Text extracted via OCR from the original document. May contain errors from the scanning process.
Caution: Forms printed from within Adobe Acrobat products may not meet IRS or state taxing agency
specifications. When using Acrobat 9.x products and later products, select "None"in the "Page Scaling"
selection box in the Adobe "Print" dialog.
CLIENT'S COPY
asis
k
CP4g
EFTA00026279
Tax Return Carryovers to 2016
Disallowing
Form
D
-I 0
Originating
Form
Entity/
kOv4
SV
City
Amount
SCH D
SCH D
176,183.
SCH D
SCH D
6,119,108.
SCHD AMT
176,183.
SCHD AMT
6,119,108.
1116
GENERAL LIMITATION INC C/O FROM 2015 1116
1.
1116
PASSIVE INC C/O FROM 2015
1116
2,429.
1116AMT
FROM 2015
1116 AMT
-1.
1116AMT PASSIVE INC EXCESS LIMIT FROM 2015
1116 AMT
-3,082.
6765
SCH E P2
2
4,540.
8582
SCH E P2
2
122,626.
8582AMT
SCH E P2
2
122,626.
8582CR OTHER PASSIVE ACTIVITY CREDIT
8582CR
29.
8801
8801
1.
8801WKSTCREDIT
8801WKST
3.
MNumbe:
EFTA00026280
Two-Year Comparison Worksheet
2015
Name(s) as shown on return
2014 Filing Status SINGLE
2014 Tax Bracket 25.0%
DescrWlon
Tax Year
2014
Tax Year
2015
Increase
(Decrease)
64,169.
63,088.
-1,081.
186,472.
182,240.
-4,232.
123,149.
119,551.
-3,598.
-1,250.
-500.
750.
-3,000.
-3,000.
ORM 4797 (OTHER GAINS OR LOSSES)
2.
5,310.
5,308.
43.
-3,642.
-3,685.
THER INCOME
-12,926.
0.
12,926.
TOTAL INCOME
233,510.
243,496.
9,986.
233,510.
243,496.
9,986.
AXES
128,301.
119,703.
-8,598.
1.
17.
16.
ONTRIBUTIONS
0.
5,353.
5,353.
OB EXPENSES AND 2% MISC. DEDUCT.
47,167.
40,652.
-6,515.
175,469.
165,725.
-9,744.
58,041.
77,771.
19,730.
0( 3,950.
4,000.
50.
TAXABLE INCOME
54,091.
73,771.
19,680.
AX
2,579.
5,448.
2,869.
ORM 6251 (ALTERNATIVE MINIMUM TAX)
32,878.
27,605.
-5,273.
---
35,457.
33,053.
-2,404.
ORM 1116 (FOREIGN TAX CREDIT)
1,120.
4,420.
3,300.
34,337.
28,633.
-5,704.
ORM 8960 (NET INVEST. INCOME TAX)
1,273.
1,653.
380.
TOTAL TAX
35,610.
30,286.
-5,324.
56,761.
71,151.
14,390.
ORM 4868 (EXTENSION REQUEST)
25,000.
0.
-25,000.
TOTAL PAYMENTS
81,761.
71,151.
-10,610.
AX OVERPAID
46,151.
40,865.
-5,286.
46,151.
40,865.
-5,286.
AXABLE INCOME
144,154.
151,015.
6,861.
AX
14,727.
15,433.
706.
THER TAXES
114.
127.
13.
PAYMENTS
32,349.
24,571.
-7,778.
63.
63.
17,571.
9,074.
-8,497.
Social security number
2015 Filing Status SINGLE
2015 Tax Bracket 25.0%
o26301 04-01-15
EFTA00026281
Marks Paneth LLP
New York City
685 Third Avenue
Washington. DC
New York. NY 10017
New Jersey
P 212.503.8800
Long Island
F 212.370.3759
Westchester
www.markspaneth.com
C/O MARKS PANETH LLP-685 3RD AV
NEW YORK, NY
MARKS PANETH
ENCLOSED ARE YOUR 2015 INCOME TAX RETURNS, AS FOLLOWS...
2015 U.S. INDIVIDUAL INCOME TAX RETURN
2015 NEW YORK INDIVIDUAL INCOME TAX RETURN
U.S. FORM 8879 AND NEW YORK TR-579-IT, WHICH YOU MUST SIGN TO
THE STATUS OF YOUR 2016 INDIVIDUAL ESTIMATED TAXES FOR THE
ALAN BLECHER
Morison International
EFTA00026282
2015 TAX RETURN FILING INSTRUCTIONS
DECEMBER 31, 2015
Prepared for
C/O MARKS PANETH LLP-685 3RD AV
NEW YORK, NY
Prepared by
685 THIRD AVENUE
NEW YORK, NY
Amount of tax
Total tax
Less: payments and credits
S
Plus: interest and penalties
S
OVERPAYMENT
$
71
30 286aml 1/4
iu
40,868`
Overpayment
Miscellaneous Donations
$
-141/4
0
Credited to your estimated tax
40,865
Refunded to you
\
0
Make check
payable to
NOT APPLICABLE
I
Mail tax return
and check (if
applicable) to
RETURN FORM 8879 TO OUR OFFICE. WE WILL THEN TRANSMIT YOUR
Return must be
mailed on
or before
RETURN FEDERAL FORM 8879 TO US BY OCTOBER 17, 2016.
Special
Instructions
52“181
04 A01 15
EFTA00026283
Tentative Credit for Prior Year Minimum Tax
Name(s)
Social security number
Part I Net Minimum Tax on Exclusion Items
1 Combine lines 1, 6 and 10 of your 2015 Form 6251
2 Enter adjustments and preferences treated as exclusion items
3 Minimum tax credit net operating loss deduction
4 Combine lines 1, 2, and 3. If more than zero OR you filed Form 2555 for 2015, go to line 5. If zero or less
AND you did not file Form 2555 for 2015, enter 0 here and on line 15 and go to Part II.
5 Enter $83,400 if married filing jointly or qualifying widow(er) for 2015; $53,600 if single or head of household for
2015; or $41,700 if married filing separately for 2015
6 Enter $158,900 if married filing jointly or qualifying widow(er) for 2015; $119,200 if single or head of household
for 2015; or $79,450 if married filing separately for 2015
7 Subtract lite 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 lite 8 from line 5. If zero or less, enter 0•
1
2
3
77,771.
160,355.
4
238,126.
5
53,600.
6
7
8
9
119,200.
118,926.
29,732.
23,868.
10 Subtract lite 9 from line 4. If zero or less, enter O here and on line 15 and go to Part II
214,258.
11 • If you filed Form 2555 for 2015. enter the amount from line 6 of the Foreign Earned Income Tax Worksheet.
• If for 2015 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 $185,400 or less ($92,700 or less if mauled filing separately for 2015). multiply line 10
by 26% (26). Otherwise, multiply line 10 by 28% (.28) and subtract $3,708 ($1.854 if married filing separately
for 2015) from the result
11
36,939.
12 Minimum tax foreign tax credit on exclusion items
12
8,309.
13 Tentative minimum tax on exclusion items. Subtract line 12 from line 11
13
28,630.
14 Enter the amount from your 2015 Fonn 6251, line 34
14
1,028.
15 Net minimum tax on exclusion items. Subtract line 14 from line 13. If zero or less, enter A•
10
15
27,602.
Part II Tentative Minimum Tax Credit
16 Enter the amount from your 2015 Form 6251. 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 2015 minimum tax credit cartyfonvard. Enter the amount from your 2015 Form 8801, line 28
20 Enter the 2015 unallowed qualified electric vehicle credit
21 Tentative minimum tax credit for 2018. Combine lines 18, 19, and 20
Lines 22 through 26 do not apply.
16
17
18
19
20
21
27,605.
27,602.
3.
1.
4.
514,41
10.26-15
EFTA00026284
Page 2
Tax Computation Using Maximum Capital Gains Rates
27
Enter the amount from line 10. If you filed Form 2555 or 2555-EZ for 2015, enter
the amount from line 3 of the worksheet in the instructions
27
214,258.
28
Enter the amount from line 6 of your 2015 Qualified Dividends and Capital
Gain Tax Worksheet, or the amount from line 13 of your 2015 Schedule D Tax
Worksheet
26
119,551.
If you figured your 2015 tax using the 2015 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 2015 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 2015 Schedule D Tax Worksheet
30
119,551.
31
Enter the smaller of line 27 or line 30
31
119,551.
32
Subtract line 31 from line 27
32
94,707.
33
If line 32 is $185.400 or less ($92,700 or less if married filing separately for 2015), multiply line
32 by 26% (.26). Otherwise, multiply line 32 by 28% (.28) and subtract $3,708 ($1,854 if married
filing separately for 2015) from the result.
► 33
24,624.
34
Enter
• $74,900 if married filing jointly or qualifying widow(er) for 2015,
• $37,450 if single or maMed filing separately for 2015, or
• $50,200 if head of household for 2015.
37,450.
