
39
40
Add lines 35 through 39
40
41
Inventory at end of year
41
42
Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4
42
Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and
are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file
Form 4562.
43
When did you place your vehicle in service for business purposes? (month, day, year)
►
/
/
44
Of the total number of miles you drove your vehicle during 2017, enter the number of miles you used your vehicle for
a
Business
b Commuting
c Other
45
Was your vehicle available for personal use during off-duty hours?
K
Yes
46
Do you (or your spouse) have another vehicle available for personal use?
K
Yes
47 a
Do you have evidence to support your deduction?
b If Yes; is the evidence written?
Part V I Other Expenses. List below business expenses not included on lines 8-26 or line 30.
BANK FEES
K No
K No
Yes
K No
Yes
F-1 No
1.836.
150.
48
Total other exoenses. Enter here and on line 27a
48
1,986.
710002 10.21.17
S hedule C (Form 1040) 2017
EFTA00025669
SCHEDULE D
(Form 1040)
Dapatment of the Treasury
infant Flemsnse Scarce INC
Capital Gains and Losses
Pro Attach to Form 1040 or Form 1040NR.
Ili- Go to www.irs.gov/ScheduleD for instructions and the latest information.
► Use Form 8949 to list your transactions for lines lb, 2, 3, 8b, 9, and 10.
OAIB No 15154074
2017
Anactemint
Sactuanoe No 14
WN(') Snosn on /own
You SOCNI seaway mimosa
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)
Co)
Adjustments
to gain or loss from
Form(s) 8949. Part I.
line 2, column (g)
(h) Gain or (loss)
Subtract column (o)
from column (d) and
combine the result
with column (g)
la
Totals Sot all shat-tam Wan:mitt* Waled on twin 1099.5
to wisch bah. was reCialed to itie IRS and so( which you hays
nOadJustmente WO irstuCtiOnikk hawasaci N you chOOSS 10
Wed all two trenuictkar on ram 8949. New this lire thank
and co to lino lb
lb
Totals for all transactions reported on Form(s)
8949 with Box A checked
2
Totals for all transactions reported on Fonn(s)
8949 with Box B checked
3
Totals for all transactions reported on Fonn(s)
8949 with Box C checked
4
Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684. 6781. and 8824
STMT 16 4
1,301.
5
Net short-term gain or (loss) from partnerships. S corporations, estates. and trusts
from Schedule(s) K-1
SEE STATEMENT 18
5
<15,638.:
6
Short-term capital loss carryover. Enter the amount. If any, from line 8 of your Capital Loss
Carryover Worksheet in the instructions
6
)
7
Net short-term capital gain or (loss). Combine lines la through 6 in column (h). If you have any long-term
capital gains or losses. go to Part II below. Otherwise. go to Part III on page 2
7
<14,337.:
Part II 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)
(g)
Adjustments
to gain or loss from
Form(s) 8949, Part II,
line 2, column (g)
(h) Gain or (loss)
Subtract column (e)
from column (d) and
combine the result
with column (g)
8a
Tots fit ell lag-tam Wallet) Waled On ram 1099.5
la which bats was lergcled to tis IRS end to which you have
nOadhatinente (see iretruCtiOnEC Hatninic. N yOuC1100W)10
MOW all thee trenuictkar on ram 8949. Issue tits Ito thank
and as to Ilno Et
Bb
Totals for all transactions reported on Form(s)
8949 with Box D checked
9
Totals for all transactions reported on Form(s)
8949 with Box E checked
10
Totals for all transactions reported on Form(s)
8949 with Box F checked
945,279.
945,271.
8.
11
Gain from Form 4797. Part I: long-term gain from Forms 2439 and 6252: and longterm gain or (loss)
from Forms 4684, 6781, and 8824
SEE STATEMENT 17
ii
1,977.
SEE STATEMENT 19
12
Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s)K1
12
312,187.
13
Capital gain distributions
SEE STATEMENT 20
13
387.
14
Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Canyover
Worksheet in the instructions
14
1
15
Net long-term capital gain or (loss). Combine Ems 8a through 14 in column (h). Then go to
Part III on page 2
15
314,559.
LHA For Paperwork Reduction Act Notice, see your tax return instructions.
Schedule D (Form 1040) 2017
720511 11-02-17
EFTA00025670
Schedule D Worm 1040) 2017
Summary
Part III
2
16
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 Ines 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 -O. on Form 1040, line 13, or Form
1040NR, line 14. Then go to line 22.
17
Are tines 15 and 16 both gins?
QX Yes. Go to line 18.
No. Skip fines 18 through 21, and go to line 22.
18
If you are required to complete the 28% Rate Gain Worksheet (see instructions), enter the
amount, if any, from line 7 of that worksheet
19
If you are required to complete the threcaptured Section 1260 Gain Worksheet (see
instructions), enter the amount, if any, from line 18 of that worksheet SEE STATEMENT 21 ►
20
Are lines 18 and 19 both zero or blank?
OX Yes. Complete the Qualified Dividends and Capital Galn Tax Worksheet In the instructions
for Form 1040, line 44 (or in the instructions for Form 1040NR. line 42). Don't complete lines
21 and 22 below.
No. Complete the Schedule D Tax Worksheet in the instructions. Don't 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 o'.
•
The loss on line 16 or
•
($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 Form 1040NR, line 10b?
Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in tho 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
300,222.
19
21
Schedule D (Form 1040)2017
720512 11472-17
EFTA00025671
Form 8949 (2017)
Attachment Sequence No. 12A
Page 2
Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on page 1
Social security number or
taxpayer Identification no.
Before you check Box D, E. or F below, see whether you received any Fonn(s) 1099-B or substitute statement(s) from your broker. A substitute
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the RS by your
fwkar wet may revan ball rut whirl] hew In rhark
I Part
I 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 all longterm transactions reported on Form(s) 1099.8 showing basis was mooned to the IRS and for which no adjustments or
codes we required. Enter the totals drectly on Schedule ID, line Ba; you weal required to report these transactions on Form 8949 (see nstructons).
You must check Box D, E, or F below. Check only one box. b. more than one box apphas to your tampion liansectlats. complete a Sep.wele Form 8949. page 2. NY each applicaNabox
K you Are more long-tam eareachons than 'mil fa on IN, pope la ore or note of the boxes. complete as many forms with the sane box checked as yea reed
ji
(D) Longterm transactions reported on Form(s) 1099G showing basis was reported to the IRS (see Note above)
(E) Longterm transactions reported on Form(s 1099G showing basis wasn't reported to the IRS
F Longterm transactions not reported to you on Form 1099-B
1
(a)
Description of property
(Example: 100 sh. XYZ Co.)
(b)
Date acquired
(Mo.. day, yr.)
(c)
Date sold or
disposed of
(Mo.. day. yr.)
(d)
Proceeds
(sales price)
in
(e)
Cost or other
basis. See the
Note below and
see Column (e) in
the instructions
Adjustme
loss. If you
column
column (1).
t, If any, to gain or
enter an amount
(g), enter a code in
See Instructions.
(h)
Gain or (loss).
Subtract column (e)
from column (d) &
combine the result
with column (g)
_ In
Amount
‘sode(s)
of
adjustment
DISPOSITION OF
ATLAS ENHANCED
FUND LP
VARIOUS
945,279. 945,271.
8.
2 Totals. Add the amounts in columns (d). (e). (g) and (h) (subtract
negative amounts). Enter each total here and include on your
Schedule D. line 8b (it Box D above is checked), line 9 (it Box E
above is checked). or line 10 Of Box F above is checked)
IP.
945,279. 945,271.
8.
Note: If you checked Box D above but the basis reported to the IRS was incorrect. enter 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.
723017 11.SQ.17
Form 8949 (2017)
EFTA00025672
Qualified Dividends and Capital Gain Tax Worksheet - Line 44
Keep for Your Records
Name(s) shown on return
Your SSN
Before you begin: ,/ See the instructions for line 44 to see if you can use this worksheet to figure your tax.
Before completing this worksheet, complete Form 1040 through line 43.
If you don't 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 2555.EZ (relating to foreign earned income), enter the amount from
line 3 of the Foreign Earned Income Tax Worksheet
2. Eller the amount from Form 1040. line 9b"
2.
30,647.
3. Are you filing Schedule D?"
C I Yes. Enter the smaller of line 15 cc 16 et
Schedule D. If either line IS cr 16 is
black or a lose. enW
3.
300,222.
O No. Enter the morn from Ferro MO. One 13.
4. Add lines 2 and 3
4.
330,869.
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,
0 .
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•
8. Enter:
$ 37,950 if single or married filing separately,
$ 75,900 if married filing jointly or qualifying widow(er),
$ 50,800 if head of household.
9. EMer the smaller of line 1 or line 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 One 1 or line 6
13. Enter the amount from line 11
14. Subtract line 13 from line 12
15. Eller:
$ 418,400 if single,
$ 235,350 if married filing separately,
15.
470,700.
$ 470,700 if married filing jointly or qualifying widow(er),
$ 444,550 if head of household.
16. Eller the smaller of line 1 or line 15
16.
183,071.
17. Add lines 7 and 11
17.
75,900.
18. Subtract line 17 from line 16. If zero or less, enter B.
18.
107,171.
19. Enter the smaller of One 14 or line 18
19.
107,171.
20. Multiply line 19 by 15%(0.15)
20.
16,076.
21. Add lines 11 and 19
21.
183,071.
22. Subtract line 21 from line 12
22.
0 .
23. Multiply line 22 by 20% (0.20)
23.
0.
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.
0 .
25. Add lines 20, 23, and 24
25.
16,076.
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.
38,144.
27. Tax on all taxable Income. Enter the smaller of line 25 or 26. Also include this amount on Form
1040, line 44. If you are filing Form 2555 or 2555.EZ. don't enter this amount on Form 1040, line 44.
Instead, enter it on One 4 of the Foreign Earned Income Tax Worksheet
27.
16,076.
1.
(1.
7.
8.
9.
10.
11.
12.
13.
14.
183,071.
330,869.
0 .
75,900.
75,900.
0 .
75,900.
183,071.
75,900.
107,171.
'If you are filing Form 2555 or 2555-EZ see the footnote in the Foreign famed Income Tax Worksheet before completing this line.
710451 01-17-18
EFTA00025673
St000..10E TOM SO 2017
Name) Brawl careen Oo not toner name are WOW eeCtrity norms' it shown on WO
Motivator., SeCluen0e NO. 13
Pine 2
Your social security number
Caution: The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1.
Part II I Income or Loss From Partnerships and S Corporations Note: If you report a loss from an atnsk activity for which
any amount is not at risk, you must check column (e) on line 28 and attach Form 6198. See instructions.
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 (d that loss was not reported on Form 8582), or unreimbursed partnership expenses?
M
Yes
Q
No
If you answered 'Yes" see instructions before completing this section.
28
(a) Name
(b)eseatP for
rommvo-S
or Senora:on
(c)Chseis
"tor
paralyse*
(d) Employer
identification number
(e) Pock if
. 7,47,:„;; $
A
SEE STATEMENT 22
B
C
0
Passive Income and Loss
Nonpasslve 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) S ction 179 expense
deduct on from Form 4562
(j) Nonpassiv income
from Sched le K-1
A
B
C
0
29a
Totals
b
Totals
30
Add columns (g) and
31
Add columns (f), (h),
32
Total partnership and
result here and include
266,637.
269,498.
(j) of line 29a
and (i) of line 29b
S corporation income or (loss). Combine lines 30 and 31. Enter the
in the total on line 41 below
30
266,637.
31 ( 269,498. l
32
-2,861.
Part III I Income or Loss From Estates and Trusts
33
(a) Name
(b) Employer
identification number
A
ANGARA TRUST
81-6797506
B
81-6797506
Passive Income and Loss
Nonpassive Income and Loss
(e) 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
(0 Other income from
Schedule K-1
A
61.
3,978.
B
5.
34a
Totals
61.
b
Totals
r
3,983.
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 result here and include in the total on line 41 below
35
61.
36
(
3,983.
37
—3,922.
Part IV Income or Loss From Real Estate Mortgage Investment Conduits REMI s - Residual Holder
38
(a) Name
(b) Employer
identification number
(c) Excess inclusion from
Schedules 0, fine 2c
(see instructions)
49 Taxable income (net
loss) from Schedules 0,
line lh
(e) Income from
Schedules 0, tine 3b
39
Combine columns (d) and (e) only. Enter the esult here and include in the total on line 41 below
39
11
14ft—V1 Summary
* ENTIRE DISPOSITION OF NONPASSIVE ACTIVITY
40
Net farm rental income or (loss) from Form 4835. Also, complete line 42 below
40
41
Total income or (loss). Centeno Ines 26. 32. 37.39. and 40. Enter the result hall and an Form 1040.1ine II. or Farm 1040Ma. line IS
41
-6,783.
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 8; Schedule K-1
(Form 11205), box 17, code V; and Schedule K-1 (Form 1041), box 14, code F woe insivetionfi
42
43
Reconciliation for real estate professionals. v you nee a ow none proleekaOrol twee beauctiorol.
enter We net incomea (best yco reported anywhere an Farm 1040 or Fr. 10412661 earn ell rental real estate
nonntien in when ycu materially parbapated under the passive weivity bas rules
43
Schedule E (Form 1040) 2017
721501 10.20-17
EFTA00025674
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1
SCHEDULES
Name OHISLAINE HASWELL
Passtivough CARGONBTRICS TECHNOLOGIES LI.0
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 (nonpasslve)
Nonpassive other
Total Schedule E (page 2)
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULED
Net short.term cap. gain doss)
Net longterm cap. gain (loss)
Section 1256 contracts & straddles
FORM 4952
Investment interest expense . Sch. A
Other net investment income
Charitable contributions
Deductions related to portfolio Income
Other
SSN/EIN
ID
90-0907396
2017
SPOUSE
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
-21,895.
-21,895.
122,614.
144,V.'.9.
21 ,H4,.,
122,614.
144,V.:9.
-1.
721551 0441-17
EFTA00025675
INCOME FROM PASSTHROUGH STATEMENT, PAGE 2
SCHEDULES
Name OHISLAINE HARWELL
Passthrough CARGOKSTRICS TECHNOLOGIES LI.0
PARTNERSHIP
NONPASS PIE
Interest income
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Tax-exempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's AMT adjustment
Depletion (other than NO
Other
MISCELLANEOUS
Self-employment earnings (loss)/Wages
Gross laming & 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
SSN/EIN
ID
90-0907396
2017
SPOUSE
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
9.
9.
-21,895.
21 , H" S.
397.
721552 D441-17
EFTA00025676
INCOME FROM PASSTHROUGH STATEMENT. PAGE 1
SCHEDULES
Name OHISLAINB MAXWELL
PESSNWOughALPHAKEYS 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 (nonpasslve)
Nonpassive other
Total Schedule E (page 2)
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULED
Net short.term cap. gain doss)
Net longterm cap. gain (loss)
Section 1256 contracts & straddles
FORM 4952
Investment interest expense . Sch. A
Other net investment income
Charitable contributions
Deductions related to portfolio Income
Other
SSN/EIN
ID
27-5238213
2017
SPOUSE.
K.1 Input
Prior Year Unallowed
Basis Loss
Disallowed Due to
Basis Limitation
Prior Year Unallowed
At-Risk Loss
Disallowed Due to
At.Risk
Pdor Year Passive
Loss
Disallowed Passive
Loss
Tax Return
-35,373.
_ 35,.i _..
-48,770.
-48,770.
-84,143.
-84,143.
835.
835.
8,064.
8,064.
721551 0441-17
EFTA00025677
INCOME FROM PASSTHROUGH STATEMENT. PAGE 2
SCHEDULES
Name OHISLAINB MAXWELL
peeethreuge ALPHAKEYS MILLENNIUM FUND, L. L.C.
PARTNERSHIP
NONPASSIVR
Interest income
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Tax-exempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's AMT adjustment
Depletion (other than NO
Other
MISCELLANEOUS
Self-employment earnings (loss)/Wages
Gross laming & 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
SSN/EIN
I
D
27-5238213
2017
SPOUSE.
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
L
5,732.
5,732.
17,900.
17,900.
17,988.
17,988.
6,874.
6,874.
7.
7.
-1.
-1.
r
721552 D441-17
EFTA00025678
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1
SCHEDULE E
Name GHISLAINB MAXWELL
passthrough CARCOMETEICE COMPASS FUND LP
PARTNEESETP
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 (nonpasslve)
Nonpassive other
Total Schedule E (page 2)
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULED
Net short.term cap. gain doss)
Net longterm cap. gain (loss)
Section 1256 contracts & straddles
FORM 4952
Investment interest expense . Sch. A
Other net investment income
Charitable contributions
Deductions related to portfolio Income
Other
SSN/EIN
ID
37-1791864
2017
SPOUSE
K•1 Input
Prior Year Unallowed
Basis Loss
Disallowed Due to
Basis Limitation
Prior Year Unallowed
At-Risk Loss
Disallowed Due to
At.Risk
Pdor Year Passive
Loss
Disallowed Passive
Loss
Tax Return
-22,442.
-22,442.
22,442.
168.
168.
-22,274.
22,274.
1,382.
1 ,352.
1,950.
1 ,950.
168.
168.
721551 0441-17
EFTA00025679
INCOME FROM PASSTHROUGH STATEMENT, PAGE 2
SCHEDULE E
Name OHISLAINB MAXWELL
Passttwough CAROOMETRICS COMPASS FUND LP
PARTNERSHIP
NONPASS IVR
Interest income
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Tax-exempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's AMT adjustment
Depletion (other than NO
Other
MISCELLANEOUS
Self-employment earnings (loss)/Wages
Gross laming & 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
SSN/EIN
ID
37-1791864
2017
SPOUSE
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
2,730.
2,730.
4,883.
4,883.
r
721552 D441-17
EFTA00025680
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1
SCHEDULE E
Name OHISLAINE MAXWELL
passthrough ATLAS ENHANCED POND LP
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 (nonpasslve)
Nonpassive other
Total Schedule E (page 2)
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULED
Net short.term cap. gain doss)
Net longterm cap. gain (loss)
Section 1256 contracts & straddles
FORM 4952
Investment interest expense . Sch. A
Other net investment income
Charitable contributions
Deductions related to portfolio Income
Other
SSN/EIN
ID
26-0349715
2017
SPOUSE
K•1 Input
Prior Year Unallowed
Basis Loss
Disallowed Due to
Basis Limitation
Prior Year Unallowed
At-Risk Loss
Disallowed Due to
At.Risk
Pdor Year Passive
Loss
Disallowed Passive
Loss
Tax Return
-18,572.
-18,572.
-18,572.
-18,572.
-41.
-41.
468.
468.
22,463.
22,463.
-18,573.
-18,573.
3.
3.
721551 0441-17
EFTA00025681
INCOME FROM PASSTHROUGH STATEMENT, PAGE 2
SCHEDULE E
Name OHISLAINE MAXWELL
passthrough ATLAS ENHANCED POND LP
PARTNERSHIP
NONPASSIVE
Interest income
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Tax-exempt interest income
FORM 6251
Depreciation adjustment after 12/31/66
Adjusted gain or loss
Beneficiary's AMT adjustment
Depletion (other than c40
Other
MISCELLANEOUS
Self-employment earnings (loss)/Wages
Gross laming & 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
SSN/EIN
ID
26-0349715
2017
SPOUSE
Icl 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
14,581.
14,581.
2,588.
2,588.
8,075.
8,075.
2,214.
2,214.
r
721552 D441-17
EFTA00025682
INCOME FROM PASSTHROUGH STATEMENT. PAGE 1
SCHEDULES
Name SCOTT 0. BORGERSON
Passttwough CARGONITRICS TECHNOLOGIES LI.0
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 (nonpasslve)
Nonpassive other
Total Schedule E (page 2)
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULED
Net short.tenn cap. gain doss)
Net longterm cap. gain (loss)
Section 1256 contracts & straddles
FORM 4952
Investment interest expense . Sch. A
Other net investment income
Charitable contributions
Deductions related to portfolio Income
Other
SSN/EIN
ID
90-0907396
2017
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
266,637.
266 637.
266,634.
266 .
266 637.
721551 0441-17
EFTA00025683
INCOME FROM PASSTHROUGH STATEMENT, PAGE 2
SCHEDULES
Name SCOTT 0. BORGERSON
Passthrough CARGONITRICS TECHNOLOGIES LI.0
PARTNERSHIP
NONPASSIVE
Interest income
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Tax-exempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's AMT adjustment
Depletion (other than NO
Other
MISCELLANEOUS
Self-employment earnings (loss)/Wages
Gross laming & 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
SSN/EIN
ID
90-0907396
2017
TAX PAY ER
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
al.
266 .
.
266,637.
14
S
l'i,
.
721552 D441-17
EFTA00025684
INCOME FROM PASSTHROUGH STATEMENT. PAGE 1
SCHEDULE E
Name GHISLAINE MAXWELL
PRSSNWOUgh ANGARA TRUST
ESTATE OR TRUST
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 (nonpasslve)
Nonpassive other
Total Schedule E (page 2)
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULED
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
Charitable contributions
Deductions related to portfolio Income
Other
SSN/EIN
ID
81-6797506
2017
SPOUSE.
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
61.
6:.
6:.
-3,983.
-3,983.
-3,922.
-3,922.
26.
26.
-16,979.
-16,979.
312,187.
312,187.
I.
1.
-4,507.
-4,507.
66,867.
66,867.
721551 0441-17
EFTA00025685
INCOME FROM PASSTHROUGH STATEMENT, PAGE 2
SCHEDULE E
Name GHISLAINE MAXWELL
Passthrough ANGARA TRUST
ESTATE OR TRUST
OTHER PASSIVE
Interest income
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Tax-exempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's AMT adjustment
Depletion (other than NO
Other
MISCELLANEOUS
Self-employment earnings (loss)/Wages
Gross taming & 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
SSN/EIN
ID
81-6797506
2017
SPOUSE
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
26,461.
26,461.
7,953.
7,953.
129,621.
129,621.
20,104.
20,104.
1 , 934 .
1,934.
r
721552 1)4411-17
EFTA00025686
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1
SCHEDULES
Name SCOTT O. BOROERSON
Passtivough TIDENOOD 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 (nonpasslve)
Nonpassive other
Total Schedule E (page 2)
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULED
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
Charitable contributions
Deductions related to portfolio Income
Other
SSN/EIN
ID
81-3078863
2017
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
Pdor Year Passive
Loss
Disallowed Passive
Loss
Tax Return
57,889.
57 189.
721551 0441-17
EFTA00025687
INCOME FROM PASSTHROUGH STATEMENT, PAGE 2
SCHEDULES
Name SCOTT O. BOROERSON
Passthrough TIDENOOD LLC
PARTNERSHIP
OTHER PASSIVE
Interest income
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Tax-exempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's AMT adjustment
Depletion (other than NO
Other
MISCELLANEOUS
Self-employment earnings (loss)/Wages
Gross taming & 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
SSN/EIN
ID
81-3078863
2017
TAX PAY ER
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
r
721552 D441-17
EFTA00025688
SCHEDULE SE
(Form 1040)
Dope/tree] of the Treasury
Infernal ROVOMX Seneca
r99)
Self-Employment Tax
► Go to vnirw.irs.gov/ScheduleSE for instructions and the latest Information.
► Attach to Form 1040 or Form 1040NR.
01.10 no 1545.0074
2017
Atfatnnwnf
Soatranca No 17
Name of person with self-employment income (as shown on Form 1040 or Form 1040NR)
Before you begin: To determine if you must file Schedule SE. see the instructions.
Social security number of
person with self-employm1
income ...
May I Use Short Schedule SE or Must I Use Long Schedule SE?
Note: Use this flowchart only if you must file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions.
No
Are you a minister, member of a
*us order, or Chri
Science practitioner who received IRS approval not to be taxed
on eamings from these sources, but you owe self-employment
tax on other earnings?
Did you receive wages or tips in 2017?
I
Are you using one of the optional
hods to figure your net
earnings (see instructions)?
No
No
Yes
Did you receive church employee ime (see instructions)
reported on Form W-2 of $108.28 or more?
No
You may use Short SSdule SE belo
No
Yes
Was the total of your wageld tips subject to social security yes
or railroad retirement (tier 1) tax plus your net earnings from
self-employment more than $127,200?
No
Did you receive tips subj
social security or Medicare
tax that you didn't report to your employer?
No
Did you report any wages
orm 8919, Uncollected Social
Security and Medicare Tax on Wages?
Yes
Yes
You must use Long Schedule SE on page 2
Section A-Short Schedule SE. Caution: Read above to see if you can use Short Schedule SE.
la Net farm profit or (loss) from Schedule F. line 34. and farm partnerships. Schedule K-1
(Form 1065), box 14. code A
b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve
Program payments included on Schedule F, line 4b, or listed on Schedule K.1 (Form 1085). box 20, code Z
2 Net profit or (loss) from Schedule C. line 31: Schedule C•EZ, line 3: Schedule K.1 (Form 1065), box 14. code A
(other than fanning): and Schedule K.1 (Form 1065-B), box 9. code J1. Ministers and members of religious orders,
see instructions for types of income to report on this lbw. See instructions for other income to report STMT 2
3 Combine lines it lb, and 2
4 Multiply line 3 by 92.35% (0.9235). If less than $400„ you don't owe self-employment tax: don't file this
schedule unless you have an amount on line lb
►
Note: If line 4 is less than $400 due to Conservation Reserve Program payments on line 1 b, see instructions
5 Self-employment tax. If the amount on line 4 is:
• $127200 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on
Form 1040, line 57, or Form 1040NR, fine 55
• More than $127.200. multiply line 4 by 2.9% (0.029). Then, add $15.772.80 to the result.