35
Enter the amount from line 7 of your 2015 Qualified Dividends and Capital
Gain Tax Worksheet, or the amount from line 14 of your 2015 Schedule DT
Worksheet, whichever applies. If you did not complete either
the amount from 2015 Form 1040. line 43; but not less than 4}
36
Subtract line 35 from line 34. If zero or less, enter .0-
36
37,450.
37
Enter the smaller of line 27 or line 28
37
119,551.
38
Enter the smaller of line 36 or line 37
38
37,450.
39
Subtract line 38 from line 37
39
82,101.
40
Enter
• $413200 if single
• $232,425 if married filing separately
• $464,850 if married filing jointly or qualifying widow(er)
• $439,000 if head of household
40
413,200.
41
Enter the amount from line 36
41
37,450.
42
Enter the amount from line 7 of your 2015 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 2015
Form 1040, line 43: but not less than •0•.
43
Add lines 41 and 42
43
37,450.
44
Subtract line 43 from line 40, but not less than 41
44
375,750.
45
Enter the smaller of line 39 or fine 44
45
82,101.
46
Multiply line 45 by 15% (.15)
► 46
12,315.
47
Add lines 38 and 45
47
119,551.
If lines 47 and 27 are the same, skip lines 48 through 52 and go to line 63 Otherwise, 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 50 through 52 and go to line 53. Otherwise, go to line 50.
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
36,939.
54
If line 27 is $185.400 or less ($92,700 or less if married filing separately for 2015), multiply line 27 by 26% (.26)
Otherwise, multiply line 27 by 28% (.28) and subtract $3,708 ($1,854 if married filing separately for 2015)
from the result.
56,284.
55
Enter the smaller of line 53 or line 54 here and on line 11. If you filed Form 2555 or 2555•EZ for 2015, do not
enter this amount on line 11. Instead, enter it on line 4 of the worksheet.
36,939.
I Part ill I
29
34
35
42
48
49
50
51
52
53
54
55
EFTA00026285
OMB No. 1545 0074
as my signature on my tax year 2015 electronically filed income tax return.
Form 8879
Department of the Treasury
Internal Revenue Service
IRS e-file Signature Authorization
► Do not send to the IRS. This is not a tax return.
► Keep this form for your records.
► Information about Form 8879 and its instructions is at www.irs.govIlorm8879 .
2015
Submission Identification Number (SID)
Taxpayer's name
Social securi number
Spouse's name
Spouse's social security number
art
Tax Return Information - Tax Year Ending December 31, 2015 (Whole Dollars Only)
1 Adjusted gross income (Form 1040, line 38: Form 1040A, line 22; Form 1040EZ. tine 4)
1
243,496.
2 Total tax (Form 1040. line 63: Form 1040A, line 39; Form 1040EZ. line 12)
2
30,286.
3 Federal income tax withheld (Form 1040. line 64: Form 1040A, line 40; Form 1040EZ, line 7)
3
4 Refund (Form 1040, line 76a; Form 10400. line 48a: Form 1040EZ, line 13a: Form 1040SS, Part I. line 13a)
4
0 .
5
Amount you owe (Form 1040. line 78: Form 1040A. line 50: Form 1040EZ. line 14)
Part III
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, 2015, and to the best of my knowledge and belief, it is true, correct, and complete. 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 (ERO) 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 admowledge 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 MARKS PANETH LLP
ERO firm name
as my signature on my tax year 2015 electronically filed income tax return.
to enter or generate my PIN
Enter five digits, but
do not enter all zeros
I will enter my PIN as my signature on my tax year 2015 electronically filed income tax retum. 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.
Your signature ►
Spouse's PIN: check one box only
I authorize
Date► 10/06/2016
to enter or generate my PIN
ERO firm name
Enter five digits, but
do not enter all zeros
I will enter my PIN as my signature on my tax year 2015 electronically filed income tax retum. 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 ►
Date ►
Practitioner PIN Method Returns Only - continue below
Part III I Certification and Authentication - Practitioner PIN Method Only
ERO's EFIN/PIN. Enter your six•digit EFIN followed by your five•digit self•selected PIN.
Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature for the tax year 2015 electronically filed income tax retum 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 Publication 1345,
Handbook for Authorized IRS e-flie Providers of Individual Income Tax Returns.
II
II
8 Ell_
6
9
ERO's signature ►
Date ►
519995
ERO Must Retain This Form - See Instructions
11.06-15
Do Not Submit This Form to the IRS Unless Requested To Do So
L.HA
For Paperwork Reduction Act Notice, see your tax return instructions.
Form Mtn (2015)
1
EFTA00026286
Tax Year 2015 e-file Jurat/Disciosure
for Form 1040, 1040A, or 1040EZ
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
262982
(enter E.RN plus 5 self-selected numerics)
Taxpayer Declarations
Perjury Statement
Under penalties of perjury. I declare that I have examined this return, Including any accompanying statements and schedules
and. to the best of my knowledge and belief. it is true. correct, and complete.
Consent to Disclosure
I consent to allow my Intermediate Service Provider. transmitter, or Electronic Return Originator (ERO) to send my return/tom)
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:
Date 10062016
Spouse's PIN:
519986
04.01.15
1.1
EFTA00026287
518711
05.12.15
♦
DETACH HERE •
Fo m 4868
Department of Ina Treastoy
inward Revenue Senna 1991
(Part
1
YCkr narralS)
Application for Automatic Extension of Time
To File U.S. Individual Income Tax Return
Fo cawaAr •?.i MI5 cr cfnur tax yam bAgnring
0Ii, andiro
2015
I
Identification
C/O MARKS PANETH LLP-685 3RD AV
NEW YORK, NY 10017
'ma
3 Spouse's social security nUmbgt
Part II I Individual Income Tax
4 Estimate of total tax liability for 2015
30,286.
5
Total 2015 payments
71,151.
6 Balance due. Subtract line 5
from fine 4
0 .
7 AmouM you are paying
►
0.
8 Check here if you are 'out of the country and a U.S.
citizen or resident
9 Chock nye it you file Form INONR p IO4ONFI-E2 all Oki not mons
sagas as an amptoyea subjeC110115 Income tax wnwading
Os 0
LX MAXW 30 0 201512 670
EFTA00026288
LL 1040 U.S. Individual Income Tax
Returnem, 2015
co. No. 1545.00m I PS vs. Only - Do not am* or staple in MRS Space
For tna yua Jdn 'Pith 31. 2015 a mina. ter y5A Mowing
2015. Old g
20
See separate Instructions.
Your first name and initial
GHISLAINE
Last name
MAXWELL
YOU Boatal sscwlty number
If a joint return, spouses first name and initial
Last name
3P3699% Social *Kurth/ minter
1-lome address (number and street). It you have a P.U.
MARKS PANETH LLP -685
ox. see instructions.
3RD AV
Apt. no.
I
tote sure me SSW abate
A and on line 6C Ore cared.
•
C/O
City. town a post Mica. State. and ZIP cone n you have a foreign add'en. So COMI6Menprioas below.
NEW YORK, NY 10017
Presidential biathlon Campaign
Chxlit hero if you, or your spouse
II tiling jointly. want $3 to go to
fist ml C cot g b
babe
Foreign country name
Foreign province/state/county
Foreign postal code
will not change your tax a rotund.
You
C
Spouse
Filing Status
1
2
Check only
one box.
3
Exemptions
If more than four
dependents, see
instructions and ,—,
check here pi. LJ
LXJ Single
IC Married filing jointly (even if onl one had income)
IC Married filing separately. Enter spouse's SSN above
and full name here. No
4 LJ Head of household (with qualifying person). If the qualifying
person i a child but not your d pendent, enter this child's
name he e. ►
5 CI Qualifying widow(er) with dependent child
6a
Yourself. If someone can claim you as a dependent. do not check box 6a
Dependents:
(i) First nem.
Last name
IN Offhaideni% social
security number
rgi Dograndonl%
relationship to
Ku
ialir Itud
tight act 1 7'
MINN) ro t chi
nterldt
kkr
d Total number of exemptions claimed
Income
Attach Form(s)
W-2 here. Also
attach Forms
W-2G and
1099-R if tax
was withheld.
If you did not
get a W-2.
see instructions.
7
8a
b
9a
b
10
11
12
13
14
15a
16a
17
18
19
20a
21
22
23
24
25
26
27
28
29
30
31a
32
33
34
35
36
Add lines 23 through 35
Wages, salaries, tips, etc. Attach Form(s) W-
Taxabl e interest Attach Schedule B it required
Tax-exempt interest Do not include on line 8a -
Ordinary dividends. Attach Schedule B d required-
Qualified dividends
Taxable refunds, credits, or offsets of state and local income taxes
Alimony received
Business income or (loss). Attach Schedule C or C-EZ
Capital gain or (loss). Attach Schedule D if required. If not required, check here
Other gains or (losses). Attach Form 4797
IRA distnbutians
1 151
I
b Taxable amount
Boxes checked
on 6a and Etc
No 01 children
o 6c tio.
*Pad with you
%did not We with
you due to OlvOrCe
a Separation
InStructiathl
Dapanden% on 6c
not entered above
Add numbarS
on lines.,
above
8
5,672.
7
8a
63,088.
el
119,551.
$TMT 1
$TMT 2
►
Pensions and annuities
16a
b Taxable amount
Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E
Farm income or (loss). Attach Schedule F
Unemployment compensation
Social security benefits
p 20a j
I
b Taxable amount
Other income. List type and amount
Combine the amounts in the tar right column for lines 7 through 21. This is your total Income
Educator expenses
CaegOn business expenses of reservists. pertaming Grusin and toe-basis gonment
officials Attach Form 2 l06 or 210%62
Health savings account deduction. Attach Form 8889
Moving expenses. Attach Form 3903
Deductible part of self-employment tax. Attach Schedule SE
Self-employed SEP, SIMPLE, and qualified plans
Self-employed health insurance deduction
Penalty on early withdrawal of savings
Alimony paid
b Recipient's SSN
IRA deduction
Student loan interest deduction
Tuition and fees. Attach Form 8917
Domestic production activities deduction. Attach Form 8903
9a
182,240.
10
11
12
13
14
15b
16b
17
18
19
20b
21
22
0.
-500.
-3,000.
5,310.
-3,642.
►
243,496.
Adjusted
Gross
Income
S1030I
12.30- IS
37
Subtract line 36 from line 22. This is your adjusted gross income
23
24
25
26
27
28
29
30
31a
32
33
34
35
36
37
243,496.
LHA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions.
Faro 1040 (2rns)
EFTA00026289
Earn 1040{20151 GHISLAINE MAXWELL
Tax and
Credits
38 Amount from
39a Check
if:
b if your spouse
40 Itemized deductions
41 Subtract line
42 Exemptions.
43 Taxable income.
44 Tax. Check
45 Alternative
46 Excess advance
47 Add lines 44,
48 Foreign tax
49 Credit for child
50 Education
51 Retirement
52 Child tax credit
53 Residential
54 Other credits
55 Add lines 48
56 Subtract line
line 37 (adjusted gross income)
margin)
line
enter
Total boxes
checked
90, 39a
here
IP. 39b
6d. Otherwise, see inst.
-0-
38
243,496.
0
You were born before January 2, 1951
O
Blind. 1
40
165,725.
a"
Detraction for -
• People who
aro any box
on line am or
3915 orwho can
be derned ail a
hocendent. see
Intrtuctiont
• hi Otl1B18'
Single or
Myriad rang
somww.
4.30o
Married MN/
jointly or
Ouartying
witloolell.
SI2.6C0
Hoed et
household.
$9.250
0
Spouse was born before January 2, 1951,
Blind. 1
itemizes on a separate return or you were a dual-status alien, check
(from Schedule A) or your standard deduction (see left
40 from line 38
If line 38 is $154,950 or less, multiply $4,000 by the number on
Subtract line 42 from line 41.11 line 42 is more than line 41
I
flo
41
77,771.
42
4,000.
43
73,771.
if any from:
a 0
Form(s)Et814 b
Form 4972 c LJ
44
5,448.
minimum tax. Attach Form 6251
premium tax credit repayment Attach Form 8962
45, and 46
credit. Attach Form 1116 if required
and dependent care expenses. Attach Form 2441
credits from Form 8863, line 19
savings contributions credit Attach Form 8880
Attach Schedule 8812, it required
energy credits. Attach Form 5695
48
4,420.
45
27,605.
46
47
33,053.
55
4,420.
49
50
51
52
53
from Form: a tEl 3800
b Q
8801 GO
54
through 54. These are your total credits
55 from line 47. If line 55 is more than line 47, enter -0-
56
28,633.
57 Self-employment
Other
58 Unreported
Taxes
59 Additional
60a Household
b First-time
61 Healthcare:
62 Taxes from:
63 Add lines 56
tax. Attach Schedule SE
8919
57
social security and Medicare tax from Form: a 0
4137
b 0
58
tax on IRAs, other qualified retirement plans, etc. Attach Form 5329
employment taxes from Schedule H
homebuyer credit repayment Attach Form 5405 if required
individual responsiaility (see instructions)
Full-year coverage
if requir
59
60a
60b
El
61
a 0
Form 8959 b n Form 8960 c 0
inst.; enter colde(s)
62
1,653.
through 62. This is your total tax
Oro
63
30,286.
Payments 64 Federal income
65 2015 estimated
a Earned income
tax withheld from Forms W-2 and 1099
lax payments and amount applied from 2014 relit
credit (EIC)
combat pay election
166b I
64
74
71,151.
65
71,151.
Ryouhavoce
ovraryho
iris& anach
Schedule FIG.
66a
b Nontaxable
67 Additional
68 American
69 Net premium
70 Amount paid
71 Excess social
72 Credit for federal
73 Credits from
74 Add lines 64,
67
child tax credit Attach Schedule 8812
opportunity credit from Form 8863, line 8 _
tax credit. Attach Form 8962
with request for extension to file
I
security and tier 1 RRTA tax withheld
tax on fuels. Attach Form 4136
68
69
70
71
72
EOM' a02439 b patsy rOc 08885 d0
73
65, 66a, and 67 through 73. These are your total payments
Oro
Refund
ni.,,0(1,,, it,
sea
I, '
wn'""`""
75 it line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid
76a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here
lia• CI
75
40,865.
76a
b:',',311
II0 c im IMI MO*
Shags IP' d ine:41
78
77 Amount of line 75 you want applied to your 2016 estimated tax
0.
Inl
40,865.
Amount
78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions
Illo.
You Owe 79 Estimated tax penalty (see instructions)
I 79 I
Third Party Do you want to allow another person to discuss this return with the IRS (seephinrsiyuctions)? I X I Yes. Complete below.
U
No
274VT
dertitbahen
Designee
F„',orslo.ELECHER, ALAN
Sign
ober
()
panaltaas
►-
p
of pearity. I OK:la* that I naveexamine this tam and accompanying Weenies and statements. and to me best olmylmor
d
they are true,
correct. and complete. Declaration of predator (other tha leaseye) Is based o all intomietion d which prepare, has any knowledge.
Here
Yew *peen
l Date
I Year occupaton
Daytime phone number
Joint return?
SC* instruCtione.
Keep a Dopy
Spouse's sitriature. I a pint rotor,. both must sir
tor yore
records.
ONSULTANT
Date
I Spouse's *twee on
rt the o S sent you an Ma
PrOteCb011 PIN
onW it here
Sy
FrintaYde droixrers name
Prepvos sltriature
Paid
Preparer BLECHER, ALAN
Use Only v,m.sna
lo.MARKS PANETH LLP
Date
selhomployed
685 THIRD AVENUE
i1OJ0'
aXI Is
"M .S A""S O P NEW YORK, NY 10017
EFTA00026290
SCHEDULE A
OMB no. 1545.0074
(Form 1040)
lab Information about Schedule A and its separate instructions is at www.irs.govischedutea .
Department of the Treastoy
Attachment
Pe Attach to Form 1040.
14arnelS) Shown On roan 1040
Sequame No. ut
internal Revenue Service
BM)
ow SOMA **Corey number
Itemized Deductions
2015
Medical
Caution: Do not include expenses reimbursed or paid by others.
and
1 Medical and dental expenses (see instructions) SEE STATEMENT 8
1
6,955.
Dental
2 Enter amount from Form 1040. fine 38
I 21 243,496.
Expenses
3 Multiply Me 2 by 10% (.10). But if either you or your spouse was born before
January 2. 1951. multiply line 2 by 7.5% (.075) instead
3
24,350.
4 Subtract line 3 from rile 1. If line 3 is more than line 1, enter 4/
4
0 .
Taxes You
5 State and local (check only one box):
Paid
a El Income taxes, or
SEE STATEMENT 6
6
34,571.
b 0
General sales taxes
6 Real estate taxes (see instructions)
6
85,132.
7 Personal property taxes
7
8 Other taxes. List type and amount lb.
8
9 Add lines 5 through 8
9
119,703.
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 home. see instructions and show that person's name.
identifying no.„ and address ifil•
---------__
Note:
A
.. '
11
Your mortgage
interest
12 Points not reported to you on Form 1098. See instructions for special rules
12
13
deduction may 13 Mortgage insurance premiums (see instructions)
be limited (see
instructions).
14 Investment itterest. Attach Form 4952 if required. (See instructions.) STMT 7. 14
17.
15
15 Add lines 10 through 14
17 .
Gifts to
is Gifts by cash or check If you made any gift of 5250 or more, see instructions
16
5,353.
Charity
17 Other than by cash or check. If any gift of $250 or more. see instructions.
If you made a
gift and got a
benefit for it,
18
see instructions. 19
You must attach Form 8283 if over 5500
Carryover from prior year
Add lines 16 through 18
17
5,353.
18
19
Casualty and
Theft Losses
20 Casualty or theft loss(es). Attach Form 4684. (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.) II"
Miscellaneous
Deductions
ill iai
lFr—
21
22 Tax preparation fees
22
11,000.
23 Other expenses • investment, safe deposit box, etc. Ust type and amount lir.
SEE STATEMENT 5
23
34,522.
24 Add lines 21 through 23
24
45,522.