Enter the total here and on Form 1040, fine 57, or Form 1040NR, line 56
8 Deduction for one-half of self-employment tax.
here and on
Form 1040 line 27 or Form 1040NR line 27
6
11 457.
Multiply line 5 by 50% (0.50). Enter the result
LHA For Paperwork Reduction Act Notice, see your tax return Instructions.
la
lb
2
3
266 637.
266 637.
4
246 239.
5
22 914.
Schedule SE (Form 1040)2017
724501 10.20-17
EFTA00025689
Form 1116
Damoramo1moTaaerry
WornalAmenmSemm 01
Foreign Tax Credit
(Individual, Estate, or Trust)
illr• Attach to Form 1040, 1040NR, 1041, or 990-T.
ille• Go to www irs nov/Form1118 for instructions and the lates information
OPMW.154160th
2017
AttaChrilel
Sequence No. 9
Name
Identifying number as oh a on page 1 of your lax return
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 Pad II below.
a QX
b El
General category income
d
Certain income re-sourced by treaty
Passive category income
Section 901(j) income
e0 Lump-sum distributions
f Resident of (name of country) le, UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part I and line A in Part II. If you paid taxes to
more than one foreign country or U.S. possession. use a separate column and line for each country or possession.
Part I
Taxable Income or Loss From Soirees Outside the United States (for Category Checked Above)
g
Enter the name of the foreign country or U.S.
possession
le.
to Gross income from sources within country shown above
and of the type checked above:
Foreign Country or U.S. Possession
Total
(Add cols. A. B. and C.)
A
B
C
OTHER
COUNTRIES
UNITED
KINGDOM
HTKO
m
20,594.
542.
-21,136.
b Check if line to 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)
go. ri
Deductions and losses (Caution: See instructions.):
2
Expenses definitely rent? lthipAgThigneia
(attach statement)
NT 24
3
Pro rata share of other deductions not definitely related:
a Certain itemized deductions or standard deduction
b Other deductions (attach statement)
STMT 25
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
8
Add lines 2.3g. 4a. 40. and 5
16,848.
6
278,657.
278,657.
66,000.
66,000.
344,657.
344,657.
20,594.
542.
969,585.
969,585.
.02124
.00056
7,321.
192.
24,169.
192.
-24,361.
7 Subtract line 6 f om line 13. Enter the result here and on line 15. page 2
P. 7
art
Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
A
check one)
g (h) El paw
8 to FlAccrus
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.
(0) through (r))
(1) galgved,
(k) ColvidralaS
(0 1,0e=
d
(m) 'merest
(0) Modena
(p) (;1/2 0349^d
(q) inurost
A
1,397.
1,397.
B
C
8 Add lines A through C, column (s). Enter the total here and on line 9. page 2
1016
1,397.
Li IA For Paperwork Reduction Act Notice, see instructions.
orm 1116 (2017)
711501 12-21-17
EFTA00025690
Form 1116 (2017) SCOTT G. BORGERSON & 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
1,397.
10 Canyback or carryover (attach detailed computation)
10
11 Add lines 9 and 10
11
1,397.
12 Reduction in foreign taxes
12
13 Taxes reclassified under high tax kicliout
13
—1,397.
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 States (before adjustments) for the category of income checked above Part I
15
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 more than
one Form 1116, you must complete line 20.)
17
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
Caution: If you figured your tax using the lower rates on qualified dividends or capital gains, see instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter 'f
20 Individuals: Enter the total of Form 1040, lines 44 and 46. If you are a nonresident alien, enter the total of Form 1040NR, lines
42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line 1a; or the total of Form 990-T, lines 36, 37,
and 39. Foreign estates and trusts should enter the amount from Form 1040NR, line 42
Caution: If you are completing line 20 for separate category e (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
22 Enter the smaller of line 14 or line 21. If 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
►
Page 2
14
0.
19
20
21
22
0.
Part IV I
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income
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-T. line 41a
►
23
24
26
26
27
0.
0.
28
29
30
0.
Form 1116 (2017)
711511 12-21-17
EFTA00025691
Form 1116
Damoramolmeirmtmry
WornaleaconmSemm 01
Foreign Tax Credit
(Individual, Estate, or Trust)
gr• Attach to Form 1040, 1040NR, 1041, or 990-T.
le Go to www irs aov/Formi 116 for Instructions and the lates information
OPMW.15g4V1
2017
AttaChrilel
Sequence No. 9
Name
Identifying number as oh
a on page 1 of your lax return
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 Pad II below.
a El
b El
General category income
d
Certain income re-sourced by treaty
Passive category income
C 0
Section 901(j) income
e
Lump-sum distributions
f Resident of (name of country) Ila• UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part I and line A in Part II. If you paid taxes to
more than one foreign country or U.S. possession. use a separate column and line for each country or possession.
Part I
Taxable Income or Loss From Soirees Outside the United States (for Category Checked Above)
g
Enter the name of the foreign country or U.S.
possession
le
to Gross income from sources within country shown above
and of the type checked above:
Foreign Country or U.S. Possession
Total
Add cols. A. B. and C.)
A
B
C
OTHER
COUNTRIES
HTKO
1a
21,136.
21,136.
b Check if line to is compensation for personal services as
an employee, your total compensation from all sources is
$250,000 or more, and you used an alternative basis to
24,361.
determine its source (see instructions)
Ilir• I
I
Deductions and losses (Caution: See instructions.):
2
Expenses definitely related to the income on line to
(attach statement)
3
Pro rata share of other deductions not definitely related:
a Certain itemized deductions or standard deduction
b Other deductions (attach statement)
c Add lines 3a and 3b
d Gross foreign source income
e Gross income from all sources
I Divide tine 3d by line 3e
g Multiply line 3c by line 3f
4
Pro rata share of interest expense:
a Home mortgage interest (use the Worksheet for
Home Mortgage Interest in the instructions)
b Other interest expense
5
Losses from foreign sources
8
Add lines 2.3g. 4a. 40. and 5
6
278,657.
66,000.
344,657.
969,585.
.00000
24,361.
7 Subtract line 6 f om line 13. Enter the result here and on line 15. page 2
Ila• 7
—3,225.
art
Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
A
check one)
g (II) El paw
8 to r —lAccrus
Foreign taxes paid or accrued
In foreign currency
In U.S. dollars
Taxes withheld at source on:
(n)Other
foreign
taxes paid or
accrued
Taxes withheld at source on:
(r) Other
foreign
taxes paid or
accrued
(s)Total foreign
taxes paid or
accrued (add cols.
(0) through (0)
0) gajuaad
(k) Colviaana$
(0 1,0e=d (m) 11110(01,t
(o) Demands
(p) (;1/20349^d
(q) Inarcka
A
B
C
8 Add lines A through C, column (s). Enter the total here and on line 9. page 2
med 8
Li IA For Paperwork Reduction Act Notice, see instructions.
orm 1118 (2017)
711501 12-21-17
EFTA00025692
Form 1116 2017) SCOTT G. BORGERSON & GHISLAINE MAXWELL
Part III
Figuring theCredit
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
10 Canyback or carryover (attach detailed computation)
SEE STATEMENT 26
10
1.
11 Add lines 9 and 10
11
1.
12 Reduction in foreign taxes
12
13 Taxes reclassified under high tax kicliout
13
1,397.
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit
16 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the
United States (before adjustments) for the category of income checked above Part I
15
-3,225.
18 Adjustments to line 15
18
3,225.
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 more than
one Form 1116, you must complete line 20.)
17
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
Caution: If you figured your tax using the lower rates on qualified dividends or capital gains, see instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter 'f
20 Individuals: Enter the total of Form 1040, lines 44 and 46. If you are a nonresident alien, enter the total of Form 1040NR, lines
42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line 1a; or the total of Form 990-T, lines 36, 37,
and 39. Foreign estates and trusts should enter the amount from Form 1040NR, line 42
Caution: If you are completing line 20 for separate category e (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
22 Enter the smaller of line 14 or line 21. If this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this
amount on line 28. Othervase. complete the appropriate line in Part IV
►
Pa;e 2
14
19
1,398.
20
21
22
0.
Part IV I
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income
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-T. line 41a
►
23
24
26
26
27
28
29
30
Form 1116 (2017)
711511 12-21-17
EFTA00025693
Form 3800
Deprtmeat of the Drawly
'Mensal Penn* Sento
1991
Atarrx015/ImnmWurri
General Business Credit
► Go to www.irs.gov/Form3800 for instructions and the latest information.
► You must attach all pages of Form 3800, pages 1, 2, and 3, to your tax return.
0142 No. 1545-0895
2017
AMICNIVOI
Sal/00Mo NO CC
Part IJ 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 Ill with box A checked
2 Passive activity credits from line 2 of all Pans Ill with box B checked
I 2
3 Enter the applicable passive activity credits allowed for 2017. See instructions
4 Carryforward of general business credit to 2017. Enter the amount from line 2 of Part III with
box C checked. See instructions for statement to attach
5 Carryback of general business credit from 2018. Enter the amount from line 2 of Part III with
box D checked
6 Add lines 1. 3. 4. and 5
Part II 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, Schedule G,
lines la and 1 b; 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
ONONINNIMN
1
3
13.
4
5
6
13.
• Estates and trusts. Enter the amount from Schedule I (Form 1041), line 56
9 Add lines 7 and 8
10a Foreign tax credit
110a
b Certain allowable credits (see Instructions)
106
c Add lines 10a and 10b
11 Net Income tax. Subtract line 10c from fine 9.9 zero, skip lines 12 through 15 and enter A. on line 16
12 Net regular tax. Subtract line 10c from line 7. If zero or less. enter
13 Enter 25% (0.25) of the excess. if any. of line 12 over $25,000 (see instructions)
14 Tentative minimum tax:
• Individuals. Enter the amount from Form 6251. In. 33
• Corporations. Enter the amount from Form 4626, line 12
• Estates and trusts. Enter the amount from Schedule I
(Form 1041), line 54
15 Enter the greater of line 13 or line 14
12
13
16,076.
7
8
9
10e
16,076.
53,235.
69,311.
14
69,311.
16 Subtract line 15 from line 11. If zero or less, enter .0.
17 Enter the smaller of lie 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 (2017)
11
15
16
69,311.
69,311.
0.
17
0.
714401 01.1548
EFTA00025694
Form 3800 (2017)
Page 2
Part II I Allowable Credit c ononued)
Note: If you are not required to report any amounts on lines 22 or 24 below, skip lines 18 through 25 and enter O. on line 26.
18 Multiply line 14 by 75% (0.75). See instructions
19 Enter the greater of line 13 or line 18
20 Subtract line 19 from line 11. If zero or less, enter O
21 Subtract line 17 from line 20. If zero or less, enter 0-
22 Combine the amounts from line 3 of all Parts Ill with box A, C, or D checked
23 Passive activity credit from line 3 of all Parts Ill with box B checked
24 Enter the applicable passive activity credit allowed for 2017. See Instructions
25 Add lines 22 and 24
28 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 .0.
30 Enter the general business credit from line 5 of all Parts Ill with box A checked
31 Reserved
23
18
19
20
21
22
32 Passive activity credits from line 5 of all Pans III with box B checked
32
33 Enter the applicable passive activity credits allowed for 2017. See instructions
34 Carryforward of business credit to 2017. Enter the amount from line 5 of Part Ill with box C checked
and lirie 6 of Part III with box G checked. See instructions for statement to attach
35 Carryback of business credit from 2018. 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 year. Add lines 28 and 37.
Report the amount from line 38 (if smaller than the sum of Part Lane 6, and Part II, lines 25 and 36,
see instructions) as indicated below or on the applicable line 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
e•I'l 3800 I z ' 1
24
25
28
0.
27
69 311.
28
29
69 311.
30
31
33
34
35
38
37
38
714402 01.13318
EFTA00025695
Fonn 3800 (2017)
Page 3
Nania(8) shown On return
mmryingmcow
Part III I General Business Credits or Eligible Small Business Credits (see instructions)
Complete a separate Part Ill for each box checked below (see instructions).
A
O
General Business Credit From a Non Passive Activity
E
0
Reserved
B
General Business Credit From a Passive Activity
F
El
Reserved
C
C
General Business Credit Canyfoiwards
G
n
Eligible Small Business Credit Carryforwards
D
C
General Business Credit Canybacks
II El
Reserved
I
If you are filing more than one Part Ill with box A or B checked, complete and attach first an additional Part Ill combining amounts from all
Pans Ill with box A or B checked. Check here if this is the consolidated Part Ill
►
(a) Description of credit
Note: On any line where the credit is from more than one source, a separate Part III is needed
for each oassthrouoh entity.
la Investment (Form 3488, Part II only) (attach Form 3468)
b
Reserved
c
Increasing research activities (Form 6765)
d
Low.income housing (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)
Small employer pension plan startup costs (Fonn 8881) (see instructions for limitation)
k
Employer•provided child cam facilities and services (Form 8882) (see Instructions
for limitation)
I
Biodiesel and renewable diesel fuels (attach Form 8864)
m Low sulfur diesel fuel production (Form 8896)
n
Distilled spirits (Form 8906)
o
Nonconventional source fuel (carryforward only)
p
Energy efficient home (Form 8908)
q
Energy efficient appliance (carryforward only)
r
Alternative motor vehicle (Form 8910)
s
Alternative fuel vehicle refueling property (Form 8911)
Enhanced oil recovery credit (Form 8830)
u
Mine rescue team training (Form 8923)
Agricultural chemicals security (carryforward only)
w Employer differential wage payments (Form 8932)
x
Carbon dioxide sequestration (Form 8933)
y
Qualified plug•in electric drive motor vehicle (Form 8936)
z
Qualified plug•in electric vehicle (carryforward only)
as Employee retention (Form 5884•Aq
bb General credits from an electing large partnership (Schedule K•1 (Form 1065G))
zz Other. Oil and gas production from marginal wells (Form 8904) and certain
other credits (see instructions)
2
Add lines la through In and enter here and on the applicable Tine of Part I
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 Low.income housing (Form 8586. Part II)
e Renewable electricity, refined coal, and Indian coal production (Form 8835)
f
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
Increasing research activities (Form 6765)
STMT 27
Reserved
z
Other
5
Add lines 4a through 4z and enter here and on the applicable line of Pat II
6
Add lines 2. 3. and 5 and enter here and on the applicable line of Part II
la
lb
lc
ld
le
If
1q
1h
1)
(b)
if claiming the Cf0(14 kern 0
pass-through entity. enter the ON
rxi
(c)
Enter the appropriate amount
1k
11
1m
1n
10
1p
1q
1r
1s
tt
lu
1v
1w
tx
1y
1z
1aa
1bb
lzz
2
0.
3
4a
4b
4c
4d
4e
4q
4h
4i
4
4z
5
6
714403 01-10-la
Form 3800 (2017)
EFTA00025696
Form 4797
Depatmenl of the Treasury
Internal Romans Semite
Mamas) shown I:oration
Sales of Business Property
(Also Involuntary Conversions and Recapture Amounts
Under Sections 179 and 280F(b)(2))
► Attach to your tax return.
Ills. Go to www.irs.gov/Form4797 for instructions and the latest information.
1 Enter the gross proceeds from sales or exchanges reported to you for 2017 on Form(s) 10998 or 1099.S
(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 Involun ary Conversions From
Other Than Casualty or Theft-Most Property Held More Than 1 Year (see instructions)
'ND
' 44
2017
Altachment
Ira
SeganCe NO.
2
(a)thisam oon
011,10P>rtY
(b) Dateacquired
(MO.. day. fe.)
0) Oa teed
('h0. day. 1.O
(d) Gross &Iles
Price
(e) Dscommation
allowed or
allowable since
acquisition
(f) cost mote
ba£M. Pita
improvements and
espease of sale
(g) Gs in or (loss)
SibnCI IQ IrSm Ir.
sin ot KIJI m010
ANGARA TRUST
26.
3
Gain. if any, from F00114684. line 39
4
Section 1231 gain from installment sales from Form 6252. line 26 or 37
5
Section 1231 gain or (loss) from like.kind exchanges from Form 8824
8
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 1120S. 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 didn't 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 G.. 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
26.
8
9
Part II
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):
FUND, L.L.C.
93,485.
LP
26,117.
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, line 25 or 36
15
16
Ordinary gain or (loss) from likekind exchanges from Form 8824
16
17
Combine lines 10 through 16
17
119,602.
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 part of the loss here. Enter
the part of the loss from income.producing 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 Doss) on line 17 excluding the loss, if any, on line 18a. Enter here and on
Form 1040, line 14
18a
18b
119,602.
LHA
For Paperwork Reduction Act Notice, see separate Instructions.
Form 4797 (2017)
moll 014248
EFTA00025697
Form 4797 (2017)SCOTT G. BORGERSON & GHISLAINE MAXWELL
Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255 (seeinstructions)
Part III
19 (a) Description of section 1245. 1250. 1252. 1254. or 1255 property:
(mo., thy, yr.)
(b) Date acquire d
(e
(m
) Date
e., day, yr.
sold)
A
B
C
D
These columns relate to the properties on
lines 19A though 19D.
b.
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 fine 21
24 Total Gain. Subtract line 23 from line 20
20
21
22
23
24
25 If section 1245 property:
a Depreciation allowed or allowable from line 22
b Enter the smaller of line 24 or 25a ..
25a
25b
28 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 isn't more than line 26a, skip
lines 26d and 26e
d Additional depreciation after 1969 and before 1976
e Enter the smatter of line 26c or 26d
I Section 291 amount (corporations only)
a Add lines 26b. 26e. and 26f
26a
26b
26c
26d
26e
261
26o
27 If section 1252 property: Skip this section if you didn't
dispose of farmland or if this form is being completed for
a partnership (other than an electing large partnership)
a Soil, water, and land clearing expenses
b Line 27a multiplied by applicable percentage
c Enter the smaller of line 24 or 27b
27a
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 III 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
30
31
32
Part IV j Recapture Amounts Under Sections 179 and 28OF(b)(2) When Business Use Drops to 50% or Less
(see instructions)
33 Section 179 expense deduction or depreciation allowable in prior years
34 Recomputed depreciation. See instructions
36 Recapture amount. Subtract line 34 from line 33. See the instructions for where to report
(a) Section
179
(b) Section
280F(b)(2)
33
34
35
718012 01-12-18
Form 4797 r20 11)
EFTA00025698
reran 6251
Department of the Treasury
internal Revenue Sine20
199)
Alternative Minimum Tax - Individuals
lb. Go to www.irs.gov/Form6251 for instructions and the latest information.
lo• Attach to Form 1040 or Form 1040NR.
Name(s) shown on Form 1040 or Form 1040NR
Iliad I I Alternative Minimum Taxable Income
OµB No. 1545-0074
2017
tre=0.32
Your social security number
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 Reserved for future use
3 Taxes from Schedule A (Form 1040). line 9
4 Enter the home mortgage interest adjustment, if any, from Ilne 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 $156.900 or less. enter O. Otherwise, see instructions
7 Tax refund from Form 1040. line 10 or line 21
g Investment interest expense (difference between regular tax and AMT)
g 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
14 Exercise of incentive stock options (excess of AMT income over regular tax Income)
15 Estates and trusts (amount from Schedule K-1 (Form 1041), box 12. code A)
16 Electing large partnerships (amount from Schedule K.1 (Form 1065-B), 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)
STMT 30
19 Passive activities (difference between AMT and regular tax income or loss)
$EE STATEMENT 28
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 Mcome)
23 Mining costs (difference between regular tax and AMT)
24 Research and experimental costs (difference between regular tax and Ann)
25 Income from certain installment sales before January 1. 1987
26 Intangible drilling costs preference
27 Other adjustments. including incomebased related adjustments
28 Alternative minimum taxable Income. Combine lines 1 through 27. (If married Ming separately and tine 28 Is
more than $249450. see instructions.)
Part II I Alternative Minimum Tax (AMT)
29 Exemption. (If you were under age 24 at the end of 2017. see instructions.)
IF your filing status Is...
AND line 28 Is not over...
THEN enter on line 29...
Single or head of household
$120,700
$54.300
Married filing jointly or qualifying widow(er)
160,900
84.500
Married filing separately
80,450
42.250 STMT 2
If line 28 is over the amount shown above for your filing status, see Instructions.
30 300<ract line 29 from line 28 If more than m.o. go to bhp 31
WO Cr 82,99. enW -0- here end on Ines 31. 33. end 35. end go to line 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 $187,800 or less ($93.900 or less if married filing separately), multiply line 30 by
26%(0.26). Otherwise, multiply line 30 by 28%(028) and subtract $3,756 ($1,878 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. km 44. refigure
that tax without using Schedule J before completing this line (see instructions)
35 ANT. Subtract line 34 from line 33. If zero or less, enter 0.. Enter here and on Form 1040. line 45
1
2
3
4
183,071.
160,458.
5
6
7
123,311.
-5,112.
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
0.
28
29
30
31
32
33
461,728.
9,293.
452,435.
69,852.
541.
34
35
69,311.
16,076.
53,235.
711451 om
LHA
For Paperwork Reduction Act Notice, see your tax return instructions.
Form 6251 (2017)
EFTA00025699
Form 6251.9017)
Page 2
Part 1111 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 2555•EZ. enter the amount from
line 3 of the worksheet in the instructions for line 31
36
452,435.
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 tine 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
37
330,869.
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
38
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 AMT, if necessary). If you are filing Form 2555 or
2555•EZ. see instructions for the amount to enter
39
330,869.
40 Enter the smaller of line 36 or line 39
40
330,869.
41 Subtract line 40 from line 36
41
121,566.
42 If line 41 is $187.800 or less ($93,900 or less if married filing separately), multiply line 41 by 26% (0.26). Otherwise.
multiply line 41 by 28%(0.28) and subtract $3,756 ($1,878 if married filing separately) from the result
► 42
31,607.
43 Enter
• $75,900 if married filing jointly or qualifying widow(er),
• $37,950 if single or married filing separately, or
43
75,900.
• $50,800 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 O. If you
are filing Form 2555 or 2555•EZ, see instructions for the amount to enter
44
0 .
45 Subtract line 44 from line 43. If zero or less. enter 4:1-
45
75,900.
46 Enter the smaller of line 36 or line 37
as
330,869.
47 Enter the smaller of line 45 or fine 46. This amount is taxed at OM
47
75,900.
48 Subtract line 47 from line 46
48
254,969.
49 Enter
• $418,400 if single
• $235,350 if married filing separately
49
470,700.
• $470,700 if married filing jointly or qualifying wldow(er)
• $444,550 if head of household
50 Enter the amourn from line 45
50
75,900.
51 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 OA you are filing Form 2555 or Form 2555•EZ,
see instructions for the amount to enter
51
52 Add line 50 and line 51
52
75,900.
53 Subtract line 52 from line 49. If zero or less. enter 41
53
394,800.
54 Enter the smaller of line 48 or line 53
54
254,969.
55 Multiply line 54 by 15%(0.15)
0' 55
38,245.
56 Add lines 47 and 54
se
330,869.
If lines 56 and 36 are the same, skip lines 67 through 81 and go to line 62. Otherwise, go to line 67.
57 Subtract line 56 from line 46
57
0 .
58 Multiply line 57 by 20% (0.20)
Ili, 58
It line 38 is zero or blank, skip lines 59 through 81 and go to line 82. Othendse, go to line 69.
59 Add lines 41, 56, and 57
59
60 Subtract line 59 from line 38
60
61 Multiply line 60 by 25%(0.25)
62 Add lines 42, 55, 58, and 61
62
69,852.
63 If line 36 is $187,800 or less ($93,900 or less if married filing separately), multiply line 36 by 26% (0.26).
Otherwise. multiply line 36 by 28%(0.28) and subtract $3,756 ($1.878 if married filing separately) from the result
63
122,926.
64 Enter the smaller of line 62 or line 63 here and on line 31. If you are filing Form 2555 or 2555•EZ, do not enter
this amount on line 31. Instead. enter it on line 4 of the worksheet in the instructions for line 31
64
69,852.
?19%i ol.11-la
Form 6251 i20 I /)
EFTA00025700
Name(s)
Social Security Numbor
Form
Adjustment
Name
Description
Income
Form 6251. Line 17
Form 6251. Line 18
Form 6251. Line 19
Form 6251. Line 20
Form 6251
Other Adjustment
Kl- ALPHAKEYS MILLENNIUM F
UND, L.L.C.
* REGULAR INCOME
-84,143.
DEPR ADJ
-1.
-1.
* AMT NET INCOME
-84,144.
1.