25 Enter amount from Form 1040, line 38
1251
243,496.
26 Multiply line 25 by 2%(.02)
26
4,870.
27 Subtract line 26 from line 24. If line 26 is more than line 24. enter 0. .
27
40,652.
Other
28 Other • from list in instructions. Ust type and amount Illi•
Miscellaneous
Deductions
28
29 Is Form 1040. line 38. over 5154,9507
a3 No. Your deduction is not limited. Add the amounts in the far right column
Total
Itemized
for lines 4 through 28. Also. enter this amount on Form 1040. line 40.
0
Yes. Your deduction may be limited. See the Itemized Deductions
29
165,725.
Deductions
Worksheet in the instructions to figure the amount to enter.
30 If you elect to itemize deductions even though they are less than your standard deducbon
check here . .
.
►
i
i
LHA sneer ol.ro-le For Paperwork Reduction Act Notice, see Form 1040 instructions.
5
Schedule A (Form 1040) 2015
EFTA00026291
SCHEDULE B
(Form 1040A or 1040)
Deoferment al IN Treasesy
Into/nag Revenue Service
199)
Normals/Shown on return
Part I
Interest
Interest and Ordinary Dividends
► Attach to Form 1040A or 1040.
► Information about Schedule B and Its Instructions is at www.irs.gov/scheduleb
OMN No 1545.007
2015
Amerman:
SoquancoNo1/0
as Soda 80cally rerroa
Note: If you
received a Form
10994NT,
Form 1099O1D,
or substitute
statement from
a brokerage firm.
list the firm's
name as the
payer and enter
the total interest
shown on that
foam
1 List name of payer. If any interest is from a seller-financed mortgage and the buyer used the
property as a personal residence, see instructions and list this interest first. Also. show that
buyer's social security number and address ►
SEE STATEMENT 9
SUBTOTAL FOR LINE 1
SEE STATEMENT 10
SEE STATEMENT 11
ABP ADJUSTMENT
2 Add the amounts on line 1
3 Exckidable interest on series EE and I U.S. savings bonds issued after 1989.
Attach Form 8815
4 Subtract line 3 from Me 2. Enter the result here and on Form 1040k or Form 1040, line 8a
►
Note: If line 4 is over $1S00 you must complete Part III
Part II
Ordinary
Dividends
5
List name of payer
UBS - Y1
►
23568
UBS - Y1 23570
UBS - Y1 23571
UBS - Y1 23574
UBS - Y1 23575
UBS - Y1 2 572
Note: If you
received a Form
1094DIV 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
52750i
0999.15
If
you may have to file Form 3520. See instructions
X
FROM K-1 - THE BLACKSTONE GROUP, LP
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
6 Add the amounts on line S. Enter the total here and on Form 1040k or Form 1040. line 9a
Note: If line 6 is over $1.500. you must complete Part Ill.
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 grantor of. or a transferor to. a foreign trust.
7a At any time during 2015, did you have a financial 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 WEN Form 114 and its instructions for filing
requirements and exceptions to those requirements
b If you are required to file FinCen Form 114. enter the name of the foreign country where the financial account
is located
► UNITED KINGDOM
8
During 2015, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust?
Amount
73,088.
73,088.
-5,672.
-4,328.
63,088.
3
4
63 088.
Amount
40,340.
21,805.
33,471.
20,493.
10,611.
54,713.
126.
681.
182,240.
Yes
No
X
X
LHA For Paperwork Reduction Act Notice, see your tax return Instructions.
6
Schedule B (Form 1040A or 1040) 2015
EFTA00026292
Interest and Dividend Summary
Name: GHISLAINE MAXWELL
Payer
Interest
hwenionG4
SavingsSones
Tax•Exempt
interest
Private Activity
Interest
Oflonwism4
oiumunuoin)
Ordinary
Dividends
Qualified
Dividends
Capital Gain
Distributions
Rxwouncome
lent waive,
State Tax
Withheld
Foreign
Tax Paid
BARCLAYS
16,736.
5,519.
1,515,
OBS - Y1 23568
40,340.
40,340.
OBS - Y1 23570
21,805.
88.
OBS - Y1 23571
33,471,
7,817.
8,868.
UBS - Y1 23574
20,493,
20,109.
UBS - Y1 23575
10,611 ,
629.
UBS - Y1 23572
54,713,
UBS - Y1 23568
6.
UBS - Y1 23571
1.
UBS - Y1 23574 - INTEREST
37,673.
UBS - Y1 23574 - BOND PREMIUM
-51.
UBS - Y1 23574 - TIE
.
UBS - Y1 23575
12,
UBS - Y1 23572
/.
UBS - Y1 23680
17,
FROM K-1 - THE BLACKSTONE
GROUP, LP
416,
126,
FROM K-1 - CARGOMETRICS
FROM K-1 - ALPRAREYS
269,
681,
327,
TOTALS
62,195,
182,240.
119,551.
9,497.
FEINISSN:
530191 04-01-15
EFTA00026293
Interest and Dividend Summary
Name: GHISLAINE MAXWELL
Payer
Interest
wen' on vs.
Savings Sonde
Tax•Exempt
interest
Private Activity
Interest
original issue
oiscoum (old)
Ordinary
Dividends
Qualified
Dividends
Capital Gain
Distributions
Foam income
lent witnixed
State Tax
Withheld
Foreign
Tax Paid
FROM R-1 - ALPHAKEYS
893,
TOTALS
FEINISSN-
530111 04-01-15
EFTA00026294
SCHEDULE C
(Form 1040)
Departmeni 01 the Trent",
Interne/ Remark. Service BM
Name 0 PrOMMIM
Profit or Loss From Business
(Sole Proprietorship)
► Information about Schedule C and Its separate instructions is at www.lts.govischedulat.
Ir. Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.
OMB No. 1505.0024
A
Principal business or profession, including product or service (see instructions)
CONSULTING
C
Business name. If no separate business name, leave blank.
ELLMAX, LLC
E
Business address (including suite or room no.) gr. 116 EAST 65TH STREET
City, town or post office, state, and ZIP code
NEW YORK, NY 11021
2015
Attachment
Sequence NO.09
Social s44vrity number ISSN)
B Enter code from InstructiOce
► 812990
D Employer ID nucleate (EiNi.lapa
F
Accounting method:
(1) LxJ Cash
(2) U
Accrual (3) U
Other (specify) ►
13
Did you materially participate' in the operation of this business during 2015? If 'No; see instructions for limit on losses
M
Yes ILI No
H
ff you started or acquired this business during 2015, check here
Iti•
I
Did you make any payments in 2015 that would require you to file Form(s) 1099? (see instructions)
M
Yes O
No
J
If 'Yes; did you or will you file required Forms 1099?
M
Yes O
No
Part I I Income
1
Gross receipts or sales. See instructions for line 1 and check the box if 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 gasoine or fuel tax credit or refund (see instructions)
7
Gross income. Add lines 5 and 6
Part II I Expenses. Enter expenses for business use ofyour home
8
Advertising
9
Car and truck expenses
(see instructions)
10
Commissions and fees
11
Contract labor (see instructions)
12
Depletion
13
Depreciation and section 179
expense deduction (not included in
Part Ill) (see instructions)
14
Employee benefit programs (other
than on line 19)
15
Insurance (other than health)
16
Interest:
a Mortgage (paid to banks, etc.)
b Other
17
Legal and professional services
28
Total expenses before expenses for business use of home. Add tines 8 through 27a
29
Tentative profit or (loss). Subtract line 28 from line 7
90
Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method (see instruc 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
91
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.
(It 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 13) and on Schedule SE, line 2.
(It 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.
5200DI II -23-I5
•.0 1
2
3
4
5
6
7
8
9
10
11
12
44
ILL
lea
lee
17
500.
only on line 30.
18
Office expense
19
Pension and profit-sharing plans
20
Rent or lease (see instructions):
a Vehicles, machinery, and equipment
b Other business properly
21
Repairs and maintenance
22
Supplies (not included in Part III)
23
Taxes and licenses
24
Travel, meals, and entertainment
a Travel
b Deductible meals and
entertainment (see instructions)
25
Utilities
26
Wages (less employment credits)
27 a Other expenses (from tine 48)
b Reserved for future use
18
19
20a
20b
21
22
23
24a
24b
25
26
27a
27b
28
29
►
500.
500.
30
31
-500.
32a M
Invalmeni
leaf ilLi.
32b Q
is
Some at
Investrimpi
not
Fisk
Schedule C (Form 1040) 2015
7
EFTA00026295
SCHEDULED
(Form 1040)
Department of the Rosary
internal Revonuo Sable. Mg
Capital Gains and Losses
► Attach to Form 1040 or Form 1040NR.
IP, Information about Schedule D and its separate instructions is at www.ks.govischeduled
► Use Form 8949 to list your transactions for lines lb, 2, 3, 8b, 9, and 10.