4797 ANGARA TRUST
* REGULAR INCOME
26.
* AMT NET INCOME
26.
K1 ANGARA TRUST
* REGULAR INCOME
61.
* AMT NET INCOME
61.
** TOTAL ADJ & PREF **
-1.
719911
04-01.17
EFTA00025701
Form 1116
Damormio1moirevery
WornalAmenmSemm 01
Foreign Tax Credit
(Individual, Estate, or Trust)
gr. Attach to Form 1040, 1040NR, 1041, or 990-T.
in. Go to www irs nov/Form1118 for Instructions and the lates information
GASW.1541e0V1
2017
AttaChrilel
Sequence No. 9
Name
Identifying number as oh a on page 1 of your lax return
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 Pad II below.
a QX
b El
General category income
d
Certain income re-sourced by treaty
Passive category income
Section 901(j) income
e0 Lump-sum distributions
f Resident of (name of country) In. UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part I and line A in Part II. If you paid taxes to
more than one foreign country or U.S. possession. use a separate column and line for each country or possession.
Part I
Taxable Income or Loss From Soirees Outside the United States (for Category Checked Above)
g
Enter the name of the foreign country or U.S.
possession
IP
to Gross income from sources within country shown above
and of the type checked above:
Foreign Country or U.S. Possession
Total
(Add cols. A. B. and C.)
A
B
C
OTHER
COUNTRIES
UNITED
KINGDOM
HTKO
m
21,376.
542.
-21,918.
b Check if line to 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)
Ill. I
I
Deductions and losses (Caution: See instructions.):
2
Expenses definitely related to the income on line to
(attach statement)
3
Pro rata share of other deductions not definitely related:
a Certain itemized deductions or standard deduction
b Other deductions (attach statement)
STMT 31
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
8
Add lines 2.3g. 4a. 40. and 5
16,848.
6
66,000.
66,000.
66,000.
66,000.
21,376.
542.
969,585.
969,585.
.02205
.00056
1,455.
37.
18,303.
37.
-18,340.
7 Subtract line 6 f om line 13. Enter the result here and on line 15. page 2
P. 7
art
Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
A
check one)
g (II) El paw
8 to F - 1 Acrnis
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.
(0) through (r))
(1) galgved,
(k) ColvidralaS
(0 1,0e=d
(m) imago
(0) Modena
(p) Raarits
(q) inurost
A
1,397.
1,397.
B
C
8 Add lines A through C, column (s). Enter the total here and on line 9. page 2
1016
1,397.
Li IA For Paperwork Reduction Act Notice, see instructions.
orm 1116 (2017)
711501 12-21-17
EFTA00025702
Form 1116 (2017) SCOTT G. BORGERSON & 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
10 Canyback or carryover (attach detailed computation)
11 Add lines 9 and 10
12 Reduction in foreign taxes
13 Taxes reclassified under high tax kicliout
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 States (before adjustments) for the category of income checked above Part I
9
10
1,397.
11
12
1,397.
13
16 Adjustments to line 15
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 more than
one Form 1116, you must complete line 20.)
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
Caution: If you figured your tax using the lower rates on qualified dividends or capital gains, see instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1'
20 Individuals: Enter the total of Form 1040, lines 44 and 46. If you are a nonresident alien, enter the total of Form 1040NR, lines
42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line 1a; or the total of Form 990-T, lines 36, 37,
and 39. Foreign estates and trusts should enter the amount from Form 1040NR, line 42
Caution: If you are completing line 20 for separate category e (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
22 Enter the smaller of line 14 or line 21. If 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
►
15
-1,397.
14
Page 2
0.
18
17
18
19
20
21
69,852.
22
0.
Part IV I
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income
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 tine 20 or line 27
29 Reduction of credit for international boycott operations
30 Subtract tine 29 from line 28. This is your foreign tax credit. Enter here and on Form 1040, line 48;
►
23
24
26
28
541.
Form 1040NR. line 46: Form 1041. Schedule G. line 2a: or Form 990-T. line 41a
27
541.
541.
28
29
30
541.
Form 1116 (2017)
711511 12-21-17
EFTA00025703
Form 1116
Damormioimeiropery
WornalAmenmSamm 01
Name
Foreign Tax Credit
(Individual, Estate, or Trust)
► Attach to Form 1040, 1040NR, 1041, or 990-T.
in. Go to www irs gov/Form1118 for instructions and the lates information
Identifying number as oh
GASW.15g4121
2017
Attachmel
Sequence No. 9
a on page la! your lax return
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 El
b El
General category income
d
Certain income re-sourced by treaty
Passive category income
Section 901(j) income
e
Lump-sum distributions
f Resident of (name of country) In. UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part land line A in Part II. If you paid taxes to
more than one foreign country or U.S. possession. use a separate column and line for each country or possession.
Part I
Taxable Income or Loss From Soirees Outside the United States (for Category Checked Above)
g
Enter the name of the foreign country or U.S.
possession
IP
to Gross income from sources within country shown above
and of the type checked above:
Foreign Country or U.S. Possession
Total
Add cols. A. B. and C.)
A
B
C
OTHER
COUNTRIES
HTKO
1a
21,918.
21,918.
b Check if line to 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
18,340.
determine its source (see instructions)
illi. I
I
Deductions and losses (Caution: See instructions.):
2
Expenses definitely related to the income on line to
(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
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
8
Add lines 2.3g. 43. 40. and 5
6
66,000.
66,000.
969,585.
.00000
18,340.
7 Subtract line 6 f om line 13. Enter the result here and on line 15. page 2
Ila•
7
3,578.
art
Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
A
check one)
g (h) El paw
8 to r —lAcrros
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
endued
(s)Total foreign
taxes paid or
accrued (add cols.
(0) through (0)
01 «°40°$4,'0°4
(k) Olv109010$
(0 1,0=d
(m) 'MOW
(o) Demmer
(p) ?°^t349^d
(q) mono
A
B
C
8 Add lines A through C, column (s). Enter the total here and on line 9. page 2
lid 8
Lf IA For Paperwork Reduction Act Notice, see instructions.
orm 1118 (2017)
711501 12-21-17
EFTA00025704
Form 1116 2017) SCOTT G. BORGERSON & GHISLAINE MAXWELL
Part III
Figuring theCredit
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
10 Canyback or carryover (attach detailed computation)
SEE STATEMENT 32
10
11 Add lines 9 and 10
11
12 Reduction in foreign taxes
12
13 Taxes reclassified under high tax kicliout
13
1,397.
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit
16 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the
United States (before adjustments) for the category of income checked above Part I
15
3,578.
18 Adjustments to line 15
18
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 more than
one Form 1116, you must complete line 20.)
17
3,578.
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
461,728.
Caution: If you figured your tax using the lower rates on qualified dividends or capital gains, see in tructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter 'f
20 Individuals: Enter the total of Form 1040, lines 44 and 46. If you are a nonresident alien, enter the total of Form 1040NR, lines
42 and 44. Estates and trusts: Enter the amount from Form 1041, Schedule G, line 1a; or the total of Form 990-T, lines 36, 37,
and 39. Foreign estates and trusts should enter the amount from Form 1040NR, line 42
Caution: If you are completing line 20 for separate category e (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
22 Enter the smaller of line 14 or line 21. If 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
►
Pa;?, 2
14
19
1,397.
.00775
20
21
69,852.
541.
22
541.
Part IV j
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income
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-T. line 41a
►
23
24
26
26
27
28
29
30
Form 1116 (2017)
711511 12-21-17
EFTA00025705
Form 4952
Department Ofthe TreeVey
Infernal Revenue Wee*
(99)
Name(s) shown on return
Investment Interest Expense Deduction
► Go to www.irs.gov/Form4952 for the latest information.
IP Attach to your tax return.
Cel6 no iSt5.0191
2017
Mx:our:el
51
Se.c.,Anc‘ `in
Part I I Total Investment Interest Expense
Identifying number
1 Investment interest expense paid or accrued in 2017 (see instructions)
SEE STATEMENT 33
1
71,239.
2
Disallowed investment interest expense from 2016 Form 4952, line 7 ..
2
3
Total Investment Interest expense. Add lines 1 and 2
3
71,239.
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 34 4a
244,575.
b Qualified dividends included on line 4a
4b
30,647.
c Subtract line 4b from line 4a
4c
213,928.
d Net gain from the disposition of property held for investment
STMT 35
e Enter the smaller of line 4d or your net capital gain from the disposition
of property held for investment (see instructions)
STMT 36
ad
300,196.
4e
300,196.
Subtract line 4e from line 40
4f
0.
g Enter the amount from lines 4b and 4e that you elect to include in Investment Income
(see instructions)
4e
h Investment income. Add lines 4c, 4f, and 4g
4h
213,928.
5
Investment expenses (see instructions)
SEE STATEMENT 37
5
123,311.
6
Net Investment Income. Subtract line 5 from line 4h. If zero or less, enter O.
6
90,617.
Part III I Investment Interest Expense Deduction
7
Disallowed investment interest expense to be carried forward to 2018. Subtract line 6 from line 3.
If zero or less. enter 41
7
0.
8
Investment Interest expense deduction. Enter the smaller of line 3 or 6. See instructions
STMT 38 8
71,239.
LHA
For Paperwork Reduction Act Notice, see separate Instructions.
Form 4952 (2017)
7 tee01 09.27-17
EFTA00025706
Form 4952
Department Of the TreeVey
Infernal Revenue Wee*
(99)
Name(s) shown on return
Investment Interest Expense Deduction
PP Go to www.irs.gov/Form4952 for the latest information.
IP Attach to your tax return.
Cel6 no iSt5.0191
2017
Mx:our:el
51
Se.c.,Anc‘ `in
Part I
I Total Investment Interest Expense
Identifying number
1
Investment interest expense paid or accrued in 2017 (see instructions)
SEE STATEMENT 39
1
71,239.
2
Disallowed investment interest expense from 2016 Form 4952, line 7 ..
2
3
Total Investment interest expense. Add lines 1 and 2
3
71,239.
Part II I Net Investment Income
4 a Gross income from property held for Investment (excluding any net
gain from the disposition of property held for investment)
4a
244,575.
b Qualified dividends included on line 4a
4b
30,647.
c Subtract line 4b from line 4a
4c
213,928.
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)
4d
300,196.
4e
300,196.
Subtract line 4e from line 40
4f
0.
g Enter the amount from lines 4b and 4e that you elect to include in Investment Income
(see instructions)
4e
h Investment income. Add lines 4c, 4f, and 4g
4h
213,928.
5
Investment expenses (see instructions)
5
6
Net investment income. Subtract line 5 from line 4h. If zero or less, enter O.
6
213,928.
Part III I Investment Interest Expense Deduction
7
Disallowed investment interest expense to be carried forward to 2018. Subtract line 6 from line 3.
If zero or less. enter 0-
7
0.
8
Investment interest expense deduction. Enter the smaller of line 3 or 6. See instructions
8
71,239.
LHA
For Paperwork Reduction Act Notice, see separate instructions.
REGULAR FORM 4952, LINE 8
LESS RECOMPUTED FORM 4952, LINE 8
INTEREST ADJUSTMENT - FORM 6251, LINE 8
Form 4952 (2017)
71,239.
71,239.
7 lee01 094747
EFTA00025707
Form 8960
Department of Ole Tiger:cry
Infernal Revenue SPVICO IGO
Name(s) shown on your ax return
Net Investment Income Tax -
Individuals, Estates, and Trusts
► Attach to your tax return.
► Go to www.irs.gov/Form8960 for instructions and the latest Information
OMBNo. 1665.7227
2017
Attachment
sequence No. 72
Your social seevity number or EIN
Part I
Investment Income 0
Section 6013(g) election (see instructions)
Section 6013g6 election (see instructions)
rl Regulations section 1.1411.10(g) election (see instructions)
1
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 non•section 1411 trade or business (see instructions)
$TATEMENT 40
c
Combine lines 4a and 4b
5a
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)
Combine Ones 5a through 5c
d
6
Adjustments to investment income for certain CFCs and PFICs (see instructions)
7
Other modifications to investment income (see instructions)
•
Total investment Income. Combine lines 1.2. 3.4c. 5d. 6. and 7
Part II
Investment Expenses Allocable to Investment Income and Modifications
ga
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
Taxable Interest (see instructions)
4a
4b
5a
5b
go
-6,783.
-186,927.
419,824.
-119,602.
2
3
91,404.
176,082.
9a
9b
Sc
22,464.
22,616.
123,311.
10
Additional modifications (see instructions)
i
Total deductions and modifications. Add lines 9d and 10
Part III Tax Computation
12
Net investment income. Subtract Part Mine 11 from Part I, line 8. Individuals complete lines 13•
17. Estates and trusts complete lines 18a-21. If zero or less, enter 0.
13
14
15
16
17
Individuals:
Modified adjusted gross income (see instructions)
13
Threshold based on filing status (see instructions)
Subtract line 14 from line 13. If zero or less, enter 0.
Enter the smaller of line 12 or line 15
Net investment income tax for individuals. Multiply line 16 by 3.8%(.038). Enter here and
Include on your tax return (see instructions)
14
16
Estates and Trusts:
18a
Net investment income pine 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 A.
19a
Adjusted gross income (see instructions)
b Highest tax bracket for estates and busts 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
21
Net investment income tax for estates and trusts. Multiply line 20 by 3.8% (.038). Enter here
and Include on vow tax return (see instructions)
LHA For Paperwork Reduction Act Notice, see your tax return instructions.
18b
484,192.
250,000.
234,192.
4c
5d
6
7
-193,710.
300,222.
8
9d
10
373,998.
168,391.
18c
19a
19b
19c
11
12
16
17
20
168,391.
205,607.
205,607.
7,813.
21
Form 8960 (2017)
723121 12-2247
EFTA00025708
Lines 5a-5d - Net Gains and Losses Worksheet
Keep for Your Records
1.
Beginning Net Gains and Losses
(Al
Capital gains/posses)
Form 1040, Line 13, or
Form 1041. Line 4
(B)
Ordinary gaInsi0osses)
Form 1040, Line 14, or
Form 1041. Line 7
Total 01 columns (A) + (B)
300,222.
119,602.
En* this amount on h1,4 SA
419,824.
2.
Gault and Locles excluded from Net Investment Income use c
f wear amountsf In Pa-Pg and 91
(a) Enter net gains from the disposition of property used in a
non section 1411 trade or business (enter as negative
amounts):
Name of Trade or Business
Amount
(
) (
119,602.)
Enda tails moult on line 5t.
-119,602.
SEE STATEMENT 41 (
)
(
)
(b) Enter net losses from the disposition of property used in a
non.section 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 4690X1)(A)
(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 non-section 1411 trade or
business
(e) Enter the net gain attributable to the net unrealized
appreciation (NUA) in employer securities
(t) 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 long-term capital gain for regular income tax
purposes under section 1293(a)(1)(Bo
(g) Enter any other gains and losses included in 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 2(i) of this worksheet from
your prior tax year return 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
(0(1) or (iX2) as a negative number
(0(1) If the sum of the amounts reported on lines 2(a).2(h)
and line 3n. column R. is greater than zero, enter that
amount here. Otherwise, enter 0. on line 20 and go to
line 20)
(
)
(
)
(
-119,602.
OR
(iX2) The amount of capital loss cabled over to next
year (Schedule D (Form 1040), line 16, less the amount
allowed as a current deduction on Schedule D (Form 1040).
line 21) entered as a positive number
(I)
Sum of linos 2(a)-2(I)
...
3.
Adjustment for Gains and Losses attributable to the
disposition of Interests in partnerships and S corporations
Add lines 1, 2(j) and 3
300,222.
O.
&Will:his OrnOult on line 5c
Enda this moult on lino 5d
300,222.
EFTA00025709
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'll be reported):
Description
Line
Amount
(a)
SEE STATEMENT 42
(b)
2. Enter the total of all items listed in line 1
2.
132,995.
3. Enter the amount of all Miscellaneous Itemized Deductions after the
application of the section 67 limitation (Schedule A (Form 1040),
line 27)
3.
123,311.
4. Enter the lesser of the total reported on line 2 or line 3
4.
123,311.
Part II - Application of Section 67 Limitation to Specific Deductions
(B)
IF line 3 Is less than
line 2. THEN divide
fine 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, line 1.
(E).
(B).
Description
Line
Amount
(a)
SEE STATEMENT 43
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 alter the application of the section 68 limitation.
Estates or trusts .. Enter the amounts In column (C) in the appropriate location on lines 9 and 10. Don't complete Parts
lil or IV of this worksheet.
Keep for Your Records
723251 01-10-18
EFTA00025710
Lines 9 and 10 - Application of Itemized Deduction Limitations on
Deductions Properly Allocable to Investment Income Worksheet -
continued
Keep for Your Records
Part III - Application of Section 68 to deductions properly 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 44
Amount
(b)
2, Enter the amount of state, local, and foreign income taxes that are property
allocable to investment income
2.
22,616.
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'll 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
5.
301,121.
6. Enter all other itemized deductions allowed but not subject to the section 68
deduction limitation:
(a) Investment Interest Expense
22,464.
(b) Casualty Losses (other than losses described in
section 165(c)(1))
(c) Medical Expenses
(d) Gambling Losses
(e) Total of lines 6(a) through 6(d)
e..
22,464.
7. Subtract line 6e from line 5
7.
8. Enter the lesser of line 7 or line 4
8.
TIP
145,927.
278,657.
145,927.
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 !Vol' this worksheet to reconcile this amount to the individual deduction amounts reported
on Form 8960, lines 9 and 10.
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:
1.
2.
Description
Line
Amount
X
x
(a)
SEE STATEMENT 45
(b)
State, local, and foreign Income taxes
22,616.
Itemized Deductions Subject to Section 68 Included on Line
3 of Part III:
3.
(a)
(b)
(B)
IF Part Kline 8 is less
than Part III. line 4.
THEN divide line 8 by
line 4 AND enter the
amount in column (8).
IF the amounts
reported on Part
Ines 4 and 8 are
equal, THEN enter
1 00 in column MI
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.
22,616.
723252 01-10-18
EFTA00025711
Fan!) 8960
Net Investment Income Tax -
Individuals, Estates, and Trusts
MASSACHUSETTS
2017
Name(s)
Part I
Investment Income ,_FD Section 6013(g) election
In
Regulations section 1.141140(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 nonqualified plans
4a
Rental real estate, royalties, partnerships, S corporations, trusts,
1
61,882.
2
176,082.
3
etc. (Form 1040, line 17; or Form 1041, line 5)
b Adjustment for net income or loss derived in the ordinary course of
a non•section 1411 trade or business
4a
839.
4b
-64,842.
C
Combine lines 4a and 4b
4c
-64,003.
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
c Adjustment from disposition of partnership interest or S corporation
stock
6a
410,024.
66
-119,602.
6e
d Combine lines 5a through 5c
5d
290,422.
6
Changes in investment income for certain CFCs and PFICs
6
7
Other modifications to investment income
7
8
Total investment Income. Combine lines 1. 2. 3. 4c. 5d. 6. and 7
8
464,383.
Part II
State Income Tax Pro-ration for 2017 Income Tax Payments
9
State total income
9
559 137.
10
State Income tax payments for 2017
SEE STATEMENT 46
10
22 294.
11
2017 state income tax payments attributable to investment income. line 8 divided by line 9 times line 10
11
18 516.
Part III
State Income Tax Pro-ration for 2016 Estimate Payments Made in 2017
12
State estimate payments for 2016
12
0.
13
Percent of state income taxes attributable to investment income for 2016
13
14
2016 state estimate payments attributable to investment income. Line 12 times line 13
14
0.
Part IV
State Income Tax Pro-ration for Balance of Prior Years Tax Plus Extension Payments Paid in 2017
15
Balance of prior years tax plus extension payments paid in 2017
15
20 000.
16
Percent of state income taxes attributable to investment income for 2016
16
.974856
17
Balance of prior years tax and extension payments attributable to investment income. Line 15 times line 16
17
19 497.
Part V
Reduction of State Tax Deduction
18
Reduction of state tax deduction
18
15 794.)
19
Percent of state income taxes attributable to investment income for 2016
19
.974856
20
Reduction of state tax deduction attributable to investment income. Line 18 times line 19
20
15 397.)
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
22,616.
Form 8960 (2017)
Your social security number or EIN
723161 04-01-17
EFTA00025712
F.,8801
Da twat or Ow neemory
Weal& Revenue Sinta
1991
Name(s) shown on return
Credit for Prior Year Minimum Tax -
Individuals, Estates, and Trusts
IP Go to www.Irs.gov/Form8801 for Instructions and the latest Information.
l• Attach to Form 1040, 1040NR. or 1041.
Part I I Net Minimum Tax on Exclusion Items
GMW.15464073
Identifying number
2017
Ak laCnnerNO 74
1 Combine lines 1, 6, and 10 of your 2016 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 41 here and on line 15 and go to Part II. If more
than $247,450 and you were married filing separately for 2016. see instructions
5 Enter $83,800 if married filing jointly or qualifying widow(en for 2016; $53,900 if single or head of household for
2016; or $41,900 if married filing separately for 2016. Estates and trusts, enter $23,900
6 Enter $159,700 if married filing jointly or qualifying widow(en for 2016; $119.700 if single or head of household
for 2016; or $79,850 if married filing separately for 2016. Estates and trusts. enter $79,850
7 Subtract line 6 from line 4. If zero or less. enter 4:1- here and on line 8 and go to line 9
8 Multiply line 7 by 25% (0.25)
9 Subtract line 8 from line 5. If zero or less, enter 0. If under age 24 at the end of 2016, see Instructions
10 Subtract line 9 from line 4. If zero or less, enter 0 here and on line 15 and go to Pan II. Form
1040NR filets. see Instructions
11 • If for 2016 you filed Form 2555 or 255.5E,Z, see instructions for the amount to enter.
• If for 2018 you reported capital gain distributions directly on Form 1040. line 13; you repotted qualified
dividends on Form 1040, line 9b (Form 1041. line 2(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 tine 55 here. Form 1040NR filers, see instructions.
• All others: If line 10 is $186,300 or less ($93.150 or less if married filing separately for 2016). multiply
line 10 by 26% (0.26). Otherwise, multiply line 10 by 28% (0.28) and subtract $3.726 ($1,863 if married
filing separately for 2016) 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 2016 Form 6251, line 34, or 2016 Form 1041. Schedule I. line 55
15 Net minimum tax on exclusion Items. Subtract We 14 from line 13. If zero or less. enter .0-
LHA
For Paperwork Reduction Act Notice, see Instructions.
Form 8801 (2017)
1
1,243,732.
2
87,272.
3
4
1,331,004.
5
83,800.
6
159,700.
7
1,171,304.
8
292,826.
9
0.
10
1,331,004.
11
259,463.
12
3,689.
13
255,774.
14
229,384.
15
26,390.
719951 11.1547
EFTA00025713
Form 8801 (2017)
Page 2
Part II I Minimum Tax Credit and Carryforward to 2018
16 Enter the amount from your 2016 Form 6251, line 35, or 2016 Form 1041. Schedule I. line 56
16
26,390.
17 Enter the amount from line 15
17
26,390.
18 Subtract line 17 from line 16.11 less than zero, enter as a negative amount
18
0.
19 2016 credit carryforward. Enter the amount from your 2016 Form 8801, line 26
19
4.
20 Enter your 2016 unallowed qualified electric vehicle credit (see instructions)
20
21 Combine lines 18 through 20. If zero or less. stop here and see the instructions
21
4.
22 Enter your 2017 regular income tax liability minus allowable credits (see instructions)
22
16,076.
23 Enter the amount from your 2017 Form 6251, line 33. or 2017 Form 1041. Schedule I. line 54
23
69,311.
24 Subtract line 23 from line 22. If zero or less. enter 0.
24
0.
25 Minimum tax credit Enter the smaller of line 21 or line 24. Also enter this amount on your 2017
Form 1040, line 54 (check box b); Form 1040NR, line 51 (check box b): or Form 1041, Schedule G.
line 2c
25
0.
26 Credit carryfonvard to 2018. Subtract line 25 from line 21. Keep a record of this amount because
you may use it in future years
26
4.
Form 8801 (2017)
719682 11.1547
EFTA00025714
Form 8801 (2017)
Part III I
Tax Computation Using Maximum Capital Gains Rates
Complete Part III only if you are required to do so by 'Mellor by the Foreign Earned Income Tax Worksheet in the instructions.
Page 3
Caution: If you didn't complete the 2016 Qualified Dividends and Capital Gain Tax Worksheet,
the 2016 Schedule D Tax Worksheet, or Past V of the 2016 Schedule D (Form 1041)• see the
instructions before completing this pan. •
27
Enter the amount from Form 8801. line 10. If you filed Form 2555 or 255.5EZ for 2016, enter the
amount from tine 3 of the Foreign Earned Income Tax Worksheet in the instructions
Caution: If for 2016 you filed Form 1040NR. 1041.2555• or 2555•EZ, see the instructions before
completing tines 28. 29. and 30.
28
Enter the amount from line 6 of your 2016 Qualified Dividends and Capital Gain Tax Worksheet,
the amount from line 13 of your 2016 Schedule D Tax Worksheet, or the amount from One 26 of
the 2016 Schedule D (Form 1041)• whichever applies•
If you figured your 2016 tax using the 2016 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 tine 19 of your 2016 Schedule D (Form 1040), or line 18b. column (2), of the
2016 Schedule D (Form 1041)
30
Add lines 28 and 29, and enter the smaller of that result or the amount from line 10 of your 2016
Schedule D Tax Worksheet
31
Enter the smaller of line 27 or line 30
1 155 017.
32
Subtract line 31 from line 27
175 987.
33
If line 32 is $186,300 or less ($93,150 or less if married filing separately for 2016). multiply line 32
by 26% (0.26). Otherwise, multiply line 32 by 28%(028) and subtract $3,726 ($1,863 if married filing
separately for 2016) from the result. Form 1040NR filers, see instructions
►
45 757.
34
Enter:
• $75,300 if married filing jointly or qualifying widow(en for 2016,
• $37,650 if single or married filing separately for 2016,
• $50,400 if head of household for 2016, or
• $2,550 for an estate or trust.
Form 1040NR filers, see instructions.
35
Enter the amount from line 7 of your 2016 Qualified Dividends and Capital Gain Tax Worksheet, the
amount from line 14 of your 2016 Schedule D Tax Worksheet, or the amount from line 27 of the 2016
Schedule D (Form 1041)• whichever applies. If you didn't complete either worksheet or Part V of the
2016 Schedule D (F08111041), enter the amount from your 2016 Form 1040, tine 43, or 2016 Form
1041. line 22. whichever applies; if zero or less, enter 0. Form 1040NR filers, see instructions
36
Subtract line 35 from tine 34. If zero or less, enter •0•
37
Enter the smaller of line 27 or line 28
38
Enter the smaller of line 36 or line 37
39
Subtract line 38 from line 37
40
Enter:
27
1 331 004.
28
29
1,155 017.
30
31
32
1 155 017.
• $415,050 if single for 2016•
• $233,475 if married filing separately for 2016•
• $466,950 if married filing jointly or qualifying widow(en for 2016.
• $441,000 if head of household for 2016, or
• $12,400 for an estate or trust.
Form 1040NR filers, see instructions.
41
Enter the amount from line 36
42
Form 1040 filers, enter the amount from Nne 7 of your 2016 Qualified Dividends and Capital Gain Tax
Worksheet or the amount from line 19 of your 2016 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
2016 Schedule D (Form 1041) or line 18 of your 2016 Schedule D Tax Worksheet, whichever applies. If
you didn't complete either the worksheet or Part V of the 2016 Schedule D (Form 1041), enter the amount
from your 2016 Form 1041, tine 22; if zero or less, enter 0.. Form 1040NR filers, see instructions
42
121 015.
• The 2016 Qualified Dividends and Capital Gain Tax Worksheet is in the 2016 Instructions for Form 1040. The 2016 Schedule D Tax Worksheet is in the 2016 Instructions
for Schedule D (Form 1040) (or the 2016 Instructions for Schedule 0 (Form 1041)).
33
34
75 300.
35
36
37
38
39
121 015.
0.
1 155 017.
1 155 017.
40
466 950.
41
Form 8801 (2017)
719883 11.1547
EFTA00025715
Form 8801 (2017)
Page 4
Part HI
Tax Computation Using Maximum Capital Gains Rates (continued)
43
Add lines 41 and 42
43
121,015.
44
Subtract line 43 from line 40. If zero or less, enter .0.
44
345,935.
45
Enter the smaller of line 39 or line 44
45
345,935.
46
Multiply line 45 by 15% (0.15)
►
46
51,890.
47
Add lines 38 and 45
47
345,935.
If lines 47 and 27 are the same, skip lies 48 through 62 and go to line 63. Othenvlse, go to
line 48.
48
Subtract line 47 from line 37
48
809,082.
49
Multiply line 48 by 20% (0.20)
line 29 is zero or blank, skip lines 60 through 52 and go to line 53. Otherwise, go to line 60.
►
49
161,816.
50
Add lines 32, 47 and 48
50
51
Subtract line 50 from line 27
51
52
Multiply line 51 by 25%(025)
►
52
53
Add lines 33, 46, 49, and 52
53
259,463.
54
If line 27 is $186,300 or less ($93,150 or less if married filing separately for 2016), multiply line 27
by 26% (0.26). Otherwise, multiply line 27 by 28%(028) and subtract $3,726 ($1,863 if married filing
separately for 2016) from the result. Form 1040NR filers, see instructions
54
368,955.
55
Enter the smaller of line 53 or line 54 here and on line 11. If you filed Form 2555 or 2gcriz7 for
2016, 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
55
259,463.
Form 8801 (2017)
719154 4145.17
EFTA00025716
Form 1116
MTFTCE
FORM 8801
Foreign Tax Credit
(Individual, Estate, or Trust)
'IP Attach to Form 1040, 1040NR, 1041, or 990-T.
COMW.1W4th
2016
DOCI6/WISAI 01 OW Tray
AtIFIC/WWII
Infernal FIOTOrlle Service
1991
illo Information about Form 1118 and its separate instructions is at I1 vw its govirorin1116
Sequence No. 9
Name
Identifying number as Flitom on Far 10l Yput tanclum
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 El
b El
General category income
d
Certain income re-sourced by treaty
Passive category income
c 0
Section 901(j) income
e0 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 I and line A in Part II. If you paid taxes to
more than one foreign country or U.S. possession. use a separate column and line for each country or possession.
Part I
Taxable Income or Loss From Soirees Outside the United States (for Category Checked Above)
g
Enter the name of the foreign country or U.S.
possession
IIP
to Gross income from sources within country shown above
and of the type checked above:
Foreign Country or U.S. Possession
Total
(Add cols. A. B. and C.)
A
B
C
OTHER
COUNTRIES
UNITED
KINGDOM
la
55,074.
53,746.
1,328.
b Check if line to 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
1,401.
determine its source (see instructions)
OP I
I
Deductions and losses (Caution: See instructions.):
2
Expenses definitely related to the income on line to
(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
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
8
Add lines 2.3g, 4a. 40. and 5
948.
6
66,000.
66,000.
66,000.
66,000.
53,746.
1,328.
8,022,924. 8,022,924.
.006699
.000166
442.
11.
1,390.
11.
7 Subtract line 6 f om line 13. Enter the result here and on line 5. page 2
P. 7
53,673.
art
Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
A
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.
(0) through (r))
g (e) EJ ft,
8 to In Acrid
0) galgved,
(k) Olv100nOS
(0 1,0e=d (m) 11110(01,t
(o) Demmer
(p) (;1/20349^d
(q) mono
A
B
C
8 Add lines A through C, column (s). Enter the total here and on line 9. page 2
Oda
WA For Paperwork Reduction Act Notice, see instructions.
orm 1118 (2016)
711451 CM-01-17
EFTA00025717
MTFTCE
FORM 8801
Fmm1116(2010 SCOTT G. BORGERSON & GHISLAINE MAXWELL
Page 2
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
3,689.
10 Canyback or carryover (attach detailed computation)
10
11 Add lines 9 and 10
11
3,689.
12 Reduction in foreign taxes
12
13 Taxes reclassified under high tax kicloaut
13
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit
14
3,689.
15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the
United States (before adjustments) for the category of income checked above Part I
15
53,673.
18 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 more than
one Form 1116, you must complete line 20.)
17
53,673.
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
939,231.
Caution: If you figured your tax using the lower rates on qualified dividends or capital gains, see in tructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter 'r
19
.05715
20 Individuals; Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident alien, 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, 37, and 39
20
259,463.
Caution; If you are completing line 20 for separate category e (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
21
14,828.
22 Enter the smaller of line 14 or line 21. If this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this
amount on line 28. Othervase. complete the appropriate line in Part IV
OP.
22
3,689.
Part IV I
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income
23
3,689.
24 Credit for taxes on general category income
24
25 Credit for taxes on certain income re-sourced by treaty
26
28 Credit for taxes on lump-sum distributions
26
27 Add lines 23 through 26
27
3,689.
28 Enter the smaller of line 20 or line 27
28
3,689.
29 Reduction of credit for international boycott operations
29
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-T. line 41a
► 30
3,689.
Form 111612016)
711491 0441-17
EFTA00025718
Form 1116
MTFTCE
FORM 8801
Foreign Tax Credit
(Individual, Estate, or Trust)
Ia. Attach to Form 1040, 1040NR, 1041, or 990-T.
OW No. 1546-0121
2016
DOCI6/WISAI 01 OW Tray
AtIFIC/WWII
Infernal FIOTOrlle Sento
IFNI
00 Information about Form 1118 and its separate instructions is at I1 vw its govirorin1116
Sowence No. 9
Name
Identifying number as shwa' FF. Far 10l Ypor tanclom
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 Pad II below.
a El
b El
General category income
d
Certain income re-sourced by treaty
Passive category income
c 0
Section 901(j) income
e
Lump-sum distributions
f Resident of (name of country) Ila• UNITED STATES
Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part I and line A in Part II. If you paid taxes to
more than one foreign country or U.S. possession. use a separate column and line for each country or possession.
Part I
Taxable Income or Loss From Soirees Outside the United States (for Category Checked Above)
g
Enter the name of the foreign country or U.S.
possession
Ir.
to Gross income from sources within country shown above
and of the type checked above:
Foreign Country or U.S. Possession
Total
Add cols. A. B. and C.)
A
B
C
OTHER
COUNTRIES
1a
b Check if line to 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)
lia• I
I
Deductions and losses (Caution: See instructions.):
2
Expenses definitely related to the income on line to
(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
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
8
Add lines 2. 3g. 4a. 4b. and 5
6
66,000.
66,000.
8,022,924.
7 Subtract line 6 f om line 13. Enter the result here and on line 15. page 2
Ila• 7
art
Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
A
cheek 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
endued
(s)Total foreign
taxes paid or
accrued (add cols.
(0) through (0)
g (h) EJ paid
8 to 1—IA0:Ns
0) galgajed,
(k) ONIOon08
(I) 1,0e=
(m) !Merest
(o) Demmer
(p) 1;1/20349^d
(q) mono
A
B
C
8 Add lines A through C, column (s). Enter the total here and on line 9. page 2
lid 8
WA For Paperwork Reduction Act Notice, see instructions.
orm 1118 (2016)
711481 CM-01-II
EFTA00025719
MTFTCE
FORM 8801
Form 1116 (2016) SCOTT G. BORGERSON & GHISLAINE MAXWELL
Part III
Figuring theCredit
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
10 Canyback or carryover (attach detailed computation)
10
11 Add lines 9 and 10
11
12 Reduction in foreign taxes
12
13 Taxes reclassified under high tax kicioaut
13
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit
14
16 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the
United States (before adjustments) for the category of income checked above Part I
15
18 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 more than
one Form 1116, you must complete line 20.)
17
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
939,231.
Caution: If you figured your tax using the lower rates on qualified dividends or capital gains, see in tructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter 'r
20 Individuals; Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident alien, 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, 37, and 39
Caution; If you are completing line 20 for separate category e (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
22 Enter the smaller of line 14 or line 21. If this is the only Form 1116 you are filing, skip lines 23 through 27 and enter this
Pa;?, 2
amount on line 28. Otherwise. complete the appropriate line in Part IV
OP.
19
20
21
22
Part IV I
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income
24 Credit for taxes on general category income
25 Credit for taxes on certain income re-sourced by treaty
28 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-T. line 41a
►
FDr-1 1116 :2C16:.
23
24
26
26
27
28
29
30
711491 0441-17
EFTA00025720
Form
1116AMT - 8801
Minimum Tax Foreign Tax Credit
on Exclusion Items
2016 Schedule D Tax Worksheet Recalculated
Name
1. Enter your taxable income from Form 8801, line 10
1.1,331,004.
2. Enter you
r qualittal dIviatteli tom Fam 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 3.1fzero or less, enter -0- 5.
WA
8. Subtract line 5 from line 2. If zero or less, enter 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
a.
WA
9. Subtract line 8 from line 7. If zero or less, enter 8•
10. Add lines 6 and 9
11. Add lines 18 and 19 of Schedule D
12. Enter the smaller of line 9 or line 11
13. Subtract line 12 from line 10
14. Subtract line 13 from line 1. If zero or less, enter 8.
15. Enter:
• $37,650 if single or married filing separately:
$75,300 if married filing jointly or qualifying widow(er): or
$50,400 if head of household
18. Enter the smaller of line 1 or line 15
17. Enter the smaller of tine 14 or line 16
it
175,987
18. Subtract •19 10 torn Ma I It ?WO a Na ante -0-
19. Enter the larger of line 17 or line 18
20. Subtract line 17 from line 16. This amount Is taxed at 0%
N lines 1 and 16 are the same, skip lines 21 through 41 and go to IYl• 42. Othenvise, go to line 21.
6.
NIA
9.
WA
10.1,15 5 , 017.
11.
12.
13.1,155,017.
14.
175,987.
15.
75,300.
16.
75,300.
17.
75,300.
► 19
175,987.
► 20.
21. Enter the smaller of line 1 or line 13
22 Enter the amount from line 20 Of line 20 is blank, enter 0-)
21.1 155,017.
a
0 .
23. Subtract line 22 from line 21. If zero or less, enter .0.
► 23. 1 , 15 5 , 0 17 .
24. Enter:
• $415.050 if single:
• $233.475 if married filing separately:
• $466.950 if married filing jointly or qualifying widow(er); or
24.
466,950.
• $441.000 if head of household
25. Enter the smaller of line 1 or line 24
26.
466,950.
26. Add lines 19 and 20
as.
175,987.
27. Subtract line 26 from line 25, if zero or less. enter 4.
27.
290,963.
28. Enter the smaller of line 23 or kne 27
► 2e.
290 963.
29. Multiply line 28 by 15%(.15)
29.
N/A
30. Add lines 22 and 28
30.
290,963.
If lines 1 and 30 are the same, skip lines 31 though 41 and go to line 42. Otherwise, go to line 31.
31. Subtract line 30 from line 21
864 054.
32. Multiply line 31 by 20% (.20)
32.
N/A
N 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.
38. Subtract line 35 from line 34. If zero or less, enter 8.
98.
37. Subtract line 36 from line 33. If zero or less, enter 8.
► 37.
38. Multiply line 37 by 25% (.25)
38.
WA
N Schedule D, line 18, Is zero or blank, skip lines 39 through 41 and go to line 42. Otherwise, go to line 39.
711525 10-30-17
EFTA00025721
Minimum Tax Foreign Tax Credit on Exclusion items 2016 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.
N/A
42. Figure the tax on the amount on line 19. If the amount on lie 19 is less than 6100.000. 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.
N/A
43, Add lines 29. 32, 38, 41. and 42
43.
N/A
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.
N/A
45. Tax on all taxable Income (including capital gains and qualified dividends). Enter the smaller of line 43 or
line 44
45.
N/A
711528 0441-17
EFTA00025722
Form
1116AMT - 8801
Minimum Tax Foreign Tax Credit
on Exclusion Items
Worksheet for Line 18
Name
1 Enter the amount from Form 8801, line 4
1,331,004.
2 Enter 2016 worldwide 28% gains
N/A
3 Multiply line 2 by 0.2000
N/A
4 Enter 2016 worldwide 25% gains
5 Multiply line 4 by 0.1071
6 Enter prior year worldwide 20% gains and qualified dividends
809,082.
7 Multiply line 6 by 0.2857
231,155.
8 Enter 2016 worldwide 15% gains and qualified dividends
345,935.
9 Multiply line 8 by 0.4643
160,618.
10 Enter 2016 worldwide 0% gains and qualified dividends
11 Add lines 5, 7. 9 and 10
12 Subtract line 11 from line 1. Enter the result here and on MTFTCE Form 1116, line 18
391,773.
939,231.
711571 0441-17
EFTA00025723
1
Gains and Losses From Section 1256
Form 678
contracts and Straddles
Department of the Treasury
Plo Go to www.irs.gov/Form6781 for the latest information.
Internal Revenue StoreSe
► Attach to Your tax return.
Name(sl ahem, ontaxreturn
Check all applicable boxes
A Q
Mixed straddle election
(see instructions).
B I
I Straddletystraddle identification election
Part I
I Section 1256 Contracts Marked to Market
OMB No. 1545-0644
07
21
--a0smalt
na
Sequence No us
Identifying number
(a) Identification of account
C CI Mixed straddle account election
D In
Net section 1258 contracts loss election
(b) (Loss)
(c) Gain
1
SEE STATEMENT 47
2 Add the amounts on line 1 in columns (b) and (c)
3 Net gain or (loss). Combine line 2, columns (e) and (c)
4 Form 1099.8 adjustments. See instructions and attach statement
5 Combine lines 3 and 4
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 didnI check box D, enter 0.
7 Combine lines 5 and 6
8 Short-term capital gain or (loss). Multiply line 7 by 40%(0.40). Enter here and include on line 4 of Schedule D
or on Form 8949 (see instructions)
9 Long-term capital gain or (loss). Multiply line 7 by 60%(0.60). Enter here and Include on line 11 of Schedule
D or on Form 8949 (see instructions)
Part II I Gains and Losses From Straddles. Attach a separate statement listing each straddle and its components.
Section A - Losses From Straddles
2
3,253.
3
4
3,252.
5
6
7
3,252.
8
9
3,252.
1,301.
1,951.
(a) DeSsalpaOn of POPOV
(is) Dale
enWei into or
waited
(a) &MG
sales price
le) Cost a
Mee was
Oase expense
of sale
(I) Loss.
If column opts
moo than Ica. enter
difference.
scii
Othen.489.
aster -0-
(p)Unrecognized
pain on olteettIng
POPP3me
(hp Recognized loss.
II column II)
is more Mon to).
enter dilSwence
Ceherwee. enter .0-
I )0arre
closed all or
Ito. Day Yr
10
11 a Enter the short-term portion of losses from line 10, column (h), here and include on Nne 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 Ilne 11 of Schedule D or on
Form 8949 (see instructions
1 1 a (
)
11b (
)
ction B - Gains From Straddles
leMescrlpfico of property
.b) Dab en erect
into or sawed
(a) OMNI Wes pace
(e) Cost ce other base
plus expenseel sale
(I) Gain It column (era
is more than PIE
BP:Or oitUraa.
Otnerwe.e. enter -a-
(C) Dab) closed
out or saki
l& Dot Yr.
12
13 a Enter the short-term portion of gains from line 12, column (f). here and Include on line 4 of Schedule D or on
Form 8949 (see instructions)
b Enter the long-term 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 l Unrecognized Gains From Positions Held on Last Day of Tax Year. Memo Entry Only (see mstruc ions)
in, Ocscripticn cf orcprty
OS Oa:e acq red
(el Fait market Wag
on uyi business oayyt
tax year
WY Cccl or craw basis
as yowled
el LIArtontemd gait II alum
Op Mittel Itli. and
Rio.
detunce OdurAht IMO .0.
Day
Yr_
14
719701 f I-0247
LHA For Paperwork Reduction Act Notice, see Instructions.
Form 6781 (2017)
EFTA00025724
Form 8582
Dapinnvial 01 Toe Townry
Infernal Revenue Sanwa 1991
Name(s) shown on return
Passive Activity Loss Limitations
PIP See separate instructions.
Ille• Attach to Form 1040 or Form 1041.
leo Go to www.irs.gov/Form85t32 for instructions and the latest information.
Part I
OMB No. 1545-1036
2017
Alladvnani
an
sequence No 00
lden tying number
2017 Passive Activity Loss
Caution: Complete Worksheets'', 2, and 3 before completing Part I.
Rental Real Estate Activities With Active Participation (For the definition of active participation, see
Special Allowance for Rental Real Estate Activities in the instructions.)
1a Activities with net income (enter the amount from Worksheet 1,
column (a))
1a
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 Ines 1a. 1b. and 1c
1b
lc
)
)
1d
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)
c Add lines 2a and 2b
All Other Passive Activities
3a Activities with net income (enter the amount from Worksheet 3,
column (a))
b Activities with net toss (enter the amount from Worksheet 3,
column (b))
c Prior years' unallowed losses (enter the amount from Worksheet 3,
column (c))
d Combine lines 3a. 3b. and 3c
4 Combine lines 1d, 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 line 4 is a loss and:
2a
(
2b
)
2c
3a
8 7 .
3b
3e
)
)
3d
87.
4
87.
• Line 1cl is a loss, go to Part II.
• Line 2c is a loss (and line 1d Is zero or more). skip Part II and go to Part III.
• Line 3d is a loss (and lines 1d 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 year, do not complete
Part II or Part Ill. 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.
5
Enter the smaller of the loss on line 1d or the loss on line 4
6 Enter $150.000. If married filing separately, see instructions
6
7
Enter modified adjusted gross income, but not less than zero (see instructions)
Note: If line 7 is greater than or equal to line 6. skip lines 8 and
9. enter 0 on line 10. Otherwise. go to line 8.
g Subtract line 7 from line 6
9 Multiply line 8 by 50%(0.50). Do not enter mote than $25,000. If married filing separately, see instructions
10 Enter the smaller of fine 5 or line 9
If line 2c is a loss. go to Part III. Otherwise. go to line 15.
7
8
5
9
10
Part III I Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities
Note: Enter all numbers in Part III as positive amounts. See the example for Part II 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 line 13
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 2017. Add lines 10, 14, and 15. See Instructions
to find out how to report the losses on your tax retum
11
12
13
14
15
16
LHA 719761 10-13-17 For Paperwork Reduction Act Notice, see instructions.
Form 8582 (2017)
EFTA00025725
Form 858212017) SCOTT G. BORGERSON & GHI S LA INE MAXWELL
Caution: The worksheets must be filed with your tax return. Keep a copy for your records.
Worksheet 1 - For Form 8582. Lines la 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)
(c) Unallowed
loss (line le)
(d) Gain
(e) Loss
Total. Enter on Form 8582, lines la,
lb. and lc
IIP
worKsneet z - tor torm aboz, Lines za ana zo (bee instructions.)
Name of activity
(a) Current year
deductions (line 2a)
(b) Prior year
unallowed deductions (line 2b)
(c) Overall loss
Total. Enter on Form 8582, lines 2a
and 2b
Illm.
Worksheet 3 - For Form 8582 Lines 3a. 3b. and 3c (See instruc ions.
Name of activity
Current year
Prior years
Overall gain or loss
(a) Net income
(line 3a)
(b) Net loss
(line 3b)
(c) Unallowed
loss (line 3c)
(d) Gain
(e) Loss
SEE ATTACHED STATEMENT FOR WORKSHEET 3
Total. Enter on Form 8582, lines 3a,
3b. and 3c
►
87 .
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
Total
Ito
Pape 2
719762 10.13.17
Form 8582 (2017)
EFTA00025726
Form 8582-CR
Passive Activity Credit Limitations
MO No- 1545-1034
(Rev. January 2012)
0- See separate instructions.
Dooestmont of the Treasury
Infernal Revenue SWei
► Attach to Form 1040 or 1041.
Attachment
SecoNoco No 89
Nome(s)shosm co rotten
Ide tifying number
Part I I Passive Activity Credits
Caution: a' you have credits from a publicly traded partnership, see Publicly Traded Partnerships (PTAs) in the instructions.
Credits From Rental Real Estate Activities With Active Participation (Other Than Rehabilitation Credits
Low-Income Housing Credits) (See Lines la through Ic in the instructions.)
la Credits from Worksheet 1, column (a)
b Prior year unallowed credits from Worksheet 1, column (b)
c
Add lines la and lb
la
and
le
lb
Rehabilitation Credits From Rental Real Estate Activities and Low-Income Housing Credits for Property
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 unallowed credits from Worksheet 2, column (b)
c Add lines 2a and 2b
the instructions.)
2a
Placed in Service
2c
2b
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 unallowed credits from Worksheet 3, column (b)
I
c Add lines 3a and 3b
in the
33
instructions.)
3c
All Other Passive Activity Credits (See Lines 4a through 4c in the instructions.)
4a Credits from Worksheet 4, column (a)
b Prior year unallowed credits from Worksheet 4, column (b)
I
c Add lines 4a and 4b
4a
4c
29.
4b
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 yonr.
do not complete Part II, Ill, or IV. Instead, go to line 37.
5
29.
6
13.
7
16.
Part
Special Allowance for Rental Real Estate Activities With Active Participation
Note: Complete this part only f you have an amount on line le. Otherwise. e_, re Part
8
Enter the smaller of line lc or line 7
9
Enter $150,000. If married filing separately, see instructions
10
Enter modified adjusted gross income, but not less than zero (see instructions).
If line 10 is equal tom more than line 9, skip lines 11
through 15 and enter -0- on line 16
11
Subtract line 10 from line 9
12
Multiply line 11 by 50% (.50). Do not enter more than $25,000. If married
filing separately, see instructions
13a Enter the amount, if any, from line 10 of
Form 8582
13a
b Enter the amount, if any, from line 14 of
Form 8582
13b
c Add lines 13a and 13b
14
Subtract line 13c from line 12
15
Enter the tax attributable to the amount on line 14 (see instructions)
16
Enter the smaller of tine 8 or line 15
LHA
For Paperwork Reduction Act Notice, see Instructions.