CAB No 1545.DOTA
2015
Attachment
An
Sequence No. et
NameN) shown on return
Ott Soya secteity number
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)
le)
Adjustments
to gain or loss from
Form(s) 8949, Part I,
line 2, column (g)
(h) Gain or (loss)
Subtract column (e)
from colurm (d) and
combne the result
with column (g)
la
Totals tor al shOt.wm vanuctions repotted on Form 1099.8
tor which basis was Waled to the IRS and tor which you NWO
no odyeStmentS gee thStruCtkeiN. Havant. d brat 01005910
Wort all these IRMSOCIleen on Form am. leave this bie block
end go to line lb
lb
Totals for all transactions reported on Forrn(s)
8949 %nth Box A checked
69,900.
70,528.
<628.
2
Totals for all transactions reported on Form(s)
8949 with Box B checked
74.
74.
3
Totals for all transactions reported on Forrn(s)
8949 with Box C checked
4
Short•term gain from Form 6252 and shortterm gain or (loss) from Forms 4684. 6781. and 8824 STMT 12 4
10.
5
Net shoreterm gain or (loss) from partnerships. S corporations, estates, and trusts
from Schedule(s) K.1
SEE STATEMENT 14
5
<7.
6
Shoreterm capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss
Carryover Worksheet in the instructions
6 (
178,6324
7
Net short-term capital gain or (loss). Combine linest a through 6 in column (h). If you have any longterm
capital gains or losses. go to Part II below. OtherwisA go to Part III on_page 2 _
7
<179,183.
Partll 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)
(9)
Adjustments
to gain or loss from
Foms) 8949, Part II,
Me 2, column (g)
(h) Gain or (loss)
Subtract column (e)
from column (d) and
combne the result
with column (g)
8a
Totals tor al Ion/Item tranaapl0nsrpM.ed us Form 10998
tor which basis was reported to the IRS anti tor wN01 you Mem
no odyeStmentS (see IrotruCtlaset. Rower. 8 you 0 .0080 80
Nam ON these tranSOCISMS On Fpm 5849. %five this ihe blare
end go to line 8b
8b
Totals for all transactions reported on FomXs)
8949 with Box D checked
3,210,287. 3,120,573.
31.
89,745.
9
Totals for all transactions reported on Forrn(s)
8949 with Box E checked
232,220.
244,272.
<12,052.
10
Totals for all transactions reported on Forrn(s)
8949 with Box F checked
11
Gain from Form 4797, Part I; longterm gain from Forms 2439 and 6252: and long-term gain or (loss)
from Forms 4684. 6781. and 8824
SEE STATEMENT 13
11
362.
SEE STATEMENT 15
12
Net longterm gain or (loss) from partnerships. S corporations, estates, and trusts from Schedule(s) K-1
12
1,477.
13
Capital gain distributions
SEE STATEMENT 16
13
9,497.
14
Longterm capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover
Worksheet in the instructions
14 ( 6,208,1374
15
Net long-term capital gain or (loss). Combine lines 8a through 14 in column (h). Then go to
Pan III on page 2
15
<6,119,108.
LHA For Paperwork Reduction Act Notice, see your tax return instructions.
Schedule D (Form 1040) 2015
5205 II
12.05-IS
8
EFTA00026296
Schedule D (Form 1040) 2015
•
($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 Fonn 1040NR. line 10b?
Part
Summary
18
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 fines 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
on Form 1040. line 13. or Form
1040NR. line 14. Then go to line 22.
17
Are lines 15 and 16 both gains?
Yes. Go to line 18.
No. Skip lines 18 through 21, and go to line 22.
18
Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions
19
Enter the amount, if any, from line 18 of the Unrecaptured Section 1260 Gain Worksheet in
the instructions
20
Are lines 18 and 19 both zero or blank?
Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 1040. line 44 (or in the instructions for Form 1040NR. line 42). Do not complete lines
21 and 22 below.
No. Complete the Schedule D Tax Worksheet in the instructions. Do not 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 of:
•
The loss on line 16 or
SEE STATEMENT 17
►
Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the 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
<6,298,291.>
19
21
3,000.
Schedule D (Form 1040) 2015
520512
12.05.15
9
EFTA00026297
Form 8949
Mpanmerilelmelma(wr
Internar Retonta Service
Sales and Other Dispositions of Capital Assets
Po Information about Form 8949 and its separate instructions is at www.irs.gov/form8949.
gri. File with your Schedule D to list your transactions for lines lb. 2, 3.8b. 9, and 10 of Schedule D.
OMB No. 1545 0074
2015
Attachmen:
A a .
Senronre No I LA
Name(s) shown on return
Social security number or
taxpayer identification no.
Before you check Box A. B. or C below. see whether you received any Formfs) 1099-B or substitute statements) from your br er. su slue
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
broker and may even tell you which box to check.
I Part
I
I Short-Term. Transactions involving capital assets you held 1 year or less are short-term. For long-term transactions. see page 2.
Note: You may aggregate al short.temi transactions reported on Form(s) 1099.8 showing oasis was reported to the IRS and for which no adjustments or
codes are required. Enter the totals directly on Schedule D. kne It you aren't reguted to report these transactions on Flom 8949 (see instructions).
You must check Box A, B, or
C
below. Check only one box. a MOM than one box *pees ler your Shin-tam tranSaCtlens, complete a separate Form 8949. page 1, lot each applicable box,
Oxon nave more snot-tom transactions Man will !it on this page to ale or more or the boxes. complete as many rams wan ea same pox checked as you need.
LXJ (A) Short-term transactions reported on Form(s) 1099G showing basis was reported to the IRS (see Note above)
(B) Short-term transactions reported on Form(s) 1099G showing basis was not reported to the IRS
I.
(4.4 nort-term transactions not reponea to you on rorm 1 UUU-li
1
(a)
Description of property
(Example: 100 sh. XYZ Co.)
(b)
Date acquired
(Mo.. day. yr.)
(e)
Date sold or
disposed of
(Mo.. day. yr.)
(d)
Proceeds
(sales price)
(e)
Cost or other
basis. See the
Note below and
from
see Column (e) in
the instructions
Adjustment, if any, to gain or
Pa If you enter an amount
co
in lcou _lunmi (9), entsra code in
m (f . See Instructions.
(h)
Gain or (loss).
Subtract column (e)
column (d) 8
combine the result
with column (9)
(I)
Code(s)
(9) of
a-
A
djusigen't
UBS Y1 23574 -
SEE STATEMENT D-1
17.
3.M
O.
14.
UBS Y1 23571 -
SEE STATEMENT D-2
38,696
40,20T)1
0. <1,510.
UBS Y1 23568 -
-1,545.
SEE STATEMENT D-3
0.M
O.
2,545.
UBS Y1 23570 -
SEE STATEMENT D-4
21711-5-.
28,107.M
O.
<872.
UBS Y1 23572 -
SEE STATEMENT D-5
T,407.
2,212.M
O.
<805.
2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract
negative amounts). Enter each total here and include on your
Schedule D. line 1b (if Box A above is checked). line 2 (if Box B
above is checked). or Ilne 3 (if Box C above is checked)
Illob
69,900. 70,528.
<628.
Note: If you checked Box A above but the basis reported to the IRS was incorrect. en er 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.
523011 1209.1s LHA For Paperwork Reduction Act Notice, see your tax return instructions.
10
Form 8949 (2015)
EFTA00026298
Form 8949
Oepatimem 0
Iroaray
Into/ma FUrng'pa Servos
Sales and Other Dispositions of Capital Assets
► Information about Form 8949 and its separate instructions is at www.irs.gov/form8949.
lg. File with your Schedule D to list your transactions for lines lb. 2, 3.8b. 9, and 10 of Schedule D.
OMB No. 1545 0074
2015
AttadliThan:
A a .
Sallacnro NO I cm
Name(s) shown on return
Social security number or
taxpayer identification no.
Before you check Box A. B. or C below. see whether you received any Formfs) 1099-B or substitute statements) from your br er. su slue
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
broker and may even tell you which box to check.
I Part
I
Short-Term. Transactions involving capital assets you held 1 year or less are short-term. For long-term transactions. see page 2.
Note: You may aggregate al short.temi transactions reported on Form(s) 1099.8 Showing basis was reported to the IRS and for which no adjustments or
codes are required. Enter the totals directly on Schedule D. kne Ia. you aren't reclined to report these transactions on Flom 8949 (see instructions).
You must check Box A, B, or
C
below. Check only one box. a MOM than one box enrollee lot your SPC4.10,MIllagaCtiOnS. complete a separate Fain 8949. page 1, 10t eadi applicable Pm
It ou teve mote Vat- tam licensee:ions man will in al mis page sot ale ot mote 01 the boxes. complete as many tams min the sane box checked as you new
(A) Short-term transactions reported on Form(s) 1099G showing basis was reported to the IRS (see Note above)
(B) Short-term transactions reported on Form(s) 1099G showing basis was not reported to the IRS
i_i tr..4 nort-term transactions not reponea to you on rorm 1 UUUiti
1
(a)
Description of property
(Example: 100 sh. XYZ Co.)
(b)
Date acquired
(Mo.. day. yr.)
(e)
Date sold or
disposed of
(Mo.. day. yr.)