719771 0µ114N
8
9
10
11
12
13c
14
15
16
Form 8582-CR (Rev. 01-2012)
EFTA00025727
Form 8582-CR (Rev. 01-2012) SCOTT G. BORGERSON & GHISLAINE MAXWELL
Page 2
Special Allowance for Rehabilitation Credits From Rental Real Estate Activities an
ow- ncome
Housing Credits for Property Placed in Service Before 1990 (or From Pass-Through Interests
Acquired Before 1990)
Note: Comolete this oan only if you have an amount on line Pc Otherwise go to Part IV
Part III
17 Enter the amount from line 7
18 Enter the amount from line 16
19
20
21 Enter $250,000. If married filing separately, see instructions to find
out if you can skip lines 21 through 26
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 line 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
Subtract line 18 from line 17. If zero, enter -0- here and on lines 30 and 36, and then go to Part V
Enter the smaller of line 2c or line 19
21
17
18
19
20
22
23
24
C Add lines 25a and 25b
26 Subtract line 25c from line 24
27 Enter the tax attributable to the amount on line 26 (see instructions)
28 Enter the amount, if any, from line 18
29 Subtract line 28 from line 27
30 Enter the smaller of line 20 or tine 29
25c
26
27
28
29
30
Part IV I Special Allowance for Low-Income Housing Credits for Property Placed in Service After 1989
Note: Complete this pan only it you have an amount on line 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. ff 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.
Part VI Election To Increase Basis of Credit Property
37
13.
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
property, 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 ow. al-2e 17r
719772
04-01-17
EFTA00025728
Form 8938
DepartrMill 01 TIc
Internal RON)1149 SOW*
Statement of Specified Foreign Financial Assets
► Go to www.irs.goy/Form8938 for instructions and the latest information.
Po Attach to your tax return.
For calendar year 2017 or tax year beginning
OMB No. 1545.2195
2017
Attachment
and ending
.
Sequence No. 175
if you have attached continuation statements, check here I X I
Number of continuation statements
3
1 Name(s) shown on mum
2
TIN
3 Type of filer
a M
Specified individual
b in Partnership
C El
Corporation
4 If you checked box 3a. skip this line 4. If you checked box 3b or 3c. enter the name and TIN of the specified individual who closely holds the
partnership or corporation. If you checked box 3d. enter the name and TIN of the specified person who is a current beneficiary of the trust.
(See instructions for definitions and what to do if you have more than one specified individual or specified person to list)
a Name
b
TIN
d n
Trust
Part I
Foreign Deposit and Custodial Accounts Summary
Number of Deposit Accounts (reported in Part V) .•
Ow.
5
2 Maximum Value of All Deposit Accounts
S
3,680,740.
3 Number of Custodial Accounts (reported in Part V)
pio
4 Maximum Value of All Custodial Accounts
5
Were any foreign deposit or custodial accounts closed during the tax year?
I X I Yes
I J No
Part II Other Foreign Assets Summary
I
Number of Foreign Assets (reported in Part VI)
►
2
2 Maximum Value of All Assets (reported in Part VI)
$
3
Were any foreign assets acquired or sold during the tax year?
I
I Yes
[XI No
(a) Asset Category
(b) Tax item
.o
(c) Amount reported on
form or schedule
Where reported
(d) Form and line
(e) Schedule and line
1 Foreign Deposit and
Custodial Accounts
la Interest
$
542.
SCH B
LN 1
lb Dividends
$
lc Royalties
$
ld Other income
$
le Gains (losses)
$
if Deductions
$
1g Credits
$
2 Other Foreign Assets
2a Interest
$
2b Dividends
$
2c Royalties
$
2d Other income
$
2e Gains (losses)
$
21 Deductions
$
2g Credits
$
Part IV Excepted Specified Foreign Financial Assets (see instructions)
If you reported specified foreign financial assets on one or more of the following forms, enter the number of such forms filed. You do not need to
include these assets on Form 8938 for the tax year.
1. Number of Forms 3520
4. Number of Forms 8621
2. Number of Forms 352GA
5. Number of Forms 8865
3. Number of Forms 5471
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 in Part V. attach a continuation statement for each additional account (see instructions).
1 Type of account
I=I Deposit
El Custodial
2
Account number or other designation
3
Check all that apply
a O
Account opened during tax year
c Li Account jointly owned with spouse
b CI Account closed during tax year
d [Xl No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year
282,451.
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars?
I X I Yes
fl
No
If you answered 'Yes' to line 5, complete a that apply.
(a) Foreign currency in which account
is maintained
(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.
773021 11- 8-17
Form 8938 (2017)
EFTA00025729
Form 8938 (2017)
nizsat2
Pan 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
BARCLAYS
8
Mailing address of financial institution in which all rorint is maintained. Number, st eet. and room or suite no.
137 BROMPTION ROAD KNIGHTSBRIDGE
9 City or town, state or province, and country (including postal code)
LONDON SW3 1QF UNITED KINGDOM
Pan VI Detailed Information for Each "Other Foreign Asset" Included in the Part II Summary (see instructions)
If you have more than one asset to report in Part VI. attach a continuation statement for each additional asset (see instructions).
1
Description of asset
2
Identifyin number or other designation
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
b Global Intermediary Identification Number (GIIN) (Optional)
c 0
Check if asset jointly owned with spouse
air
Check if no tax Item reported In Pat III with respect to this asset
4 Maximum value of asset during tax year (check box that applies)
a 0
$0 • $50,000
b 0
$50,001 • 5100,000
c l=
$100,001 • $150,000
d C
$150,001 $200,000
e 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?
0
Yes
0
No
6
If you answered 'Yes' to line 5. complete a that apply.
(a) Foreign currency in which asset is
(b) Foreign currency exchange rate used to
(c) Source of exchange rate used if not from U.S.
denominated
convert to U.S. dollars
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 infomiation for the asset.
a Name of foreign entity
b GIIN (Optional)
c Type of foreign entity
(1) 0
Partnership
(2) 0
Corporation
(3) 0
Trust
(4) 0
Estate
d Mailing address of foreign entity. Number. street. and room or suite no.
• 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 counterparty WEALTH AT WORK LIMITED
Check if information is for
0
Issuer
0
Counterpart
b Type of issuer or counterparty
(1) 0
Individual
(2) El
Partnership
(3) 0
Corporation
c Check if issuer or couMerparty is a
0
U.S. person
0
Foreign person
d Mailing address of issuer or couMerparty. Number, street. and room or suite no.
5 TEMPLE SQUARE, TEMPLE STREET
• City or town, state or province, and country Oncluding postal code)
LIVERPOOL L2 5RH UNITED KINGDOM
(4) 0
Trust
(5) 0
Estate
Form 8938 (2017)
monime47
EFTA00025730
Last Name or Organization Name
Identification Number
Form 8938
Part V Foreign Deposit and Custodial Accounts (see instructions)
1 Type of account
In Deposit
0
Custodial
2 Account number or other designation
3 Check all that apply
a 0
Account opened during tax year
b M
Account closed during tax year
c Li Account jointly owned with spouse
d 171 No tax kern 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?
I X I Yes
Li No
If you answered 'Yes' to line 5, complete a that apply.
(1) Foreign currency in which account
is maintained
0.
(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
8 Mailing address of financial institution in which arrant is maintained. Number, st eet. and room or suite no.
b Global Intermediary Identification Number (GIIN) (Optional)
9 NELSON STREET
9 City or town, province or state. and country Oncluding postal code)
BRADFORD BD1 5AN UNITED KINGDOM
1 Type of account
M
Deposit
0
Custodial
Account number or other designation
3
Check all that apply
a O
Account opened during tax year
b El Account closed during tax year
c ri
Account jointly owned with spouse
d In No tax Item reported In Part III with respect to this asset
Maximum value of account during tax year
2,671,835.
4
5
4
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars?
I X I Yes
In No
If you answered *Yes' to line 5, complete al 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 fnanclal institution In which account is maintained
BARCLAYS
8 Mailing address of financial institution in which account is maintained. Number, st eet. and room or suite no.
b Global Intermediary Identification Number (GIIN) (Optional)
137 BROMPTION ROAD KNIGHTSBRIDGE
9 City or town, province or state, and country (including postal code)
LONDON SW3 1OF UNITED KINGDOM
1 Type of account
In Deposit
Q
Custodial
2 Account number or other designation
3 Check all that apply
a 0
Account opened during tax year
b
Account closed during tax year
c Li Account jointly owned with spouse
d FRI No tax kern reported in Part III with respect to this asset
Maximum value of account during tax year
50,778.
IXIYes
oNo
Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars?
If you answered 'Yes' to line 5, complete a 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 Global Intermediary Identification Number (GIIN) (Optional)
8 Mailing address of financial institution in which account is maintained. Number, st eet. and room or suite no.
5 TEMPLE SQUARE, TEMPLE STREET
9 City or town, province or state. and country Oncluding postal code)
LIVERPOOL L2 5RH UNITED KINGDOM
723031 044)1-17
EFTA00025731
4
5
Last Name or Organization Name
Identification Number
Form 8938
Part V Foreign Deposit and Custodial Accounts (see instructions)
Type of account
In Deposit
El Custodial
2 Account number or other designation
3 Check all that apply
a 0
Account opened during tax year
b In Account closed during tax year
c Li Account jointly owned with spouse
d MI No tax kern reported in Part III with respect to this asset
Maximum value of account during tax year
675,676.
IXIYes
l= No
Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars?
If you answered 'Yes' to line 5, complete a 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 fnancial institution in which account is maintained
BARCLAYS
8 Mailing address of financial institution in which account is maintained. Number, st eet. and room or suite no.
b Global Intermediary Identification Number (GIIN) (Optional)
137 BROMPTION ROAD KNIGHTSBRIDGE
9 City or town, province or state, and country Oncluding postal code)
LONDON SW3 1QF UNITED KINGDOM
1
Type of account
0
Deposit
0
Custodial
2 Account number or other designation
3 Check all that apply
a In Account opened during tax year
b In Account closed during tax year
C I- 1 Account jointly owned with spouse
d In 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?
Li Yes
In No
6 If you answered *Yes' to line 5, complete al 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 Global Intermediary Identification Number (GIIN) (Optional)
8 Mailing address of financial institution in which account is maintained. Number, st eet. and room or suite no.
9 City or town, province or state, and country (including postal code)
Type of account
El Deposit
El Custodial
2 Account number or other designation
3 Check all that apply
a 0
Account opened during tax year
b O
Account closed during tax year
c Li Account jointly owned with spouse
d In No tax kern 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?
I I Yes
I
I No
6 If you answered 'Yes' to line 5, complete a 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 Global Intermediary Identification Number (GIIN) (Optional)
8 Mailing address of financial institution in which account is maintained. Number, st eet. and room or suite no.
9 City or town, province or state. and country (including postal code)
723051 0441-17
EFTA00025732
Last Name or Organization Name
Identification Number
Form 8938
Part VI Other Foreign Assets
1 Description of asset
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 In Check if asset jointly owned with spouse
Irl
Check If no tax item reported In Part III with respect to this asset
4 Maximum value of asset during tax year (check box that applies)
a
- $50.000
b 0
$50.001 4100,000
C
C
$100,001 .$150,000
a 0
$150.001 - $200,000
e 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?
I Xi Yes
I
I No
2 Identifying number or other designation
If you answered Yes to line 5, complete al that apply.
(1) Foreign currency in which asset is
denominated
(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 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 GIIN (Optional)
c Type of foreign entity
(1) 0
Partnership
(2) 0
Corporation
(3) 0
Trust
d Mailing address of foreign entity. Number, street, and room or suite no.
(4)
Estate
e City or town, state or province, and country (ncluding 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
M
Issuer
0
CouMerparty
b Type of issuer or counterparty
(1) 0
Individual
(2) C
Partnership
(3) 0
Corporation
(4) 0
Trust
(5) 0
Estate
c Check if issuer or counterparty is a
O
U.S. person
M
Foreign person
d Mailing address of issuer or couMerparty. Number, street. and room or suite no.
• City or town, province or state, and country Onckiding postal code)
723032 0441-17
EFTA00025733
Form 1116
U.S. and Foreign Source Income Summary
NAME
FOREIGN
INCOME TYPE
TOTAL
D.S.
GENERAL
Compensation
Dividends/Distributions
176,082.
176,082.
Interest
SEE STATEMENT 53
91,404.
90,862.
542.
Capital Gains
315,860.
315,860.
Business/Profession
Rent/Royalty
State/Local Refunds
Partnership/S Corporation
266,637.
266,637.
Trust/Estate
Other Income
119,602.
99,008.
20,594.
Gross Income
969,585.
948,449.
21,136.
Less:
Section 911 Exclusion
Capital Losses
15,638.
15,638.
Capital Gains Tax Adjustment
Total Income - Form 1116
953,947.
932,811.
21,136.
Deductions:
Business/Profession Expenses
99,490.
99,490.
Rent/Royalty Expenses
Partnership/S Corporation Losses
269,498.
269,498.
Trust/Estate Losses
3,922.
3,922.
Capital Losses
Non-capital Losses
Individual Retirement Account
Moving Expenses
Self-employment Tax Deduction
11,457.
11,457.
Self-employment Health Insurance
19,388.
19,388.
Keogh Contributions
Alimony
66,000.
64,561.
1,439.
Forfeited Interest
Foreign Housing Deduction
Other Adjustments
-16,848.
16,848.
Capital Gains Tax Adjustment
Total Deductions
469,755.
451,468.
18,287.
Adjusted Gross Income
484,192.
481,343.
2,849.
Less Itemized Deductions:
Specifically Allocated
Home Mortgage Interest
Other Interest
22,464.
22,464.
Ratably Allocated
278,657.
272,583.
6,074.
Total Adjustments to Adjusted Gross Income
301,121.
295,047.
6,074.
Taxable Income Before Exemptions
183,071.
186,296.
-3,225.
727931
e<-01.17
EFTA00025734
Form 1116
Allocation of Itemized Deductions
SLAJ'1"1: U. 1:1UKUEKSUN & U11.I.SLAINE MAXWELL
Taxes
Interest- Not Including Investment
Interest
Contributions
Miscellaneous 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:
MedicaVDental
Investment Interest
Casualty Losses
Gambling Losses
Qualified contributions
Foreign Adjustment
Total Itemized Deductions
Total Allowed on Schedule A ..
Total
Itemized
Deductions
Itemized Deductions
After Sec. 68
Reduction
Form 1116
Specifically U.S.
Specifically Foreign
Ratable
160 458.
157 567.
157 567.
123,311.
121,090.
121,090.
283,769.
278,657.
22 464.
22 464.
22 464.
306,233.
301,121.
22,464.
278,657.
727871 01-31-18
EFTA00025735
Form 1116
Foreign Tax Credit Carryover Statement (Page 1 of 2)
Foreign Income Category
Regular
1. Foreign tax paicVaccrued
2. FTC carp/bad to 2017
for amended returns
3. Reduction in foreign
taxes
4. Foreign tax available
5. Maximum credit allowable
6. Unused foreign tax ( t )
or excess of limit ( - )
7. Foreign tax carryback
8. Foreign tax carryfonvard
9. Foreign tax or excess
limit remaining
Total foreign taxes from all
2012
2013
2014
2015
2016
2017
1,397.
1,397.
O.
1.
1,397.
1.
1,397.
available years to be curled to next year
1,398.
1. Foreign tax paicVaccrued
2. FTC carp/bad to 2017
for amended returns
3. Reduction in foreign
taxes
4. Foreign tax available
5. Maximum credit allowable
6. Unused foreign tax ( t )
or excess of limit ( - )
7. Foreign tax carryback
8. Foreign tax carryfonvard
9. Foreign tax or excess
limit remaining
2007
2008
2009
2010
2011
I.
AIM&
727115 0441-17
EFTA00025736
Form 1116
Foreign Tax Credit Carryover Statement (Page 2 of 2)
Foreign Income Category
AMT
1. Foreign tax paicVaccrued
2. FTC canyback to 2017
for amended returns
3. Reduction in foreign
taxes
4. Foreign tax available
5. Maximum credit allowable
6. Unused foreign tax ( t )
or excess of limit ( - )
7. Foreign tax carryback
8. Foreign tax carryfonvard
9. Foreign tax or excess
limit remaining
Total foreign taxes from all
2012
2013
2014
2015
2016
2017
1,397.
1,397.
541.
856.
856.
available years to be carried to next year
856.
1. Foreign tax paicVaccrued
2. FTC carryback to 2017
for amended returns
3. Reduction in foreign
taxes
4. Foreign tax available
5. Maximum credit allowable
6. Unused foreign tax ( t )
or excess of limit ( - )
7. Foreign tax carryback
8. Foreign tax carryfonvard
9. Foreign tax or excess
limit remaining
2007
2008
2009
2010
2011
I.
AIM&
727115 0441-17
EFTA00025737
Form 1116
Foreign Tax Preference Items
Alternative minimum tax deductions allocation:
Itemized deductions
Other deductions not directly allocated
Total alternative minimum tax adjustments
Total foreign source income
Total gross income
21,918.
969,585.
0.
66,000.
66,000.
Ratio of foreign source income to gross income
.022606
Total foreign source deductions
1,492.
Total deductions allocated to foreign income class:
General limitation income
Passive income
Section 901(j) income
Income re-sourced by treaty
1,492.
727941
04-01.17
EFTA00025738
Form 3800
Detail General Business Credit Carryforward Worksheet
2017
SCOTT G. BORGERSON s GHISLAINE MAXWELL
Form and Typo
Year
Carried
From
Amount Available
for Carryover
Amount
Used in
2017
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
6765 INCREASED RESEARCH ACTS
2017
13.
I
I
Totals
13.
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used In
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used n
Amount
Used in
Net
Carryover
I
I
J
I
I
I
J
I
I
I
13.
Totals
EFTA00025739
Detail General Business Credit Carryforward Worksheet
Form 3800
2017
Credit Allowed to Offset Alternative Minimum Tax
Form and Type
Year
Cashed
From
Amount Available
for Carryover
Amount
Used in
2017
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
6765 INCR RESEARCH ACT (POST-2015 SE)
2017
397.
I
I
Totals
397.
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used In
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used in
Amount
Used n
Amount
Used in
Net
Carryover
I
I
J
I
I
I
J
I
I
I
397.
Totals
EFTA00025740
FORM 1040
STATEMENT 3
2016
2015
2014
MASSACHUSETTS
3,021.
3,021.
0.
MASSACHUSETTS
12,773.
12,773.
0.
0.
FORM 1040
STATEMENT 4
1. IS THE AMOUNT ON FORM 1040, LINE 38, MORE THAN THE AMOUNT SHOWN ON LINE 4
BELOW FOR YOUR FILING STATUS?
NO. STOP. MULTIPLY $4,050 BY THE TOTAL NUMBER OF EXEMPTIONS CLAIMED
ON FORM 1040, LINE 6D, AND ENTER THE RESULT ON LINE 42.
YES. CONTINUE
2. MULTIPLY $4,050 BY THE TOTAL NUMBER OF EXEMPTIONS CLAIMED
ON FORM 1040, LINE 6D
12,150.
3. ENTER THE AMOUNT FROM FORM 1040, LINE 38
484,192.
4. ENTER THE AMOUNT FOR YOUR FILING STATUS
313,800.
SINGLE
$261,500
MARRIED FILING JOINTLY OR WIDOW(ER) $313,800
$156,900
$287,650
5. SUBTRACT LINE 4 FROM LINE 3. IF THE RESULT IS
MORE THAN $122,500 ($61,250 IF MARRIED FILING
SEPARATELY), STOP. ENTER -0- ON LINE 42
170,392.
6. DIVIDE LINE 5 BY $2,500 ($1,250 IF MARRIED
WHOLE NUMBER (FOR EXAMPLE, INCREASE 0.0004
TO 1)
7. MULTIPLY LINE 6 BY 2% (.02) AND ENTER THE RESULT
AS A DECIMAL
8. MULTIPLY LINE 2 BY LINE 7
9. SUBTRACT LINE 8 FROM LINE 2. TOTAL TO FORM 1040, LINE 42.
STATEMENT(S) 3, 4
EFTA00025741
FORM 1040
STATEMENT 5
2016
2015
2014
-SALES TAX BENEFIT REDUCTION
1
2
BEFORE PHASEOUT
3
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
144,238.
53,714.
90,524.
72,419.
1,387,970.
311,300.
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
1,076,670.
32,300.
58,224.
53,714.
13A TOTAL ADJ. ITEMIZED DEDUCTIONS
13B PRIOR YR. STD. DED. AVAILABLE
14 PRIOR YR. ALLOWABLE ITEM. DED.
111,938.
12,600.
111,938.
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
111,938.
12,600.
99,338.
1,276,032.
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 2014
0.
TOTAL TO FORM 1040, LINE 10
0.
STATEMENT(S) 5
EFTA00025742
FORM 1040
STATEMENT 6
NAME OF PAYER
AMOUNT
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. - TAX-EXEMPT INTER
7.
FROM K-1 - ANGARA TRUST - TAX-EXEMPT INTEREST
1,934.
TOTAL TO FORM 1040, LINE BB
1,941.
STATEMENT(S) 6
EFTA00025743
FORM 1040
STATEMENT 7
NAME OF PAYER
ORDINARY
DIVIDENDS
QUALIFIED
DIVIDENDS
UBS - 3572
1,455.
1,455.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND,
L.L.C.
17,988.
6,874.
FROM K-1 - ATLAS ENHANCED FUND LP
8,075.
2,214.
FROM K-1 - ANGARA TRUST
129,621.
20,104.
TOTAL INCLUDED IN FORM 1040, LINE 9B
30,647.
STATEMENT(S) 7
EFTA00025744
FORM 1040
STATEMENT 8
1 NONSPECIFIED HEALTH INSURANCE PAYMENTS
19,388.
2 NET PROFIT FROM TRADE OR BUSINESS UNDER WHICH INSURANCE
266,637.
3 TOTAL OF ALL NET PROFITS AND EARNED INCOME.
S CORPORATIONS SKIP TO LINE 9
266,637.
4 DIVIDE LINE 2 BY LINE 3
1.0000
5 DEDUCTIBLE PORTION OF SELF-EMPLOYMENT TAX
11,457.
6 LINE 4 TIMES LINE 5
11,457.
7 LINE 2 MINUS LINE 6
255,180.
8 SELF-EMPLOYED SEP, SIMPLE, AND QUALIFIED PLANS ATTRIBUTABLE
0.
9 LINE 7 MINUS LINE 8. S CORPORATIONS ENTER WAGES RECEIVED
255,180.
10 FORM 2555, LINE 45 ATTRIBUTABLE TO THE TRADE OR BUSINESS
NAMED ABOVE
11 LINE 9 MINUS LINE 10
255,180.
12 SELF-EMPLOYED HEALTH INSURANCE DEDUCTION. LESSER OF
LINE 1 OR LINE 11
19,388.
FORM 1040
STATEMENT 9
DESCRIPTION
AMOUNT
2ND QTR ESTIMATE PAYMENT - JOINT
3RD QTR ESTIMATE PAYMENT - JOINT
24,000.
15,000.
42,857.
TOTAL TO FORM 1040, LINE 65
81,857.
STATEMENT(S) 8, 9
EFTA00025745
SCHEDULE A
STATEMENT 10
DESCRIPTION
AMOUNT
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
FROM K-1 - ATLAS ENHANCED FUND LP
FROM K-1 - ANGARA TRUST
FROM K-1 - TIDEWOOD LLC
172.
8,064.
3.
66,867.
57,889.
TOTAL TO SCHEDULE A, LINE 23
132,995.
SCHEDULE A
STATEMENT 11
DESCRIPTION
AMOUNT
107,062.
MASSACHUSETTS 2ND QTR ESTIMATE PAYMENTS
6,500.
15,794.
20,000.
-15,794.
TOTAL TO SCHEDULE A, LINE 5
133,562.
SCHEDULE A
STATEMENT 12
DESCRIPTION
AMOUNT
FROM K-1 - ATLAS ENHANCED FUND LP
FROM K-1 - ANGARA TRUST
22,463.
1.
TOTAL TO SCHEDULE A, LINE 14
22,464.
STATEMENT(S) 10, 11, 12
EFTA00025746
SCHEDULE A
STATEMENT 13
1. ENTER THE TOTAL OF THE AMOUNTS FROM SCHEDULE A, LINES 4,
9, 15, 19, 20, 27, AND 28.
2. ENTER THE TOTAL OF THE AMOUNTS FROM SCHEDULE A, LINES 4,
14, AND 20, PLUS ANY GAMBLING AND CASUALTY OR THEFT
LOSSES INCLUDED ON LINE 28 AND ANY QUALIFIED CONTRIBUTIONS
INCLUDED ON LINE 16.
3. IS THE AMOUNT ON LINE 2 LESS THAN THE AMOUNT ON LINE 1?
FROM LINE 1 ABOVE ON SCHEDULE A, LINE 29.
IF YES, SUBTRACT LINE 2 FROM LINE 1.
4. MULTIPLY LINE 3 BY 80% (.80).
227,015.
5. ENTER THE AMOUNT FROM FORM 1040, LINE 38.
484,192.
6. ENTER $313,800 IF MARRIED FILING JOINTLY OR
QUALIFYING WIDOW(ER); $287,650 IF HEAD OF
HOUSEHOLD; $261,500 IF SINGLE; OR $156,900
313,800.
7. IS THE AMOUNT ON LINE 6 LESS THAN THE AMOUNT
ON LINE 5?
THE AMOUNT FROM LINE 1 ABOVE ON SCHEDULE A,
LINE 29.
IF YES, SUBTRACT LINE 6 FROM LINE 5.
170,392.
8. MULTIPLY LINE 7 BY 3% (.03).
5,112.
9. ENTER THE SMALLER OF LINE 4 OR LINE 8
306,233.
22,464.
283,769.
5,112.
10. TOTAL ITEMIZED DEDUCTIONS. SUBTRACT LINE 9 FROM LINE 1.
ENTER THE RESULT HERE AND ON SCHEDULE A, LINE 29.
301,121.
STATEMENT(S) 13
EFTA00025747
SCHEDULE B
INTEREST INCOME
STATEMENT 14
NAME OF PAYER
AMOUNT
BARCLAYS
542.
CITIZENS BANK
19.
18,889.
UBS - 3575
1.
UBS - 3576
36.
IRS
136.
UBS - 3680
17.
1,214.
FROM K-1 - CARGOMETRICS TECHNOLOGIES LLC - SAVINGS/LOANS BANK
9.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. - TAX-EXEMPT
INTEREST
7.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. - SAVINGS/LOANS
BANK
5,732.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. - U.S. BONDS &
OBLIG
17,900.
FROM K-1 - CARGOMETRICS COMPASS FUND LP - U.S. BONDS & OBLIG
2,730.
FROM K-1 - ATLAS ENHANCED FUND LP - SAVINGS/LOANS BANK
14,581.
FROM K-1 - ATLAS ENHANCED FUND LP
2,588.
FROM K-1 - ANGARA TRUST - SAVINGS/LOANS BANK
26,461.
FROM K-1 - ANGARA TRUST - U.S. BONDS & OBLIG
549.
TOTAL TO SCHEDULE B, LINE 1
91,411.
SCHEDULE B
STATEMENT 15
NAME OF PAYER
AMOUNT
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. - TAX-EXEMPT
INTEREST
7.
TOTAL TAX-EXEMPT INTEREST TO SCHEDULE B, LINE 1
7.
SCHEDULE D
STATEMENT 16
FORMS 6252, 4684, 6781 AND 8824
GAIN OR LOSS
FORM 6781, PART I
1,301.
TOTAL TO SCHEDULE D, PART I, LINE 4
1,301.
STATEMENT(S) 14, 15, 16
EFTA00025748
SCHEDULE D
STATEMENT 17
4797, 2439, 6252, 4684, 6781 AND 8824
GAIN OR LOSS
28% GAIN
FORM 6781, PART I
1,951.
FORM 4797
26.
TOTAL TO SCHEDULE D, PART II, LINE 11
1,977.
SCHEDULE D
STATEMENT 18
GAIN OR LOSS
1,382.
-41.
ANGARA TRUST
-16,979.
TOTAL TO SCHEDULE D, PART I, LINE 5
-15,638.
SCHEDULE D
STATEMENT 19
GAIN OR LOSS
28% GAIN
ANGARA TRUST
312,187.
TOTAL TO SCHEDULE D, PART II, LINE 12
312,187.
SCHEDULE D
STATEMENT 20
TOTAL
NAME OF PAYER
CAPITAL GAIN
28% GAIN
FROM K-1 - ANGARA TRUST - CAP GAIN DIV 0/15
387.
TOTALS TO SCHEDULE D, LINE 13
387.
STATEMENT(S) 17, 18, 19, 20
EFTA00025749
SCHEDULE D
UNRECAPTURED SECTION 1250 GAIN
STATEMENT 21
1. IF YOU HAVE A SECTION 1250 PROPERTY IN PART III OF FORM
4797 FOR WHICH YOU MADE AN ENTRY IN PART I OF FORM 4797,
ENTER THE SMALLER OF LINE 22 OR LINE 24 OF FORM 4797 FOR
TO LINE 4
2. ENTER THE AMOUNT FROM FORM 4797, LINE 26G, FOR THE
PROPERTY FOR WHICH YOU MADE AN ENTRY ON LINE 1
3. SUBTRACT LINE 2 FROM LINE 1
4. ENTER THE TOTAL UNRECAPTURED SECTION 1250 GAIN INCLUDED
ON LINE 26 OR LINE 37 OF FORM(S) 6252 FROM INSTALLMENT
SALES OF TRADE OR BUSINESS PROPERTY HELD MORE THAN 1 YEAR
5. ENTER THE TOTAL OF ANY AMOUNTS REPORTED TO YOU ON A
SCHEDULE K-1 FROM A PARTNERSHIP OR AN S CORPORATION AS
"UNRECAPTURED SECTION 1250 GAIN"
6. ADD LINES 3 THROUGH 5
7. ENTER THE SMALLER OF LINE 6 OR THE GAIN
FROM FORM 4797, LINE 7
8. ENTER THE AMOUNT, IF ANY, FROM FORM 4797,
LINE 8
9. SUBTRACT LINE 8 FROM LINE 7. IF ZERO OR LESS, ENTER -0-
10. ENTER THE AMOUNT OF ANY GAIN FROM THE SALE OR EXCHANGE OF
SECTION 1250 GAIN
11. ENTER THE TOTAL OF ANY AMOUNTS REPORTED TO YOU ON A
SCHEDULE K-1, FORMS 1099-DIV, OR FORM 2439 AS "UNRECAPTURED
SECTION 1250 GAIN" FROM AN ESTATE, TRUST, REAL ESTATE
12. ENTER THE TOTAL OF ANY UNRECAPTURED SECTION 1250 GAIN FROM SALES
(INCLUDING INSTALLMENT SALES) OR OTHER DISPOSITIONS OF SECTION
1250 PROPERTY HELD MORE THAN 1 YEAR FOR WHICH YOU DID NOT
MAKE AN ENTRY IN PART I OF FORM 4797 FOR THE YEAR OF SALE
13. ADD LINES 9 THROUGH 12
14. IF YOU HAD ANY SECTION 1202 GAIN OR COLLECTIBLE
GAIN OR (LOSS), ENTER THE TOTAL OF LINES 1 THROUGH
4 OF THE 28% RATE GAIN WORKSHEET
15. ENTER THE (LOSS), IF ANY, FROM SCH D, LINE 7.
IF SCH D, LINE 7, IS ZERO OR A GAIN ENTER -0-
-14,337.
16. ENTER YOUR LONG-TERM CAPITAL LOSS CARRYOVERS FROM
SCHEDULE D, LINE 14, AND SCHEDULE K-1 (FORM 1041),
BOX 11, CODE C
17. COMBINE LINES 14 THROUGH 16. IF THE RESULT IS A (LOSS), ENTER
ENTER -0-
18. SUBTRACT LINE 17 FROM LINE 13. IF ZERO OR LESS, ENTER -0-.
LINE 19
1.
1.
14,337.
0.
STATEMENT(S) 21
EFTA00025750
SCHEDULE E
STATEMENT 22
NAME
ANY
NOT X
EMPLOYER
AT IF
PASSIVE
PASSIVE NONPASSIVE SEC. 179 NONPASSIVE
ID NO.
RISK FRN CODE
LOSS
INCOME
LOSS
DEDUCTION
INCOME
90-0907396
P *
21,895.
PRIOR YEAR PAL
90-0907396
P *
122,614.
27-5238213
P
35,373.
27-5238213
P
48,770.
37-1791864
P *
22,274.
26-0349715
P *
18,572.
90-0907396
TIDEWOOD LLC
81-3078863
P
0.
266,637.
TOTALS TO SCH. E, LN. 29
0.
269,498.
266,637.
* ENTIRE DISPOSITION OF NONPASSIVE ACTIVITY
SCHEDULE SE
NON-FARM INCOME
STATEMENT 23
DESCRIPTION
AMOUNT
266,637.
TOTAL TO SCHEDULE SE, LINE 2
266,637.
FORM 1116
STATEMENT 24
DESCRIPTION
COUNTRY
AMOUNT
OTHER COUNTRIES
16,848.
TOTAL TO FORM 1116, PART I, LINE 2
16,848.
STATEMENT(S) 22, 23, 24
EFTA00025751
FORM 1116
STATEMENT 25
DESCRIPTION
AMOUNT
ALIMONY
66,000.
TOTAL TO FORM 1116, LINE 3B
66,000.
FORM 1116
STATEMENT 26
TOTAL FOREIGN
YEAR OF CREDIT
TAXES PAID
FOREIGN TAX
CR CLAIMED
BALANCE
AVAILABLE
2016 FOREIGN TAX CREDIT
0.
0.
0.
2015 FOREIGN TAX CREDIT
2.
1.
1.
2014 FOREIGN TAX CREDIT
0.
0.
0.
2013 FOREIGN TAX CREDIT
0.
0.
0.
2012 FOREIGN TAX CREDIT
0.
0.
0.
2011 FOREIGN TAX CREDIT
0.
0.
0.
2010 FOREIGN TAX CREDIT
0.
0.
0.
2009 FOREIGN TAX CREDIT
0.
0.
0.
2008 FOREIGN TAX CREDIT
0.
0.
0.
2007 FOREIGN TAX CREDIT
0.
0.
0.
FOREIGN TAX CR CARRYBACK TO 2017
0.
TOTAL TO FORM 1116, PART III, LINE 10
1.
STATEMENT(S) 25, 26
EFTA00025752
FORM 3800
STATEMENT 27
1 TAXABLE INCOME ATTRIBUTABLE TO THIS ACTIVITY
0.
2 TAXABLE INCOME FROM FORM 1040, LINE 43
183,071.
3 DIVIDE LINE 1 BY LINE 2
.000000000
4 NET INCOME TAX FROM FORM 3800, LINE 11
69,311.
5 TAX LIABILITY LIMITATION (LINE 3 X LINE 4)
0.
REPORTED ON LINE 1C
REPORTED ON LINE 41
397.
REPORTED ON LINE 1C
4,540.
REPORTED ON LINE 41
C TOTAL CREDITS
4,937.
CURRENT YEAR CREDIT (LESSER OF 5A OR 5 - 5B)
PRIOR YEAR CREDIT (LESSER OF 5 OR 5B)
0.
0.
FORM 6251
STATEMENT 28
ANGARA TRUST
ANGARA TRUST
FORM
AMT
REGULAR
ADJUSTMENT
FORM 4797
26.
26.
SCH E
61.
61.
TOTAL TO FORM 6251, LINE 19
STATEMENT(S) 27, 28
EFTA00025753
FORM 6251
STATEMENT 29
1 ENTER: $54,300 IF SINGLE OR HEAD OF HOUSEHOLD; $84,500 IF
MARRIED FILING JOINTLY OR QUALIFYING WIDOW(ER); $42,250
2 ENTER YOUR ALTERNATIVE MINIMUM TAXABLE INCOME
(ANTI) FORM 6251, LINE 28
461,728.
3 ENTER: $120,700 IF SINGLE OR HEAD OF HOUSEHOLD;
$160,900 IF MARRIED FILING JOINTLY OR
QUALIFYING WIDOW(ER); $80,450 IF MARRIED
160,900.
4 SUBTRACT LINE 3 FROM LINE 2. IF ZERO OR LESS
ENTER -0-
300,828.
5 MULTIPLY LINE 4 BY 25% (.25)
6 SUBTRACT LINE 5 FROM LINE 1. IF ZERO OR LESS, ENTER -0-. IF
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
84,500.
75,207.
9,293.
FORM 6251
DEPRECIATION ON ASSETS PLACED IN SERVICE AFTER 1986 STATEMENT 30
DESCRIPTION
AMOUNT
POST 1986 DEPRECIATION
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
TOTAL TO FORM 6251, LINE 18
0.
FORM 1116AMT
STATEMENT 31
DESCRIPTION
AMOUNT
ALIMONY
66,000.
TOTAL TO FORM 1116AMT, LINE 3B
66,000.
STATEMENT(S) 29, 30, 31
EFTA00025754
FORM 1116
STATEMENT 32
TOTAL FOREIGN
FOREIGN TAX
BALANCE
YEAR OF CREDIT
TAXES PAID
CR CLAIMED
AVAILABLE
2016 ALT. MIN. TAX CREDIT
0.
0.
0.
2015 ALT. MIN. TAX CREDIT
2.
2.
0.
2014 ALT. MIN. TAX CREDIT
0.
0.
0.
2013 ALT. MIN. TAX CREDIT
0.
0.
0.
2012 ALT. MIN. TAX CREDIT
0.
0.
0.
2011 ALT. MIN. TAX CREDIT
0.
0.
0.
2010 ALT. MIN. TAX CREDIT
0.
0.
0.
2009 ALT. MIN. TAX CREDIT
0.
0.
0.
2008 ALT. MIN. TAX CREDIT
0.
0.
0.
2007 ALT. MIN. TAX CREDIT
0.
0.
0.
FOREIGN TAX CR CARRYBACK TO 2017
0.
TOTAL TO FORM 1116 (AMT), PART III, LINE 10
FORM 4952
STATEMENT 33
DESCRIPTION
FROM K-1 - ATLAS ENHANCED FUND LP
FROM K-1 - ANGARA TRUST
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
FROM K-1 - ANGARA TRUST
CURRENT
CARRYOVER
22,463.
1.
48,770.
5.
TOTALS TO FORM 4952, LINES 1 AND 2
71,239.
FORM 4952
STATEMENT 34
DESCRIPTION
AMOUNT
INTEREST INCOME
DIVIDEND INCOME
ANGARA TRUST
91,404.
176,082.
168.
-18,572.
-4,507.
TOTAL TO FORM 4952, LINE 4A
244,575.
STATEMENT(S) 32, 33, 34
EFTA00025755
FORM 4952
STATEMENT 35
DESCRIPTION
AMOUNT
SCH D, LINE 16 NET CAPITAL GAINS(LOSSES)
300,222.
LESS: FORM 4797 GAIN(LOSS)
-26.
TOTAL TO FORM 4952, LINE 4D
300,196.
FORM 4952
STATEMENT 36
DESCRIPTION
AMOUNT
FORM 6781, PART I
8.
1,951.
387.
312,187.
-14,337.
TOTAL TO FORM 4952, LINE 4E
300,196.
FORM 4952
STATEMENT 37
DESCRIPTION
AMOUNT
123,311.
TOTAL TO FORM 4952, LINE 5
123,311.
STATEMENT(S) 35, 36, 37
EFTA00025756
FORM 4952
STATEMENT 38
NAME
FORM OR
SCHEDULE
INVESTMENT
INTEREST
EXPENSE
INVESTMENT
INTEREST
EXPENSE C/O
DISALLOWED
INVESTMENT
INTEREST
EXPENSE
ALLOWED
INVESTMENT
INTEREST
EXPENSE
FROM K-1 - ATLAS ENHAN SCH A
22,463.
0.
0.
22,463.
FROM K-1 - ANGARA TRUS SCH A
1.
0.
0.
1.
FROM K-1 - ALPHAKEYS M SCH E
48,770.
0.
0.
48,770.
FROM K-1 - ANGARA TRUS SCH E
5.
0.
0.
5.
TOTALS
71,239.
0.
0.
71,239.
FORM 4952AMT
STATEMENT 39
DESCRIPTION
FROM K-1 - ATLAS ENHANCED FUND LP
FROM K-1 - ANGARA TRUST
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
FROM K-1 - ANGARA TRUST
CURRENT
CARRYOVER
22,463.
1.
48,770.
5.
TOTALS TO FORM 4952AMT, LINES 1 AND 2
71,239.
FORM 8960
STATEMENT 40
21,895.
35,373.
22,442.
-266,637.
AMOUNT TO FORM 8960, LINE 4B
-186,927.
STATEMENT(S) 38, 39, 40
EFTA00025757
FORM 8960
STATEMENT 41
IN A NON-SECTION 1411 TRADE OR BUSINESS
AMOUNT
93,485.
26,117.
TOTAL TO NET GAINS AND LOSSES WORKSHEET, LINE 2A
119,602.
FORM 8960
STATEMENT 42
DESCRIPTION
LINE
AMOUNT
9C
172.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
9C
8,064.
FROM K-1 - ATLAS ENHANCED FUND LP
9C
3.
FROM K-1 - ANGARA TRUST
9C
66,867.
FROM K-1 - TIDEWOOD LLC
9C
57,889.
TOTAL TO LINES 9 AND 10 WORKSHEET, PART I, LINE 1
132,995.
FORM 8960
STATEMENT 43
DESCRIPTION
RATIO
COLUMN C AMNT
9C
172.
.9272
159.
FROM K-1 - ALPHAKEYS MILLENNIUM FUN 9C
8,064.
.9272
7,477.
FROM K-1 - ATLAS ENHANCED FUND LP
9C
3.
.9272
3.
FROM K-1 - ANGARA TRUST
9C
66,867.
.9272
61,998.
FROM K-1 - TIDEWOOD LLC
9C
57,889.
.9272
53,674.
TOTAL TO LINES 9 & 10 WKST, PART II
132,995.
123,311.
STATEMENT(S) 41, 42, 43
EFTA00025758
FORM 8960
STATEMENT 44
DESCRIPTION
LINE
AMOUNT
9C
159.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
9C
7,477.
FROM K-1 - ATLAS ENHANCED FUND LP
9C
3.
FROM K-1 - ANGARA TRUST
9C
61,998.
FROM K-1 - TIDEWOOD LLC
9C
53,674.
TOTAL TO LINES 9 AND 10 WORKSHEET, PART III, LINE 1
123,311.
FORM 8960
STATEMENT 45
DESCRIPTION
RATIO
COLUMN C AMNT
9C
159. 1.0000
159.
FROM K-1 - ALPHAKEYS MILLENNIUM FUN 9C
7,477. 1.0000
7,477.
FROM K-1 - ATLAS ENHANCED FUND LP
9C
3. 1.0000
3.
FROM K-1 - ANGARA TRUST
9C
61,998. 1.0000
61,998.
FROM K-1 - TIDEWOOD LLC
9C
53,674. 1.0000
53,674.
TOTAL TO LINES 9 & 10 WORKSHEET,
PART IV, LINE 1
123,311.
123,311.
FORM 8960
STATEMENT 46
MASSACHUSETTS
DESCRIPTION
AMOUNT
15,794.
2017 2ND QTR ESTIMATE PAYMENT
6,500.
TOTAL TO STATE FORM 8960, LINE 10
22,294.
STATEMENT(S) 44, 45, 46
EFTA00025759
FORM 6781
PART I - SECTION 1256 CONTRACTS MARKED TO MARKET STATEMENT 47
(A) IDENTIFICATION OF ACCOUNT
(B) (LOSS)
(C) GAIN
FROM K-1 - CARGOMETRICS TECHNOLOGIES LLC
1.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
835.
FROM K-1 - CARGOMETRICS COMPASS FUND LP
1,950.
FROM K-1 - ATLAS ENHANCED FUND LP
468.
TOTAL TO FORM 6781, LINE 1, COLUMNS B AND C
1.
3,253.
FORM 8582
OTHER PASSIVE ACTIVITIES - WORKSHEET 3
STATEMENT 48
CURRENT YEAR
PRIOR YEAR
UNALLOWED
LOSS
GAIN
LOSS
ANGARA TRUST
87.
0.
87.
TOTALS
87.
0.
87.
FORM 8582
STATEMENT 49
R
R
FORM
E
OR
PRIOR
NET
A NAME
LOSS
LOSS
ANGARA TRUST
ANGARA TRUST
TOTALS
FORM 4797
26.
26.
SCH E
61.
61.
87.
87.
TOTAL
STATEMENT(S) 47, 48, 49
EFTA00025760
FORM 8582-CR
STATEMENT 50
WORKSHEET 4
PRIOR YEAR
FROM
CURRENT
UNALLOWED
TOTAL
FORM
YEAR CREDITS
CREDITS
CREDITS
LLC
TOTALS
29.
29.
29.
29.
FORM 8582-CR
ALLOCATION OF UNALLOWED CREDITS - WORKSHEET 8
STATEMENT 51
TOTALS
FORM
REPORTED
UNALLOWED
ON
CREDITS
RATIO
CREDITS
FORM 3800,
LINE 3
29. 1.000000000
16.
29. 1.000000000
16.
FORM 8582-CR
ALLOWED CREDITS - WORKSHEET 9
STATEMENT 52
FORM
REPORTED
UNALLOWED
ALLOWED
ON
CREDITS
CREDITS
CREDITS
FORM 3800,
LINE 3
29.
16.
13.
TOTALS
29.
16.
13.
FORM 1116
STATEMENT 53
DESCRIPTION
AMOUNT
BARCLAYS
542.
542.
STATEMENT(S) 50, 51, 52, 53
EFTA00025761
FORM 1116
SUMMARY
INCOME/LOSS
STATEMENT 54
DESCRIPTION
INCOME
LOSS
-144,509.
-84,143.
-22,274.
-18,572.
266,637.
266,637.
-269,498.
STATEMENT(S) 54
EFTA00025762
2017 TAX RETURN FILING INSTRUCTIONS
DECEMBER 31, 2017
PREPARED FOR:
C/O DGC, 150 PRESIDENTIAL WAY APT. NO. 510
WOBURN, MA 01801
PREPARED BY:
150 PRESIDENTIAL WAY, SUITE 510
WOBURN, MA 01801
AMOUNT OF TAX:
TOTAL TAX
$
39,583
$
37,294
$
140
BALANCE DUE
$
2,429
OVERPAYMENT:
NOT APPLICABLE
NOT APPLICABLE
DATE, AND RETURN FORM M-8453 TO OUR OFFICE. WE WILL SUBMIT YOUR
RETURN FORM M-8453 TO US BY OCTOBER 15, 2018.
YOUR BALANCE OF $2,429 WILL BE AUTOMATICALLY WITHDRAWN FROM YOUR
ACCOUNT ENDING IN 7121 ON OR AFTER OCTOBER 12, 2018. REFER TO FORM 1
INFORMATION.
EFTA00025763
97.12.01014
Form M-8453
Individual Income Tax Declaration
for Electronic Filing
2017
Massachusetts
Department of
Revenue
Please print or type. Privacy Act Notice available upon request. For the year January 1-December 31, 2017.
Your first name and initial
Last name
Your Social Security number
SCOTT G
BORGERSON
If a joint return, spouses first name and initial
Last name
GHISLAINE
MAXWELL
Present street address (and apartment number)
C/O DGC, 150 PRESIDE 510
City/TowniPost Office
State
ZIP
WOBURN
MA 01801
Part 1. Tax Return Information for Electronic Filing
1 Total 5.1% income (from Form 1, line 10. or Form 1-NR/PY. line 12)
1
2
Income tax after credits (from Form 1, line 32, or Form 1-NR/PY, line 36)
2
3
Massachusetts use tax (from Form 1, line 34, or Form 1-NR/PY, line 38)
3
4
Massachusetts income tax withheld (from Form 1, line 37, or Form 1-NR/PY, line 41)
4
5
Refund amount (from Form 1, line 48, or Form 1-NR/PY, line 52)
5
6
Tax due (from Form 1, line 49, or Form 1-NIVPY, line 53)
Spouses Social Security number
Filing status:
Single
OX Married filing jointly
I Married filing separately In Head of household
-97637
39583
2429
Part 2. Declaration and Signature of Taxpayer
Under pains and penalties of perjury, I declare that I have reviewed the information on my return with the information I have provided to my Electronic Return Originator
and that the amounts above agree with the amounts shown on my 2017 Massachusetts retum. To the best of my knowledge and belief this information is true, correct and
complete. I consent that my return, including this declaration and accompanying schedules, forms and statements be sent to the Massachusetts Department of Revenue
by my Electronic Retum Originator. I authorize DOR to inform my Electronic Return Originator and/or the transmitter when my electronic return has been accepted. In
the event that it is rejected, I authorize DOR to identify the reasons for rejection so that the return can be corrected and re-transmitted. If I have filed a balance due return,
I understand that if DOR does not receive full and timely payment of my tax liability, I will remain liable for the tax liability and all applicable penalties and interest
Your signature
Date
Spouses signature (if joint return, both must sign)
Date
Part 3. Declaration and Signature of Electronic Return Originator (ERO)
I declare that I have reviewed the above taxpayers return and that the entries on this M-8453 are complete and correct to the best of my knowledge. (Collectors are not
responsible for reviewing the taxpayers return; however, they must ensure that the M-8453 accurately reflects the data on the return.) I have obtained the taxpayers
signature before submitting this return to the Massachusetts Department of Revenue. I have provided the taxpayer with a copy of all forms and information filed with
the Massachusetts Department of Revenue. If I am also the paid preparer, under pains and penalties of perjury I declare that I have examined the above taxpayer's
return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct and complete. I declare that I have verified the
taxpayer's proof of account and it agrees with the name(s) shown on this form. This declaration of paid preparer (other than taxpayer) is based on all information of which
the preparer has any knowledge. Original Forms M-8453 should not be sent to DOR, but must instead be retained by the ERO on the ERO's business premises for a period
of three years from the date the return to which the M-8453 relates was filed.