(d)
Proceeds
(sales price)
(e)
Cost or other
basis. See the
Note below and
see Column (e) in
the instructions
Adjustme t, if any, to gain or
Pa If you enter an amount
in column (g), enter a code in
column (f . See instructions.
(h)
Gain or (loss).
Subtract column (e)
from column (d) &
combine the result
with column (9)
(I)
Code(s)
(9) of
A
iljulinten't
a
UBS Y1 23572 -
SEE STATEMENT D-5
74.
0.M
0.
74.
2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract
negative amounts). Enter each total here and include on your
Schedule D. line lb (if Box A above is checked). line 2 (if Box B
above is checked), or line 3 (If Box C above is checked)
Illob
74.
74.
Note: If you checked Box A above but the basis reported to the IRS was incorrect. en er 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.
523011 12 02.1S
LHA For Paperwork Reduction Act Notice, see your tax return instructions.
11
Form 8949 (2015)
EFTA00026299
Form 8949 (2015)
Attachment Sequence No. 12A
Page 2
Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side
Social security number or
taxpayer Identification no.
Before you check Box O. E. or F below. see whether you received any Form(s)1099-B or substitute statement(s) from your br er.
su siue
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
broker and may even tell you which box to check.
Part III 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 al long-term transactions reported on Form(s) 1099.8 showing bases was reported to the IRS and tar whtch no adjustments or
codes are required. Enter the totals directly on Schedule D. line 8a: you aren't required to report these transactions on Font, 8949 (see instructions).
You must check Box D, E, or F below. Check only one box. F mato than One box apples lot your long-tam !tameable:me complete a sopa> Fam 8949. pogo 2. tor each applicable box.
Itiyar .bave mao long.tem aansactions tnan x111 ht on Inc page tot ono or mote al the boxes. complete as many tams wen the samo box ChOCNEW as you neat
LXJ (D) Longterm transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above)
(E) Long-term transactions reported on Form(s) 1099-B showing basis was not reported to the IRS
l_i (F) Longterm transactions not reported to you on Form 1099 8
1
(a)
Description of property
(Example: 100 sh. XYZ Co.)
(b)
Date acquired
(Mo.. day, yr.)
(e)
Date sold or
disposed of
(Mo.. day. yr.)
(d)
Proceeds
(sales price)
(e)
Cost or other
basis. See the
Note below and
see Column (e) in
the instructions
Adjustment, if any, to gain or
Pm' If you enter an amount
in column (g), enter a code in
column (f . See instructions.
_
(h)
Gain or (loss).
Subtract column (e)
from column (d) Si
combine the result
with column (9)
(I)
Code(s)
(9)
Amount of
adjustment
UBS Y1 23571 -
SEE STATEMENT D-2
940,510. 989,527.M
0. <48,517.
UBS Y1 23568 -
SEE STATEMENT D-3
960,832. 754,4-69.M
0. 206,423.
UBS Y1 23570 -
SEE STATEMENT D-4
922,2-27t 975,71-NTM
0. <53,497.
UBS Y1 23572 -
SEE STATEMENT D-5
3Y6,724. 401,419.MW
31. <14,664.
2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract
negative amounts). Enter each total here and include on your
Schedule D. line 8b (if Box D above is checked). line 9 (if Box E
above is checked). or line 10 (if Box F above is checked)
Illo
3210287. 3120573.
31. 89,745.
Note: If you checked Box D above but the basis reported to the IRS was incorrect. en er 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.
523012 1202.15
Form 8949 (2015)
12
EFTA00026300
Form 8949 (2015)
Attachment Sequence No. 12A
Page 2
Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side
Social security number or
taxpayer Identification no.
Before you check Box O. E. or F below. see whether you received any Form(s)1099-B or substitute statement(s) from your br er.
su siue
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
broker and may even tell you which box to check.
Part III 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 al long-term transactions reported on Form(s) 1099.8 showing bases was reported to the IRS and tar whtch no adjustments or
codes are required. Enter the totals directly on Schedule D. line 8a: you aren't required to report these transactions on Form 8949 (see instructions).
You must check Box D, E, or F below. Check only one box. F MVO than One box apples rot your long-term !react ins. complete a newel* FOOT 5949. pogo 2. tot each applicable box.
Itiyotbave mem longterm tonsactions man x111 to on Inc bags sot ono co mote 01 me boxes. complete as many terms wen me same box ChOCNE00 as you newt
(D) Longterm transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above)
(E) Long-term transactions reported on Form(s) 1099-B showing basis was not reported to the IRS
l_i (F) Longterm transactions not reported to you on Form 1099 8
1
(a)
Description of property
(Example: 100 sh. XYZ Co.)
(b)
Date acquired
(Mo.. day, yr.)
(e)
Date sold or
disposed of
(Mo.. day. yr.)
(d)
Proceeds
(sales price)
(e)
Cost or other
basis. See the
Note below and
see Column (e) in
the instructions
Adjustment, if any, to gain or
loss. If you enter an amount
in column (g), enter a code in
column (f . See Instructions.
(h)
Gain or (loss).
Subtract column (e)
from column (d) Si
combine the result
with column (9)
(11
crocos)
(9)
Amount of
adjustment
UBS Y1 23574 -
SEE STATEMENT D-1
232,131. 244,'572.M
0. <12,141.
UBS Y1 23574 -
SEE STATEMENT D-1
89.
0.M
O.
89.
2 Totals. Add the amounts in columns (d). (e), (9) and (h) (subtract
negative amounts). Enter each total here and include on your
Schedule D. line 8b (if Box D above is checked). line 9 (if Box E
above is checked). or line 10 (if Box F above is checked)
Igo
232,220.
244,272.
<12,052.
Note: If you checked Box D above but the basis reported to the IRS was incorrect. en er 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.
523012 12 02.15
Form 8949 (2015)
13
EFTA00026301
Qualified Dividends and Capital Gain Tax Worksheet - Line 44
Keep for Your Records
Nameis) shown on return
Your SSN
Before you begin: I
See the instructions for line 44 to see if you can use this worksheet to figure your tax.
I
Before completing this worksheet, complete Form 1040 through line 43.
I
If you do not 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 2555EZ (relating to foreign earned income), enter the amount from
line 3 of the Foreign Earned Income Tax Worksheet
2. Enter the amount from Form 1040. line 9b•
2.
119,551.
3. Are you filing Schedule Dr
III Yes. siva me smaller et line is or is of
Schedule 0. If elMet lino IS of line 161e
blank a a las. site 4'
C I No. Enke Ilaaarnown from Fern 1040. aro 13
4. Add lines 2 and 3
4.
119,551.
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.
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.
& Enter.
$ 37.450 if single or married filing separately,
$ 74.900 if manled filing jointly or qualifying widow(er).
50200 if head of household.
9. Enter the smaller of line 1 or fine 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 line 1 or line 6
13. Enter the amount from line 11
14. Subtract line 13 from line 12
15. Enter.
$ 413200 if single,
0.
0.
1.
6.
7.
8.
9.
10.
11.
12.
13.
14.
73,771.
119,551.
0 .
37,450.
37,450.
0 .
37,450.
73,771.
37,450.
36,321.
$ 232,425 if manled filing separately.
15.
413,200.
$ 464.850 if manled filing jointly or qualifying widow(er).
$ 439.000 if head of household.
16. Enter the smaller of line 1 or line 15
16.
73,771.
17. Add lines 7 and 11
17.
37,450.
18. Subtract line 17 from line 16. If zero or less. enter .0.
18.
36,321.
19. Enter the smaller of line 14 or Ine 18
19.
36,321.
20. Multiply line 19 by 15% (0.15)
20.
21. Add lines 11 and 19
21.
73,771.
22. Subtract line 21 from line 12
22.
0 .
23. Multiply line 22 by 20% (0.20)
23.
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.
25. Add lines 20, 23, and 24
25.
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.
27. Tax on all taxable Income. Enter the smaller of line 25 or fine 26. Also include this amount on Form
1040. line 44. If you are filing Form 2555 or 255.5•EZ, do not enter this amount on Form 1040. line 44.
Instead, enter it on line 4 of the Foreign Earned Income Tax Worksheet
27.
5,448.
0.
0.
5,448.
14,238.
5,448.
'If you are filing Form 2555 or 2555-EZ see the footnote in the Foreign Earned Income Tax Worksheet before completing this line.
510.51
01.07.16
14
EFTA00026302
SCHEDULE E
(Form 1040)
Depattmeni ol the I mousy
internal Revenue Service
KR)
Supplemental Income and Loss
(From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.)
Olo Attach to Form 1040, 1040NR, or Form 1041.
III, Information about Schedule E and its separate instructions is at wwwits.govischedulee.
OMB No. 15450074
2015
Alt:lzfmkit
NoquiarCo No 13
Name(s) shown on return
Your social security number
pan I I
Income or Loss From Rental Real Estate and Royalties Note: If you are in the business of renting personal property, use
Schedule C or C-EZ (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40.
A Did you make any payments in 2015 that would require you to file Form(s) 1099? (see instructions)
B If 'Yes.' did you or will you file required Forms 1099?