ERO's signature and SSN or PTIN
10 12 18 04 3296226
Date
EIN
Q
Check it
self-employed
Firm name (or yours, if self-employed) and address
City/Town
State
ZIP
Q
Check if also
150 PRESIDENTIAL WAY, SUITE 510
WOBURN, MA 01801
Part 4. Declaration and Signature of Paid Preparer (if other than ERO)
Under pains and penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
belief it is true, correct and complete. This declaration of paid preparer (other than taxpayer) is based on all information of which the preparer has any knowledge.
Paid preparer's signature and SSN or PTIN
Date
EIN
Q
Check
10 12 18 04 3296226
self-employed
Firm name (or yours, if self-employed) and address
City/Town
State
ZIP
150 PRESIDENTIAL WAY, SUITE 510
WOBURN, MA 01801
paid preparer
757261 01.1618
EFTA00025764
***** THIS IS NOT A FILEABLE COPY *****
757251 01.16-la
DETACH HERE
2017 Form M-4868
Massachusetts Extension Payment Voucher
IIaUliii IU VIII
pavavoilwpwwdeocialwirowciwma
Tax type
12 31 17
053
Name of taxpayer
Name of taxpayer's spouse
Mailing address
C/O DGC, 150 PRESIDE 510
City/Town
State
ZIP
Amount enclosed
WOBURN
MA
01801
S
15000.00
Pay online at mass.gov/masstaxconnect. Or. return this voucher with check or money order payable to: Commonwealth of Massachusetts.
Mail to: Massachusetts Department of Revenue. PO Box 7062. Boston. MA 02204.
Voucher type
ID type
18
005
Social security number
**
Ve do o
1019
THIS IS NOT A FILEABLE COPY **
Social Security number of taxpayers spouse
Type of form you plan to file
Form 1 I I Form 1-NR/PY
00100487920610 123117 0000000000 053 180051019 00015000002
EFTA00025765
1
2017 Form
MA17001011019
Massachusetts Resident Income Tax Return
For IN year January 1.r/thereto( 31. 2017 or other taxable
Yew Darning
Ending
SCOTT
GHISLAINE
G BORGERSON
MAXWELL
C/O DGC, 150 PRESIDENTIA WOBURN
MA 01801
Itti.
I ' : lIc 11/4 ?it, i : .1; Ir k* "kiii
., ,
li It
,,
P ,1.
1
tii.i,
I'.4, 1ti to, irL , tk,
Fill in it:
X Original return
Amended return
Amended return due to federal change
State Election Campaign Fund:
Fill in if veteran of U.S. armed forces who served in Operation Enduring Freedom, Iraqi Freedom or Noble Eagle
Taxpayer deceased
Fill in if under age 18
a. Total federal income
581037
b. Federal adjusted gross income
484192
i. Filing status (select one only):
Single
X Married filing jointly
Married filing separate return
Head of household
Apt no. 510
$1 You
$1 Spouse TOTAL
You
Spouse
You
Spouse
You
Spouse
Name/address changed since 2016
Fill in it noncustodial parent
Fill in it filing Schedule TDS
You are a custodial parent who has released claim to exemption for child(ren)
2. Exemptions
a. Personal exemptions
2a
8800
b. Number of dependents. (Do not include yourself or your spouse.) Enter number
1
X $1,000 = 2b
1000
c. Age 65 or over before 2018
You 1
Spouse =
X $700 = 2c
d. Blindness
Yul4
Spouse =
X $2,200 = 2d
e. Medical/dental
2e
f. Adoption
21
g. Total exemptions. Add lines 2a through 2f. Enter here and on line 18
2g
9800
SION HERE. Under penalties of perjury, I declare that to the best of my knowledge and belief this return and enclosures are true, correct and complete.
Your signature
Date
Spouses signature
Date
7571:01 11.30.17
L
J
OCTOBER 12, 2018
10:42:28
EFTA00025766
1
2017 Form 1, pg. 2
MA17001021019
Massachusetts Resident Income Tax Return
■
3.
4.
Wages, salaries, tips
Taxable pensions and annuities
3
4
5. Mass. bank interest: a.
1214
- b. exemption
200
STATEMENT 1 = 5
1014
6. Business/profession income/loss a.
—99490
b. Farming income/loss
= 6
-99490
7. Rental, royalty and REAM partnership, S corp., trust incomeAoss
7
839
8a. Unemployment
8a
8b. Mass. lottery winnings
8b
9. Other income from Schedule X, line 5
9
10. TOTAL 5.1% INCOME
10
-97637
11a. Amount paid to Soc. Sec., Medicare, R.R., U.S. or Mass. Retirement
11a
2000
1lb. Amount your spouse paid to Soc. Sec., Medicare, R.R., U.S. or Mass. Retirement
11b
12. Child under age 13, or disabled dependent/spouse care expenses
12
13. Number of dependent member(s) of household under age 12. or dependents age 65 or over (not you or your spouse) as of
12/31/17. or disabled dependent(s)
Not more than two. a.
x $3,600= 13
14. Rental deduction.
a.
• 2 = 14
15. Other deductions from Schedule V, line 19
15
85388
16. Total deductions. Add lines 11 through 15
16
87388
17. 5.1% INCOME AFTER DEDUCTIONS. Subtract line 16 from line 10. Not less than '0'
17
0
18. Exemption amount
18
9800
19. 5.1% INCOME AFTER EXEMPTIONS. Subtract line 18 from line 17. Not less than '0"
19
0
20. INTEREST AND DIVIDEND INCOME
20
236950
21. TOTAL TAXABLE 5.1% INCOME. Add lines 19 and 20
21
236950
75M 1 1140.17
BE SURE TO INCLUDE THIS PAGE WITH FORM 1. PAGE 1
OCTOBER 12,
2018
10:42:28
EFTA00025767
1
2017 Form 1, pg. 3
MA17001031019
Massachusetts Resident Income Tax Return
A i zOiritRI
22. TAX ON 5.1% INCOME. Note: If choosing the optional 5.85% tax rate, fill in and multiply line 21 and the
amount in Schedule D, line 21 by .0585
22
12084
23. 12% INCOME. Not less than-0.'
a.
95465
x .12 =23
11456
24. TAX ON LONG-TERM CAPITAL GAINS. Not less than 1)' Fill in if filing Schedule D-IS
24
16043
Fill in if any excess exemptions were used in calculating lines 20, 23 or 24
X
25. Credit recapture amount (from Credit Recapture Schedule)
25
26. Additional tax on installment sale
26
27. If you quality for No Tax Status, fill in and enter V on line 28
28. TOTAL INCOME TAX. Add lines 22 through 26
28
39583
29. Limited Income Credit
29
30. Income tax due to another state or jurisdiction
30
31. Other credits from Credit Manager Schedule
31
32. INCOME TAX AFTER CREDITS. Subtract the total of tines 29 through 31 from line 28. Not less than "Os
32
39583
33. Voluntary Contributions
a. Endangered Wildlife Conservation
33a
b. Organ Transplant Fund
33b
c. Massachusetts AIDS Fund
33c
d. Massachusetts U.S. Olympic Fund
33d
e. Massachusetts Military Family Relief Fund
33e
f. Homeless Animal Prevention and Care
331
Total. Add lines 33a through 33f
33
34. Use tax due on Internet, mail order and other out-of-state purchases
34
35. Health care penalty
a. You
r b. Spouse
- c. Fed. health care penalty
35
36. INCOME TAX AFTER CREDITS PLUS CONTRIBUTIONS AND USE TAX. Add lines 32 through 35
36
39583
757012 11-30-17
L
J
OCTOBER 12, 2018
10:42:28
EFTA00025768
2017 Form 1, pg. 4
MA17001041019
Massachusetts Resident Income Tax Return
toriiR
Jc.
37. Massachusetts income tax withheld
38. 2016 overpayment applied to your 2017 estimated tax
39. 2017 Massachusetts estimated tax payments
40. Payments made with extension
41. Payments made with original return
42. Earned Income Credit. a. Number of qualifying children
Amount from U.S. return
x .23
37
38
39
40
41
= 42
0
15794
6500
15000
Note: You cannot claim the Earned Income Credit if your filing status is married filing separately unless you qualify
for an exception (see instructions). Fill in if you qualify for this exception
43. Senior Circuit Breaker Credit
43
44. Other Refundable Credits
44
45. TOTAL. Add lines 37 through 44
45
37294
46. Overpayment. Subtract line 36 from line 45
46
47. Amount of overpayment you want applied to your 2018 estimated tax
47
48. Refund. Subtract line 47 from line 46. Mail to: Massachusetts OUR, PO Box 7001, Boston, MA 02204
48
Direct deposit of refund. Type of account
checking
savings
RTN I
account
49. Tax due. Pay online at www.mass.govidor/payonline. Mail to: Mass. DOR, PO Box 7002, Boston, MA 02204
49
2289
Interest
Penalty
M-2210 amt.
140
EX enclose
Form M-2210
May the Department of Revenue discuss this retum with the preparer shown here?
X Yes
I do not want preparer to file my retum electronically
(this may delay your refund)
Paid preparers
Print paid preparer's name
Date
Check if self-employed SSNtPTIN
LAURA
K BAROOSH IAN
10 12 18
Paid preparer's signature
Paid re rers hone
Paid preparers EIN
04 3296226
BE SURE TO INCLUDE THIS PAGE WITH FORM 1, PAGE 1
TOTAL DUE INCLUDING UNDERPAYMENT PENALTY $2429
757013 11-30-17
L
J
OCTOBER 12, 2018
EFTA00025769
2017 Schedu e X & Y
MA17SXY011019
SCOTT
G BORGERSON
Schedule X. Other Income
I. Alimony received
2. Taxable IRA/Keogh and Roth IRA conversion distributions
3. Other gambling winnings. Not less Mont' Certain gambling losses are deductible under Massachusetts law
4. Fees and other 5.1% income. Not less than '0'
5. Total other 5.1% income. Add lines 1 through 4. Not less than V
1
2
3
4
5
Schedule Y. Other Deductions
1. Allowable employee business expenses
1
2. Penalty on early savings withdrawal
2
3. Alimony paid
SEE STATEMENT 2
3
66000
4. Amounts excludable under MGL Ch. 41, sec. 111F or U.S. tax treaty incl. in Form 1, line 3 or Form 1-NRIPY, line 5
4
Income received by a firefighter or police officer incapacitated in the line of duty, per MGL Ch. 41, sec. 111F
Income exempt under U.S. tax treaty
5. Moving expenses
5
6. Medical savings account deduction
6
7. Sell-employed health insurance deduction
7
19388
8. Health care accounts deduction
8
9.
Certain qualified deductions from U.S. Form 1040
Certain business expenses from U.S. Form 1040
9
10. Student loan interest
10
11. College Tuition Deduction (full-year residents only)
11
12. Undergraduate student loan interest deduction
12
13. Deductible amount of qualified contributory pension income from another state or political subdivision included
in Form 1, line 4 or Form 1-NFt/PY, line 6
13
14. Claim of right deduction
14
15. Commuter deduction
15
16. Human organ donation deduction (full-yeas residents only)
16
17. Certain gambling losses
17
18. Prepaid tuition or college savings program deduction
18
19. Total other deductions. Add lines 1 through 18
19
85388
757071 12-19-17
OCTOBER 12, 2018
10:42:28
EFTA00025770
2017 Schedu e DI
MA17SDI011019
SCOTT
G BORGERSON
Schedule DI. Dependent information
SON
Is dependent a qualifying child for earned income credit? IIPP
Is dependent a qualifying child for earned income credit? IIPP
Is dependent a qualifying child for earned income credit? IIPP
Is dependent a qualifying child for earned income credit? IIPP
Is dependent a qualifying child for earned income credit? IIPP
Is dependent a qualifying child for earned income credit? IIPP
Is dependent a qualifying child for earned income credit? IIPP
Is dependent a qualifying child for earned income credit?►
Is dependent a qualifying child for earned income credit?►
Is dependent a qualifying child for earned income credit?►
757135 11-30-17
L
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OCTOBER 12, 2018
10:42:28
EFTA00025771
1
2017 Schedule B
MA17010011019
SCOTT
G BORGERSON
Part 1. Interest and Dividend Income
\:.
111111111:1
I. Total interest income
t
93345
2. Total ordinary dividends
2
176082
3. Other interest and dividends not included above
3
4. Total interest and dividends
4
269427
5. Total interest from Massachusetts banks
5
1214
6. Other interest and dividends to be excluded
SEE STATEMENT 3
6
31263
7. Subtotal
7
236950
8. Allowable deductions from your trade or business
8
9. Subtotal
9
236950
Part 2. Short-Term Capital Gains/Losses and Long-Term Gains on Collectibles
10. Short-term capital gains
10
2683
11. Long-term capital gains on collectibles and pre-1996 installment sales
11
12. Gain on the sale, exchange or involuntary conversion of property used in a trade or business and held for one year
or less
12
119602
19. Add lines 10 through 12
13
122285
14. Allowable deductions from your trade or business
14
15. Subtotal
15
122285
16. Short-term capital losses
16
-17020
17. Loss on the sale, exchange or involuntary conversion of property used in a trade or business and held for one year
or less
17
18. Prior short-term unused losses for years beginning after 1981
18
19. Combine lines 15 through 18
19
105265
20. Short-term losses applied against interest and dividends
20
757041 11.00617
L
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OCTOBER 12, 2018
10:42:28
EFTA00025772
2017 Schedu e B, pg. 2
MA17010021019
21. Available short-term losses
22. Short-term losses applied against long-term gains
23. Short-term losses available for carryover in 2018
24. Short-term gains and long-term gains on collectibles
25. Long-term losses applied against short-term gain
26. Subtotal
27. Long-term gains deduction
28. Short-term gains after long-term gains deduction
21
22
23
24
25
26
27
28
105265
105265
105265
Part 3. Adjusted Gross Interest, Dividends, Short-Term Capital Gains and Long-Term Gains on Collectibles
29. Enter the amount from line 9
29
236950
30. Short-term losses applied against interest and dividends
30
31. Subtotal interest and dividends
31
236950
32. Long-term losses applied against interest and dividends
32
33. Adjusted interest and dividends
33
236950
34. Enter the amount from line 28
34
105265
Part 4. Taxable Interest, Dividends and Certain Capital Gains
35. Adjusted gross interest, dividends and certain capital gains
35
342215
36. Excess exemptions
36
9800
37. Subtract line 36 from line 35
37
332415
38. Interest and dividends taxable at 5.1%
38
236950
39. Taxable 12% capital gains
39
95465
40. Available short-term losses for carryover in 2018
40
757)31 II 3'-IT
L
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OCTOBER 12, 2018
10:42:28
EFTA00025773
2017 Schedule D
MA17012011019
Long-Term Capital Gains and Losses
Excluding Collectibles
SCOTT
G BORGERSON
Part 1. Long-Term Capital Gains and Losses, Excluding Collectibles
1. Enter amounts included in U.S. Schedule 0, lines 8a and 8b, col. h
2. Enter amounts included in U.S. Schedule 0, line 9, col. h
2
3. Enter amounts included in U.S. Schedule 0, line 10, col. h
STMT 5
3
8
4. Enter amounts included in U.S. Schedule 0, line 11, col. h
STMT 4
4
1977
s. Enter amounts included in U.S. Schedule 0, line 12 col. h
STMT 6
5
312187
6. Enter amounts included in U.S. Schedule 0, line 13, col. h
STMT 7
6
387
7. Massachusetts long-term capital gains and losses included in U.S. Form 4797. Part II
7
8. Carryover losses from prior years
8
9. Combine lines 1 through 8
9
314559
10. Differences, if any
10
11. Adjusted capital gains and losses
11
314559
12. Long-term gains on collectibles and pre-1996 installment sales
12
13. Subtotal
13
314559
14. Capital losses applied against capital gains
14
IS. Subtotal
15
314559
16. Long-term capital losses applied against interest and dividends
16
17. Subtotal
17
314559
18. Allowable deductions from your trade or business
18
19. Subtotal
19
314559
20. Excess exemptions
20
21. Taxable long-term capital gains
21
314559
22. Tax on long-term capital gains
22
16043
23. Available losses for carryover
23
757861 11-3C-17
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OCTOBER 12, 2018
10:42:28
EFTA00025774
1
2017 Schedule E
MA17013041019
SCOTT
G BORGERSON
Income or Loss from Real Estate and Royalties:
Income
I. Rents received
2. Royalties received
Expenses
1
2
3. Advertising
3
4. Auto and travel
4
5. Cleaning and maintenance
5
6. Commissions
6
7. Insurance
7
8. Legal and other professional fees
8
9. Management fees
9
10. Mortgage interest paid to banks, etc.
10
11. Other interest
11
12. Repairs
12
13. Supplies
13
14. Taxes
14
15. Utilities
15
16. Other expenses
16
17. Add lines 3 through 16
17
18. Depreciation expense or depletion
18
19. Total expenses. Add lines 17 and 18
19
20. Income or loss from rental real estate or royalty properties
20
21. Deductible rental real estate loss
21
22. Income. Enter positive amounts shown on line 20
22
23. Losses. Add royalty losses from line 20 and real estate losses from line 21
23
24. Rental real estate and royalty income or loss
24
757121 11-30,17
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OCTOBER 12, 2018
10:42:28
EFTA00025775
I
2017 Schedu e E, pg. 2
MA17013051019
Income or Loss from Partnerships and S Corporations
25. Passive loss allowed
26. Passive income
25
26
27. Non-passive loss
27
269498
28. Section 179 expense deduction
28
29. Non-passive income
29
266637
30. Combine lines 26 and 29
30
266637
31. Combine lines 25, 27 and 28
31
-269498
32. Partnership and S corporation income or loss. Combine lines 30 and 31
32
-2861
33. Interest (other than MA banks) and dividends if included in line 32
33
34. Interest from Massachusetts banks if included in line 32
34
35. Total income or loss from partnerships and S corporations
35
-2861
36. Check if you are reporting any loss not allowed in a prior year due to the at-risk, or basis limitations; a prior year
disallowed loss from a passive activity (was not reported on U.S. Form 8582) or un-reimbursed partnership expenses
X
Income or Loss from Estates and Trusts
37. Passive deduction or loss allowed
37
38. Passive income
38
61
39. Non-passive deduction or loss
39
3983
40. Non-passive other income
40
41. Add lines 38 and 40
41
61
42. Add lines 37 and 39
42
-3983
43. Estate and trust income or loss. Combine lines 41 and 42
43
-3922
44. Estate or non-grantor-type trust income
44
45. Grantor-type trust and non-Massachusetts estate and trust income
45
-3922
46. Interest and dividends it included in line 45
46
47. Adjustments to 5.1% income
47
48. Subtotal. Combine lines 46 and 47
48
49. Income or loss from grantor-type and non-Mass estates and trusts
49
-3922
Income or Loss from REMICs
50. Excess inclusion
50
51. Taxable income or loss
51
52. Income
52
53. Combine lines 51 and 52
53
757122 11-30-17
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OCTOBER 12, 2018
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EFTA00025776
7
2017 Schedu e E, pg. 3
MA17013061019
Farm Income
54. Net farm rental income or loss
Summary
55. Income or loss. Combine lines 24, 35, 49, 53 and 54
56. Massachusetts differences. Enclose statement
57. Abandoned building renovation deduction
58. Total income or loss. Combine lines 55, 56 and 57
757123 11-30-17
I
SEE STATEMENT B
i
i i
ii
0
f'.if
1
54
55
-6783
56
7622
57
56
839
L
J
EFTA00025777
2017 Schedule E-2
MA17013021019
GHISLAINE
MAXWELL
90 0907396
Check one:
S corp.
X partnership
Income or Loss from Partnerships and S Corporations
1. Passive loss allowed
2. Passive income
2
3. Nonpassive loss
3
144509
4. Section 179 expense deduction
4
5. Nonpassive income
5
8, Combine lines 2 and 5
6
7. Combine lines 1, 3 and 4
7
144509
& Partnership and S corporation income or loss. Combine lines 6 and 7
8
144509
9. Interest (other than MA banks) and dividends if included in line 8
9
10. Interest from Massachusetts banks If included in line 8
10
11, Total income or loss from partnerships and S corporations
11
-144509
12. Check if you are reporting any loss not allowed in a prior year due to the at-risk, or basis limitations; a prior year
disallowed loss from a passive activity (was not reported on U.S. Form 8582) or un-reimbursed partnership expenses
X
13. Check if any amount of this investment not at risk
77,3a6.? 11-3cL17
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OCTOBER 12, 2018
10:42:28
EFTA00025778
1
2017 Schedule E-2
MA17013021019
GHISLAINE
MAXWELL
27 5238213
Check one:
Scar,.
X partnership
Income or Loss from Partnerships and S Corporations
1. Passive loss allowed
2. Passive income
1
2
3. Non passive loss
3
84143
4. Section 179 expense deduction
4
5. Nonpassive income
5
6. Combine lines 2 and 5
6
7. Combine lines 1, 3 and 4
7
-84143
8. Partnership and S corporation income or loss. Combine lines 6 and 7
8
-84143
9. Interest (other than MA banks) and dividends if included in line 8
9
10. Interest from Massachusetts banks If included in line 8
10
11. Total Income or loss from partnerships and S corporations
11
-84143
12. Check if you are reporting any loss not allowed in a prior year due to the at-risk, or basis limitations; a prior year
disallowed loss from a passive activity (was not reported on U.S. Form 8582) or un-reimbursed partnership expenses
X
13. Check if any amount of this investment not at risk
77,3a6.? 11-3cL17
L
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OCTOBER 12, 2018
10:42:28
EFTA00025779
2017 Schedule E-2
MA17013021019
GHISLAINE
MAXWELL
Check one:
Score
X partnership
37 1791864
Income or Loss from Partnerships and S Corporations
1. Passive loss allowed
2. Passive income
1
2
3. Nonpassive loss
3
22274
4. Section 179 expense deduction
4
5. Nonpassive income
5
6. Combine lines 2 and 5
6
7. Combine lines 1, 3 and 4
7
-22274
& Partnership and S corporation income or loss. Combine lines 6 and 7
8
-22274
9. Interest (other than MA banks) and dividends if included in line 8
9
10. Interest from Massachusetts banks If included in line 8
10
11. Total Income or loss from partnerships and S corporations
11
-22274
12. Check if you are reporting any loss not allowed in a prior year due to the at-risk, or basis limitations; a prior year
disallowed loss from a passive activity (was not reported on U.S. Form 8582) or un-reimbursed partnership expenses
X
13. Check if any amount of this investment not at risk
77,3a6.? 11-3cL17
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OCTOBER 12, 2018
10:42:28
EFTA00025780
1
2017 Schedule E-2
MA17013021019
GHISLAINE
MAXWELL
Check one:
Corr,.
X partnership
26 0349715
Income or Loss from Partnerships and S Corporations
1. Passive loss allowed
2. Passive income
2
3. Nonpassive loss
3
18572
4. Section 179 expense deduction
4
5. Nonpassive income
5
6. Combine lines 2 and 5
6
7. Combine lines 1, 3 and 4
7
-18572
8. Partnership and S corporation income or loss. Combine lines 6 and 7
8
-18572
9. Interest (other than MA banks) and dividends if included in line 8
9
10. Interest from Massachusetts banks If included in line 8
10
11. Total Income or loss from partnerships and S corporations
11
-18572
12. Check if you are reporting any loss not allowed in a prior year due to the at-risk, or basis limitations; a prior year
disallowed loss from a passive activity (was not reported on U.S. Form 8582) or un-reimbursed partnership expenses
X
13. Check if any amount of this investment not at risk
77,3a6.? 11-3cL17
L
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OCTOBER 12, 2018
10:42:28
EFTA00025781
1
2017 Schedule E-2
MA17013021019
SCOTT
G BORGERSON
90 0907396
l 1t
Check one:
S corp.
X partnership
Income or Loss from Partnerships and S Corporations
1. Passive loss allowed
2. Passive income
3. Non passive loss
4. Section 179 expense deduction
1
2
3
4
5. Nonpassive income
5
266637
6. Combine lines 2 and 5
6
266637
7. Combine lines 1, 3 and 4
7
& Partnership and S corporation income or loss. Combine lines 6 and 7
8
266637
9. Interest (other than MA banks) and dividends if included in line 8
9
10. Interest from Massachusetts banks If included in line 8
10
1. Total Income or loss from partnerships and S corporations
11
266637
12. Check if you are reporting any loss not allowed in a prior year due to the at-risk, or basis limitations; a prior year
disallowed loss from a passive activity (was not reported on U.S. Form 8582) or un-reimbursed partnership expenses
X
13. Check if any amount of this investment not at risk
77,3a6.? 11-3cL17
L
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OCTOBER 12, 2018
10:42:28
EFTA00025782
1
2017 Schedule E-2
MA17013021019
SCOTT
TIDEWOOD LLC
Check one:
S corp.
G BORGERSON
X partnership
81 3078863
Income or Loss from Partnerships and S Corporations
1. Passive loss allowed
2. Passive income
2
3. Non passive loss
3
4. Section 179 expense deduction
4
5. Nonpassive income
5
6. Combine lines 2 and 5
6
7. Combine lines 1, 3 and 4
7
& Partnership and S corporation income or loss. Combine lines 6 and 7
8
9. Interest (other than MA banks) and dividends if included in line 8
9
10. Interest from Massachusetts banks If included in line 8
10
1. Total Income or loss from partnerships and S corporations
11
12. Check if you are reporting any loss not allowed in a prior year due to the at-risk, or basis limitations; a prior year
disallowed loss from a passive activity (was not reported on U.S. Form 8582) or un-reimbursed partnership expenses
X
13. Check if any amount of this investment not at risk
77,3a6.? 11-3cL17
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OCTOBER 12, 2018
10:42:28
EFTA00025783
1
2017 Schedule E-3
MA17013031019
GHISLAINE
MAXWELL
ANGARA TRUST
81 6797506
Check one:
X Estate/trust
REMIC
Farm
Income or Loss from Estates and Trusts
1. Passive deduction or loss allowed
1
2. Passive income
2
61
3. Non passive deduction or loss
3
3983
4, Non passive other income
4
5. Add Ines 2 and 4
5
61
6. Add lines 1 and 3
6
-3983
7. Estate and trust Income or loss. Combine lines 5 and 6
7
-3922
& Estate or nongrantortype trust income
8
9. Grantortype trust and non•Massachusetts estate and trust Income
9
-3922
10. Interest and dividends if included n line 9
10
11. Adjustments to 5.1% income
11
12. Subtotal. Combine lines 10 and 11
12
13. Income or loss from grantor type and non Mass estates and trusts
13
-3922
Income or Loss from REMICs
14. Excess inclusion
14
15. Taxable income or loss
15
16. Income
16
17. Combine lines 15 and 16
17
Farm Income
18. Not farm rental income or loss
18
77sac.3 1130.17
L
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OCTOBER 12, 2018
10:42:28
EFTA00025784
1
2017 Schedule C
MA17011011019
Massachusetts Profit or Loss From Business
GHISLAINE
MAXWELL
ELLMAX LLC
27 4313665
CONSULTING
812990
116 EAST 65TH STREET
NEW YORK
NY 11021
Accounting method: X Cash
Accrual
Other (specify)
Did you materially participate in the operation of this business during 2017?
Yes X No
Did you claim the small business exemption from the sales tax on purchase of taxable energy or heating fuel during 2017?
Yes
No
Exclude interest (other than from Massachusetts banks) and dividends from lines 1 and 4 and enter the result in line 32 and in Schedule B, line 3
Caution: If this income was reported to you on Form W-2 and the 'statutory employee' box on that form was checked, fill in here:
1. a. Gross receipts or sales
b. Returns and allowances
a - b =
X
2. Cost of goods sold and/or operations
2
3. Gross profit Subtract line 2 from line 1
3
4. Other income
4
5. Total income. Add line 3 and line 4
5
8. Advertising
7. Bad debts from sales or services
7
8. Car and truck expenses
9. Commissions and fees
9
10. Depletion
10
11. Depreciation and Section 179 deduction
11
12. Employee benefit programs
12
13. Insurance
13
14. Interest
a. mortgage interest paid to financial institutions
b. other interest
a+b= 14
IS. legal and professional services
15
7530
18. Office expense
18
17. Pension and profit-sharing
17
No. of employees
757021 II .3c.I7
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10:42:28
EFTA00025785
1
Wig&
e C, pg. 2
MA17011021019
18. Rent or lease
a. vehicles, machinery and equipment
b. other business property
a + b = 18
19. Repairs and maintenance
19
20. Supplies
20
21. Taxes and licenses
21
15232
22. Travel
22
23. a. Total meals and entertainment
b. Enter 50% of 23a subject to limitations
a - b = 23
24. Utilities
24
25. Wages
25
38242
26. Other expenses
SEE STATEMENT 9
26
38486
27. Total expenses. Add lines 6 through 26
27
99490
28. Tentative profit or loss. Subtract line 27 from line 5
28
-99490
29. Expenses for business use of your home
29
30. Abandoned Building Renovation Deduction
30
31. Net profit or loss. Subtract total of line 29 and line 30 from line 28
31
-99490
32. Is interest (other than from Massachusetts banks) or dividend income reported on U.S. Schedule C, lines 1 and/or 6 or Schedule C-EZ, line 1?
Yes
X No. If' yes," see instructions
32
33. If you have a loss, you must check the statement that describes your investment in this activity.
X 33 a. All investment at risk
33 b. Some investment is not at risk
Schedule C-1. Cost of Goods Sold and/or Operations
Method(s) used to value closing inventory.
Cost
Lower of cost or market
Other
Was there any change in determining quantities, costs or valuations between opening 8 closing inventory? If yes; end. explanation
Yes
No
i. Inventory at beginning of year
1
2. a. Purchases
b. Items withdrawn for personal use
a - b = 2
3. Cost of labor
3
4. Materials and supplies
4
5. Other costs
5
6. Add lines 1 through 5
6
7. Inventory at end of year
7
8. Cost of goods sold and/or operations. Subtract line 7 from line 6
8
757022 11.30.17
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OCTOBER 12, 2018
10:42:28
EFTA00025786
r
2017 Schedule HC
MA17029011019
Schedule NC. Health Care Information, must be completed by all
fullyear residents and certain part-year residents (see instructions).
Note: Schedule HC must be enclosed with your Form 1 or Form
1 -NR/PY. Failure to do so will delay the processing of your return.
SCOTT
G BORGERSON
la. Date of birth
2. Federal adjusted gross income
4
lb. Spouse's date of birth
lc. Family size
3
2
484192
3. Indicate the time period that you were enrolled in a Minimum Creditable Coverage (MCC) health insurance plan(s). The Form MA 1099HC from
your insurer will indicate whether your insurance met MCC requirements. Note: MassHealth. Medicare. and health coverage for U.S. Military.
including Veterans Administration and Tri-Care. meet the MCC requirements. If you did not receive a Form MA 1099HC from your insurer, or
you had insurance that did not meet MCC requirements, see the special section on MCC requirements in the instructions.
See instructions if. during 2017, you turned 18, you
3a You:
X Full-year MCC
Part-year MCC
No MCC/None
were a part-year resident or a taxpayer was deceased.
3b Spouse:
X Full-year MCC
Part-year MCC
No MCC/None
If you filled in the full-year or past-year MCC choice, go to line 4. If you filled in No MCC/None. go to line 6.
4. Indicate the health insurance plan(s) that met the Minimum Creditable Coverage (MCC) requirements in which you were enrolled in 2017,
as shown on Form MA 1099HC (check all that apply). If you did not receive this form, fill in line(s) 4f and/or 4g and see instructions. Fill
in if you were enrolled in private insurance and MassHealth or Commonwealth Care and enter your private insurance information in
line(s) 4f and/or 4g and go to line 5.
4a. Private insurance, including ConnectorCare (complete line(s) 41 and/or 4g below)
X You
X Spouse
4b. MassHealth. Fill in and go to line 5
You
Spouse
4c. Medicare (including a replacement or supplemental plan). Fill in and go to line 5
You
Spouse
4d. U.S. Military (including Veterans Administration and TriCare). Fill in and go to line 5
You
Spouse
4e. Other government program (enter the program name(s) only in lines 4f and/or 4g below). Note: Health
You
Spouse
Safety Net is not considered insurance or minimum creditable coverage.
4f. YOur Health Insurance. Complete if you answered rine(s) 4a or 4e and
to line 5.
Fill in if you were not Issued Form MA 1099HC.
4g, Spouse's Health Insurance. Complete if you answered line(s) 4a or 4e and go to line S.
X Fill in if ou were not Issued Form MA 1099HC.
GOLDEN RULE
— UNITED HEALTHCARE
5. If you had health insurance that met MCC requirements for the full-yeas, including private insurance, MassHealth, Commonwealth Care or ConnectorCare,
you are not subject to a penalty. Skip the remainder of this schedule and continue completing your tax return. Otherwise, go to tine 6.
If you had Medicare (including a replacement or supplemental plan), U.S. Military Including Veterans Administration and TriCare), or other
government insurance at any point during 2017. you are not subject to a penalty. Skip the remainder of this schedule and continue
completing your tax return. Otherwise. go to line 6.
OCTOBER 12,
2018
10:42:28
757m5114047
EFTA00025787
2017 Schedule HC, pg. 2
Uninsured for All or Part of 2017
8. Was your income in 2017 at or below 150% of the federal poverty level?
6
Yes
No
If you answer Yes, you are not subject to a penalty in 2017. Skip the remainder of this schedule and complete your tax return. If you answer No and
you were enrolled in a health insurance plan that met the MCC requirements for part, but not all, of 2017, go to line 7. If you answer No and you had
no insurance or you were enrolled in a plan that did not meet the MCC requirements during the period that the mandate applied, go to line 8a.
7. Complete this section only if you, and/or your spouse if married filing jointly. were enrolled in a health insurance plan(s) that met the Minimum
Creditable Coverage (MCC) requirements for part, but not all of 2017. Fill in below the months that met the MCC requirements. as shown on
Form MA 1099.HC. If you did not receive this form. fill in the months you were covered by a plan that met the MCC requirements at least
15 days or more. If, during 2017. you turned 18. you were a part•year resident or a taxpayer was deceased, check below for the month(s)
that met the MCC requirements during the period that the mandate applied. See instructions.
You may only fill in the month(s) you had health insurance that met MCC requirements. If you had health insurance, but it did not meet MCC
requirements, you must skip this section and go to line 8a.
Months Covered By Health Insurance
You
Jan.
Feb.
March
April
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
Spouse
Jan.
Feb.
March
April
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
If you had four or more consecutive months either with no insurance or insurance that did not meet the MCC requirements (four or more blank
months in a row), go to line 8a. Otherwise, a penalty does not apply to you in 2017. Skip the remainder of this schedule and complete your tax return.
Religious Exemption and Certificate of Exemption
8a. Religious exemption: Are you claiming an exemption from the requirement to purchase health insurance based
8a You
Yes
No
on your sincerely held religious beliefs that cause you to object to substantially all forms of treatment covered by
health insurance?
Spouse
Yes
No
If you answer Yes, go to line 8b. If you answer No, go to line 9.
8b. If you are claiming a religious exemption in line 8a, did you receive medical health care during the 2017 tax year?
8b You
Yes
No
Spouse
Yes
No
If you answer No to line 8b, skip the remainder of this schedule and continue completing your tax return. If you answer Yes to line 8b, go to line 9.
9. Certificate of exemption: Have you obtained a Certificate of Exemption issued by the Massachusetts Health
9 You
Yes
No
Connector for the 2017 tax year?
Spouse
Yes
No
If you answer Yes, enter the certificate number, skip the remainder of this schedule and continue
completing your tax return. If you answer No to line 9, go to line 10.
L
J
OCTOBER 12, 2018
10:42:28
757026 11.30.11
EFTA00025788
2017 Schedule HC, pg. 3
SCOTT
G BORGERSON
Affordability as Determined By State Guidelines
Note: This section will require the use of worksheets and tables found in the instructions. You must complete the worksheet(s) to determine if
health insurance was affordable to you during the 2017 tax year.
10. Did your employer offer affordable health insurance that met minimum creditable coverage requirements
10 You
Yes
No
as determined by completing the Schedule HC Worksheet for Line 10 in the instructions?
Spouse
Yes
No
Fill in No if your employer did not offer health insurance that met minimum creditable coverage requirements, you were not eligible for health insurance
offered by your employer, you were self. employed or you were unemployed.
it. Were you eligible for govemment.subsidized health insurance as determined by completing the Schedule
11 You
Yes
No
HC Worksheet for Line 11 in the instructions?
Spouse
Yes
No
If you answer No, go to line 12. If you answer Yes, go to the Health Care Penalty Worksheet in the instructions to calculate your penalty amount.
12 Were you able to purchase affordable private health insurance that met minimum creditable coverage
12 You
Yes
No
requirements as determined by completing the Schedule HC Worksheet for Line 12 in the instructions?
Spouse
Yes
No
If you answer No, you are not subject to a penalty. Continue completing your tax return. If you answer Yes, go to the Health Care Penalty Worksheet
in the instructions to calculate your penalty amount.
Complete Only If You Are Filing An Appeal
You must complete the Health Care Penalty Worksheet to determine your penalty amount before completing this section.
You may have grounds to appeal if you were unable to obtain affordable insurance that meets the minimum creditable coverage requirements in 2017 due to a
hardship or other circumstances. The grounds for appeal we explained in more detail in the instructions. If you believe you have grounds for appealing the penalty,
fill in the fields) below. The appeal will be heard by the Massachusetts Health Connector. By filling in the field below, you (or your spouse if married filing jointly) are
authorizing DOR to share information from your tax return, including this schedule, with the Massachusetts Health Connector for purposes of deciding your appeal.
You will receive a follow-up letter asking you to state your grounds for appeal in writing, and submit supporting documentation. Failure to respond to that
letter within the time specified in the letter will lead to dismissal of your appeal and will result in a future assessment of a penalty. Once your documentation
is received, it will be reviewed by the Massachusetts Health Connector and you may be required to attend a hearing on your case. You will be required to file your
claims under the pains and penalties of perjury.
Note: If you are filing an appeal, make sure you have c Ira dated the penalty amount that you are appealing, but do not -ittess yourself or enter a
penalty amount on your Form 1 or Form 1 NR/PY. Also, do not include any hardship documentation with your original return. You will be required
to submit substantiating hardship documentation at a later date during the appeal process.
You
I wish to appeal the penalty. I authorize DOR to share this tax return including this schedule with the Massachusetts Health
Connector for purposes of deciding this appeal.
Spouse
I wish to appeal the penalty. I authorize DOR to share this tax return including this schedule with the Massachusetts Health
Connector for purposes of deciding this appeal.
L
J
OCTOBER 12, 2018
10:42:28
mmun-so-n.
EFTA00025789
1
2017 Form M-2210
MA17653011019
Underpayment of Massachusetts Estimated
Income Tax
li.i''''i l, 'II, I, 10 ' I
, ., , . , ,
.
,,6,
. ,It. 41, ,
Type of return filed (fill in one only): ► X Form 1
Form 1.NR/PY
You are a qualified farmer or fisherman filing and paying your full amount due on or before March 1, 2018.
You were a resident of Massachusetts for 12 months and not liable for taxes during 2016.
Your estimated payments and withholding equal or exceed your 2016 tax (where taxable year was 12 months and a return was filed).
Part 1. Required annual payment
1. 2017 tax
1
39583
2. Total credits
2
3. Balance
3
39583
4. Enter 80% of line 3 or 66.667% of line 3 If you are a qualified farmer or fisherman
4
31666
5. Enter 2016 tax liability after credits
5
330711
6. Enter the smaller of line 4 or line 5
6
31666
Part 2. Figuring your underpayment
7. Divide the amount in line 6 by the number of installments required
a. April 18, 2017
Installment due dates
b. June 15, 2017
c. Sept. 15, 2017
d. Jan. 16, 2018
for the year. Enter the result in the appropriate columns
7
7917
7917
7917
7915
8. Estimated taxes paid and taxes withheld for each installment
8
15794
6500
9. Overpayment of previous installments
9
7877
6460
10. Total
10
15794
14377
6460
11. Overpayment
11
7877
6460
12. Underpayment
12
1457
7915
L
J
OCTOBER 12, 2018
10:42:28
757141 01.2248
EFTA00025790
1
2017 Form M-2210, pg. 2
MA17653021019
Underpayment of Massachusetts Estimated
Income Tax
Part 3. Figuring your underpayment penalty
13. Enter the date you paid the amount in line 12 or the 15th
day of the 4th month after the close of the taxable year,
whichever is earlier
13
04 15 18
04 15 18
14. Number of days from the due date of installment to
the date shown In line 13
14
212
90
15. Number of days in line 14 after 4/18/17 and before 7/1/17
15
16. Number of days in line 14 after 6/30/17 and before 10/1/17
16
15
17. Number of days in line 14 after 9/30/17 and before 1/1/18
17
92
18. Number of days in line 14 after 12/31/17 and before 4/15/18
18
105
90
19. Underpayment In line 12 x (number of days in line 15 +
365) x 5%
19
20. Underpayment In line 12 x (number of days in line 16 +
365) x 5%
20
3
21. Underpayment In line 12 x (number of days in line 17
365) x 5%
21
18
22. Underpayment In line 12 x (number of days in line 18
365) x 5%
22
21
98
23. Penalty. Add all amounts shown in lines 19 through 22. Enter this amount on Form 1, line 49; Form 1-NR/PY. line 53; or Form 3M 23
140
L
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OCTOBER 12, 2018
10:42:28
757142 0142-15
EFTA00025791
Form 8582
Dapieuronl Male TriX4Sury
Internal Rename Semen 199i
Name(s) shown on return
Passive Activity Loss Limitations
PP See separate Instructions.
► Attach to Form 1040 or Form 1041.
leo Go to vnvw.irs.gov/Form85t32 for instructions and the latest information.
Part I
MA
OMB No. 1545-1031
2017
Alladvilen1
an
sequence No 00
Iden tying number
2017 Passive Activity Loss
Caution: Complete Worksheets 1.2. and 3 before completing Part I.
Rental Real Estate Activities With Active Participation (For the definition of active participation, see
Special Allowance for Rental Real Estate Activities in the instructions.)
1a Activities with net income (enter the amount from Worksheet 1,
column (a))
1a
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 Ines 1a. 1b. and 1c
1b
lc
)
)
1d
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)
c Add lines 2a and 2b
All Other Passive Activities
3a Activities with net income (enter the amount from Worksheet 3.
column (a))
b Activities with net toss (enter the amount from Worksheet 3,
column (b))
c Prior years' unallowed losses (enter the amount from Worksheet 3.
column (c))
d Combine lines 3a. 3b. and 3c
4
Combine lines 1d. 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 line 4 is a loss and:
2a
(
2b
)
2c
3a
8 7 .
3b
3e
)
)
3d
87.
4
87.
• Line 1d is a loss, go to Part II.
• Line 2c is a loss (and line 1d Is zero or more). skip Part II and go to Part III.
• Line 3d is a loss (and lines 1d and 2c are zero or more). skip Pans II and III and go to Inc 15.
Caution: if your filing status is married filing separately and you lived with your spouse at any time during the year. do not complete
Part II or Part Ill. Instead. go to lino 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.
5
Enter the smaller of the loss on line 1d or the loss on line 4
6
Enter $150.000. If married filing separately, see instructions
6
7
Enter modified adjusted gross income but not less than zero (see instructions)
Note: If line 7 is greater than or equal to line 6. skip lines 8 and
9. enter 0 on line 10. Otherwise. go to line 8.
Subtract line 7 from line 6
9
Multiply line 8 by 50%(0.50). Do not enter more than $25,000. If married filing separately, see instructions
10 Enter the smaller of Fine 5 or line 9
If line 2c is a loss. go to Part ill. Otherwise. go to line 15.
7
8
5
9
10
Part III I Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities
Note: Enter all numbers in Part III as positive amounts. See the example for Part II 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 line 13
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 2017. Add lines 10, 14, and 15. See Instructions
to find out how to report the losses on your tax retum
11
12
13
14
15
16
LHA 719761 10-13-17 For Paperwork Reduction Act Notice, see instructions.
Form 8582 (2017)
EFTA00025792
Worksheet for Adjusting the Basis of a Partner's Interest in the Partnership
(Keep for your records.)
Name ofEntitc ALPHAKEYB MILLENNIUM FUND. L.L.C.
at 27-5238213
1. Your adjusted basis at the end of the prior year. Do not enter less than zero.
Enter
if this is your first tax year
1.
674,580.
Increases:
2. Money and your adjusted basis in property contributed to the partnership less
the associated liabilities (but not less than zero)
2.
3. Your increased share of or assumption of partnership liabilities (Subtract your share of
liabilities shown in Item K of your 2016 Schedule K-1 from your share of liabilities
shown in Item K of your 2017 Schedule K•1 and add the amount of any partnership
liabilities you assumed during the tax year) (but not less than zero)
,
4. Your share of the partnership's income or gain (Including tax-exempt income) reduced by
any amount included in interest income with respect to the credit to holders of clean renewable
energy bonds
3.
4.
135,947.
5. My gain recognized this year on contributions of property. Do not include gain from
transfer of liabilities
5.
6. Your share of the excess of the deductions for depletion (other than oil and gas
depletion) over the basis of the property subject to depletion
6.
Decreases:
7. Withdrawals and distributions of money and the adjusted basis of property distributed
to you from the partnership. Do not include the amount of property distributions
included in the partner's income (taxable income)
7.
Caution: A distribution may be taxable if the amount exceeds your adjusted basis of
your partnership interest immediately before the distribution.
8. Your decreased share of partnership liabilities and any decrease in your individual liabilities
because they were assumed by the partnership. (Subtract your share of liabilities shown in
item K of your 2017 Schedule K-1 from your share of liabilities shown in item K of your 2016
Schedule K-1 and add the amount of your individual liabilities that the partnership assumed
during the tax year (but not less than zero))
&
9. Your share of the partnership's nondeductible expenses that are not capital
expenditures
9.
25.
10. Your share of the partnership's losses and deductions (including capital losses).
However, include your share of the partnership's section 179 expense deduction for
this year even if you cannot deduct all of it because of limitations
SEE STATEMENT 12 10.
ft The amount of your deduction for depletion of any partnership oil and gas property.
not to exceed your allocable share of the adjusted basis of that property
11.
12. Your adjusted basis in the partnership at end of this tax year. (Add lines 1 through 6
and subtract Ines 7 through 11 from the total. If zero or less, enter .0•.)
Caution: The deduction for your share of the partnership's losses and deductions is
limited to your adjusted basis in your partnership interest. If you entered zero on line 12
and the amount figured for line 12 was less than zero, a portion of your share of the
partnership losses and deductions may not be deductible.
85,258.
12.
725,244.
719061 Q441-17
EFTA00025793
MA 1/1-NR/PY
STATEMENT 1
DESCRIPTION
AMOUNT
1,214.
TOTAL TO FORM 1, LINE 5 OR FORM 1-NR/PY, LINE 7
1,214.
MA X/Y
ALIMONY PAID
STATEMENT 2
RECIPIENT'S NAME
AMOUNT
66,000.
TOTAL TO SCHEDULE Y, LINE 3
66,000.
MA B
STATEMENT 3
DESCRIPTION
AMOUNT
U.S. INTEREST
31,263.
TOTAL TO SCHEDULE B, LINE 6
31,263.
MA D
U.S. SCHEDULE D, LINE 11, COL. H
STATEMENT 4
EXPLANATION
AMOUNT
ANGARA TRUST
FROM K-1 - CARGOMETRICS TECHNOLOGIES LLC
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
FROM K-1 - CARGOMETRICS COMPASS FUND LP
FROM K-1 - ATLAS ENHANCED FUND LP
26.00
-1.00
501.00
1,170.00
281.00
TOTAL TO SCHEDULE D, LINE 4
1,977.00
STATEMENT(S) 1, 2, 3, 4
EFTA00025794
MA D
U.S. SCHEDULE D, LINE 10, COL. H
STATEMENT 5
EXPLANATION
LINE 3
AMOUNT
8.00
8.00
MA D
U.S. SCHEDULE D, LINE 12, COL. H
STATEMENT 6
EXPLANATION
LINE 5
AMOUNT
ANGARA TRUST
312,187.00
312,187.00
MA D
U.S. SCHEDULE D, LINE 13, COL. H
STATEMENT 7
EXPLANATION
AMOUNT
FROM K-1 - ANGARA TRUST - CAP GAIN DIV 0/15
387.00
TOTAL TO SCHEDULE D, LINE 6
387.00
MA E
STATEMENT 8
DESCRIPTION
AMOUNT
7,622.
TOTAL TO SCHEDULE E, LINE 56
7,622.
STATEMENT(S) 5, 6, 7, 8
EFTA00025795
MA C
STATEMENT 9
DESCRIPTION
AMOUNT
CONTRACT LABOR
BANK FEES
36,500.
1,836.
150.
TOTAL TO SCHEDULE C, LINE 26
38,486.
FORM 8582
OTHER PASSIVE ACTIVITIES - WORKSHEET 3
STATEMENT 10
CURRENT YEAR
PRIOR YEAR
UNALLOWED
LOSS
GAIN
LOSS
ANGARA TRUST
87.
0.
87.
TOTALS
87.
0.
87.
FORM 8582
STATEMENT 11
R
R
FORM
E
OR
PRIOR
NET
A NAME
LOSS
LOSS
ANGARA TRUST
ANGARA TRUST
TOTALS
FORM 4797
26.
26.
SCH E
61.
61.
87.
87.
STATEMENT 12
DESCRIPTION
AMOUNT
FTC
673.
INCLUDED IN BASIS WORKSHEET, LINE 10
673.
STATEMENT(S) 9, 10, 11, 12
EFTA00025796