U
Yes LIU No
Yes 0
No
1a Physical address of each property (street. city, state. ZIP code)
B
C
lb
Type of Property
(from list below)
2 For each rental real estate property listed
above, report the number of fair rental and
personal use days. Check the WV box
only if you meet the requirements to file as
a qualified joint venture. See instructions.
Fair Rental
Days
Personal
Use Days
O.1V
A
6
A
LJ
B
B
U
C
C
U
Type of Property:
I Single Family Residence
2 Multi•FamiN Residence
Income:
I
Properties:
A
B
C
3
Rents received
. ,,, ,,, ,,,,,,,,, ,,, , ,
3
4
Royalties received
,,, ,, ,,,, ,,, , ,
4
9.
Expenses:
5
Advertising
6
Auto and travel (see instructions)
7
Cleaning and maintenance
8
Commissions
9
Insurance
10
Legal and other professional fees
11 Management fees
12
Mortgage interest paid to banks, etc
ee instructions)
13
Other interest
14
Repairs
15
Supplies
16
Taxes
17
Utilities
18
Depreciation expense or depletion
19 omorgiotAir.STMT 18
5
6
7
8
9
—
10
11
12
13
14
15
16
17
18
19
6.
20
Total expenses. Add lines 5 through 19
21 Subtract line 20 from line 3 (rents) and/or 4 (royalties). If result Is a
(loss). see instructions to find out if you must file Form 6198
22
Deductible rental real estate kiss after IMitation, if any, on
Form 8582 (see instructions)
23a Total of all amounts reported on line 3 for all rental properties
b Total of all amounts reported on line 4 for all royalty properties
c Total of all amounts reported on line 12 for all properties
d Total of all amounts reported on line 18 for all properties
e Total of all amounts reported on line 20 for all properties
24
Income. Add positive amounts shown on line 21. Do not include any losses
26
Losses. Add royalty losses from line 21 and rental real estate losses from
28
Total rental real estate and royalty Income or (loss). Combine lines 24
IV. and line 40 on page 2 do not apply to you, also enter this amount on
18. Otherwise. include this amount in the total on line 41 on page 2
20
6.
21
3.
22
1(
)
I
line 22. Enter total losses
and 25. Enter the result
Form 1040, line 17, or
23a
23b
9.
23c
23d
23e
6.
here
here. If Parts II, III,
Form 1040NR. line
24
3.
25
I
26
3.
LHA For Paperwork Reduction Act Notice, see the separate Instructions.
3 Vacation/Short•Term Rental
4 Commercial
5 Land
6 Royalties
7 Self Rental
8 Other describe
Schedule E (Form 1040) 2015
521491
I2•22• 15
15
EFTA00026303
Schedule (Fam 1040) 2015
hareem Nunn on totem lie not onus nacre and S0O Ai estuary number n shown on paeo
Muchmore Sequence No 13
PAC.° 2
Your social security number
PT
Caution. The IRS compares amounts reported on your tax return with amounts shover on Schedule(s) K-1.
Part II
Income or Loss From Partnerships and S Corporations Note: If you report a loss from an at-risk activity for which
any amount is not at risk. you must check column (e) on line 28 and attach Form 6198. See eistructions.
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 (if that loss was not reported on Form 8582), or unreimbursed partnership expenses?
0
Yes al No
If you answered Yes; see instructions before completing this section.
28
(a)Name
,ft, igf
orrz.zg
c cmc3
pa
ncrh
(d) Employer
identification number
le) Cluck It
MO
not at
amount*
risk
A
P
27-5238213
B
P
27-5238213
P
90-0907396
D
P
20-8875684
Passive Income and Loss
Nonpassive 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) Se tion 179 expense
deduc on from Form 4562
(j) Nonpassiv income
from Schedule K-1
A
1,736.
B
1,985.
C
0.
?I)
19.
95.
29a
Totals
b
Totals
30
Add columns (g) an
31
Add columns (f), (h)
32
Total partnership a
result here and include
95.
19.
3,721.
(j) of tine 29a
and (i) of line 29b
d S corporation income or (loss). Combine tines 30 and 31. Enter the
in the total on line 41 below
30
95.
31 (
3,740.
)
32
-3,645.
Part III I Income or Loss From Estates and Trusts
33
(a)Name
(b) Employer
identification number
A
B
Passive Income and Loss
Nonpassive Income and Loss
(c)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
(f) Other income from
Schedule K-1
A
B
343
Totals
b
Totals
-....Ens•-
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 resutt here and include in the total on line 41 below
35
36
(
)
37
Part IV Income or LOSS From Real Estate Mortgage Investment Conduiui s
s - ReSidual Holder
38
(a) Name
(b) Employer
identification number
(c)_Excess inclusion from
Schedules 12, line 2c
(see instructions)
(d) Taxable income (net
loss) from Schedules 0,
line lb
(e) Income from
Schedules 0, line 3b
39
Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below
39
PariV Summary
40
41
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 B; Schedule K-1
(Form 1120S), box 17, code V; and Schedule K-1 (Form 1041), box 14, code F (sn, instructions)
43
Reconciliation for real estate professionals. m - you were a real estate y0learonel (see instruction*
thew the net lawny or (lose) you rerealed anywhere on Form 1040 a Form 1040NR torn an rental real 0$1a10
ealviiine
'areal you mallereay oorticoalos under the Passive ante/ay lose wen
Net farm rental income or (loss) from Form 4835. Also, complete line 42 below
Total income or (loss). Combine Ins. 26. 32. 37, 39. end 40. Enter the Mart here and on Fain 1040.1lne IT. a Form l040NR. in, 18
40
41
42 I
43
-3,642.
521501
Schedule E (Form 1040) 2015
12-22-15
16
EFTA00026304
INCOME FROM PASSTHROUGH STATEMENT. PAGE 1
SCHEDULE E
Name OHISLAINE MAXWELL
P000through THE BLACKSTONE GROUP, LP
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 (nonpassive)
Nonpassive other
Total Schedule E •aee
Section 1231 gain (loss)
Section 179
Lure on di osibon
Net short-term cap. gain (loss)
Net long-term cap. gain (loss)
Section 1256 contracts & straddles
Investment interest expense • Sch. A
Other net investment income
Charitable contributions
Deductions related to portfolio income
Other
ID
20-8875684
SSN/EIN
2015
TAXPAYER
K•I Input
Prior Year Unallowe0
Basis Loss
Disallowed Due to
Basis Limitation
Prior Year Wallowed
At-Risk Loss
Disallowed Due to
At.Risk
Prior Year Passive
Loss
Disallowed Passive
Loss
Tax Return
3.
19.
lh,
15.
1.
-35.
95.
9h.
76.
96,
347.
-7.
1,471.
1,47 1.
17.
95.
9h.
21.
21.
521551
C4.01 -IS
EFTA00026305
INCOME FROM PASSTHROUGH STATEMENT. PAGE 2
SCHEDULE E
Name OHISLAINE MAXWELL
Passthrough THE BLACKSTONE GROUP, LP
OTHER PASSIVE
Interest income
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Taxexempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's MIT adjustment
Depletion (other than oil)
Other
MISCELLANEOUS
Selfemployment earnings (lossyVYages
Gross farming & 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
ID
20-8875684
SSN/EIN
2015
TAXPAYER
11;•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
416.
416.
126.
126.
53.
10.
10.
9.
9.
6.
6.
7
18
521552
C4.01-15
EFTA00026306
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1
SCHEDULE E
Name GHISLAINE MAXWELL
PaSSNWOugMCARGOMETRICS TECHNOLOGIES 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 (nonpassive)
Nonpassive other
Total Schedule E (page 2)
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULE D
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
ID
90-0907396
SSN/EIN
2O15
TAXPAYER
K.1 Input
Prior Year Unallowed
Basis Loss
Disallowed Due to
Basis Limitation
Prior Year Unallovted
At-Risk Loss
Disallowed Due to
At-Risk
Prior Year Passive
Loss
Disallowed Passive
Loss
Tax Return
-118,351.
-118,351.
4,275,
122,626.
-118,351.
4 , 275.
122,626.
19
521551
C4.01 -IS
EFTA00026307
INCOME FROM PASSTHROUGH STATEMENT. PAGE 2
SCHEDULE E
Name GHISLAINE MAXWELL
Passthrough CARGOMETRICS TECHNOLOGIES LLC
PARTNERSHIP
OTHER PASSIVE
Interest income
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Taxexempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's MIT adjustment
Depletion (other than oil)
Other
MISCELLANEOUS
Selfemployment earnings (lossyVYages
Gross farming & 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 1O4O
Penalty on early withdrawal of savings
NOL
Other taxes/recapture of credits
Credits
Casualty and theft loss
ID
90-0907396
SSN/EIN
2O15
TAXPAYER
Ict 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
75.
75.
-118 351.
119 361.
4,569.
4,569.
20
521552
C4.01-15
EFTA00026308
INCOME FROM PASSTHROUGH STATEMENT, PAGE 1
SCHEDULE E
Name OHISLAINE MAXWELL
Passthrough ALPHAKEYS 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 (nonpassive)
Nonpassive other
Total Schedule E (page 2)
FORM 4797
Section 1231 gain (loss)
Section 179 recapture on disposition
SCHEDULE D
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
ID
27-5238213
SSN/EIN
2015
TAXPAYER
K•1 Input
Prior Year Unalloyed
Basis Loss
Disallowed Due to
Basis Limitation
Prior Year Unalloyed
At-Risk Loss
Disallowed Due to
At-Risk
Prior Year Passive
Loss
Disallowed Passive
Loss
Tax Return
-1,736.
-1,736.
-1,736.
-1,985.
1.985.
-3,721.
3.721.
6.
6.
25.
25.
252.
252.
21
521551
C4.01 -IS
EFTA00026309
INCOME FROM PASSTHROUGH STATEMENT. PAGE 2
SCHEDULE E
Name OHISLAINE MAXWELL
Passthrough ALPHAK EPS MILLENNIUM FUND L .L . C.
PARTNERSHIP
NONPASSIVE
Interest income
Interest from U.S. bonds
Ordinary dividends
Qualified dividends
Taxexempt interest income
FORM 6251
Depreciation adjustment after 12/31/86
Adjusted gain or loss
Beneficiary's AMT adjustment
Depletion (other than oil)
Other
MISCELLANEOUS
Selfemployment earnings (lossyVYages
Gross farming & 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
ID
27-5238213
SSN/EIN
2015
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
269.
269.
893.
893.
681.
681.
327.
22
521552
C4.01-15
EFTA00026310
Schedule E
2015
T
T Y
SP
J E
Schedule K-1 Line Reference: (1065/1120S/104 I)
1/1:6
2t2/7
3i3,8
•
5/4/1
•
ga/5a/2a
nee
8/7/3
9a/8a/4a
4/T
Entity
No.
Ad.
No.
Name
Ordinary
Income
(Loss)
Rental Real
Estate
Inc. (Loss)
Other Rental
Income
(Loss)
Passive
Activity
Loss C/0
MIT Passive
Activity Loss
G/0
Interest
US Treasury
Bond
Interest
Dividends
Royalties
Shan-Tam
Groom
Daln1Loss)
Net Long.
orm coot.
Gain Mos.)
Gisafalt(141d
Payment,'
10 Partner
TP
3
3 ALPHAKRYS MILLENNIUM FUND, L.L.
-1,736.
269.
893.
681.
6.
T P
2
2 ZARCONETRICS TECHNOLOGIES LLC
-118,351.
4,275.
4,275.
75.
77
1
1 THE BLACKSTONE GROUP, LP
3.
19.
416.
126.
9.
1,471.
Totals
Component of:
-120,084.
:9.
4,275.
4,275.
760.
893.
807.
9.
uthamot.
Papa 2.
vinous
Scnodolo F.
Page 2.
WOWS
Schadale E.
Papa 2
va,,,,a,„
Form 8582
Line 3c
1.°r°
85
L
8
in
2
e
A
3
li4T
c
, Schedule B,
Line 1
Schedule B,
Line 1
Papa
Schedule B,
Line 5
Soren*. E.
Lava
Sctiadtaa D
LMe 5
Saladulo D.
Fine 12
Schecklig .
2.
vinous
9Cloackie 9.1
line Petarenor
(1065/1nostioaii
10/9/*
•
11/10/*
nnv•
12/11/'
13/121
13,12/^
13/12/*
*/*
20/17/14
13/T
•
14P/4
17/15/12
T/12
/112
Entity
No.
Act.
No.
Section 1231
Gain (Loss)
Ordinary
Gain (Loss)
Form 4797
Other
Income
Charitable
Contributions
50%
Section 179
Expense
u.idurec.,5
Ho' cl.."Aielitoo
,t,,,,,,12ss1
Other
Deductions
Investment
Int. Expense
(Schedule A)
Investment
Int. Expense
(Schedule E)
Investment
Income
SE Health
Insurance
Premium
Wages tOf
ihn Than 2"
shrforiowers
Net SE
Earnings
AMT Dept
Aeon Pon
.86, 0prey
Minimum
Tax
mosimora
Exclusion
Items
3
3
5,310.
252.
1,565.
2
2
75.
-118351
1
4.
21.
38.
Totals
Component of:
347.
5,310.
4.
273.
38.
17.
1,985.
75.
-118351
Form 4797,
Line 2
Form 4797,
Line 10
baradukti-
Perla 2.
Welous
SChOdule A.
Lille. ma 17
Form 4562.
Line 6
Schedule A,
Line 23
bcisAnt
Pape 2.
watts
Schedule A.
Line 14
sthduNE•
Page 2.
WOWS
Form 4952.
Line 4a
Form 1040,
Line 29
Form 1040,
Line 7
smocks SE
Line2
Form 6251,
Fine 19
Form 9251.
Una IS
2015
Form 8801
• - No specific Schedule K-1 line reference for these amounts.
5280T1 04.01-15
23
EFTA00026311
Schedule E
2015
SON:Alio K. I
Line 8919retics:
(1065/i120S/104H
17/151'
15/13/13
1511-
-P110
*/*/11
18/16/14
18/161"
nor
•
.
•
Entity
No.
Act.
No.
ALIT Adj.
Gain or
Loss
Low Income
Housing Cr
Pre '08
Low Income
Housing Cr
Post '07
Estate Tax
Deduction
Excess
oorkinkin
on •
tomlinalion
Tax-exempt
Interest
Income
Other
Tax-exempt
Income
Nondeduc-
tible
Expenses
Section 1231
PAL
Carryover
seci,‘,:d:123i
Pg.
carryover
ST Capital
PAL
CM
MIT
ST Capital
PAL c../o
LT Capital
Pa "
MIT
LT Capital
PAL C/O
Form 4797
Ordinary
PAL C,/0
MIT 4797
Ordinary
PAL G10
3
3
3.
Totals
Component of:
3 .
Form 6251,
Line 18
Form 8586
Line 4
Form 8586
Line 11
Schedule A.
Line 28
Schedule A,
Line 23
Schedule 8,
Line 1
Schedule B.
Line 1
Perm emn
Line 4
Rook L.,.
Form 8582,
Line 3c
8 582rl"2
AMT,
Line3c
Form 8582,
Line 3c
4
11 f/ATm
i .r,
Line3c
Form 13582.
Lhe 30
assFr Avn..
1119 30
Form 5582.
Lhe 30
8SSF2 AMT.
111930
80890ul9 K-1
Lim R444444100:
(1055/I 1203/104 II
• ir
13/12/'
13/12/*
13/12/'
131^/'
13/T
11/10/5
•
9c/8cac
20/17/"
*
T/9
13/12/'
*
Entity
No.
Act.
No.
Section 179
Carryover
Chatitil310
Conutot10.18
3094 804474
Chamoble
Contdbullons
3016 3090474
Choltot4o
COntrbullom
2016
Keogh
Payments
SEP
Payments
IRA
contreosane
Other
Portfolio
ncome (loss'
elver
Ncopornollo
Novato*
income
Jnrecaptured
Section 1250
Gain
Investment
Expenses
hvesimem
lomose
cm (gen. El
uonoaream
ovi-noria
osn'anotoon
Amortization
Related to
portion
iinni:74)
Medical
=aymenie for
216 O•Inet
1
95.
16.
Totals
Component of:
95.
16.
Form 4562,
Line 10
Sch90Ao A.
Limo 16 & 17
Scoodtto A.
Lines 160 I 7
Schedule A.
Linos M a 17
Form 1040,
Line 28
Form 1040,
Line 28
Form 1040,
Line 32
Scnedma1-
Page
1/(11101
2,
.5
'mots a.
various
\09029
Line
Schedule D,
19
Form 4952,
Line 5
Form 4952,
Line 2
$ChOCUO E.
LIAO 33
SCI1Odula A.
Line n3
Seller**, A
LOB I
528072 04.01-15
•
- No specific Schedule K-1 line refe ence for these amounts.
24
EFTA00026312
Schedule E
2015
Entity
No.
AcL
No.
schwule t
PAcanivg
liwy
lai c/0
Scroliee
Passive
Ltkosa
e.,. „,._:._,
ST Capital
PAL C/O
AMT
ST Capital
PAL C/0
LT Capital
PAL CI°
AMT
LT Capital
PAL C/0
Section
1231 PAL
C/0
AMT
Section 1231
PAL CA)
Ordinary
PAL
C./0
AMT
Ordinary
PAL C/0
Schedule E
At-Risk
Carryover
AMI
Schedule e
At-Feek
canyon(
ST Capital
At-Risk
carryover
Ami
m cap"
Al-RIsk
cassava,
.
LT Capital
At-Risk
Carryover
4)Ai
LT Capital
At-Risk
caf,„,,,,,,
2
2
122,626, 122,626.
Totals
122,626. 122,626.
Entity
No.
AcL
No.
Section 1231
At-Risk
Carryover
Amr
Sect ion 1231
At-Feek
Carryover
Form 4797
OrOlna2
Al-RIsk
Ceerymer
AM
1 arm 4797
On:Mary
4t 1415.1/4 GO
Creditable
ConfrierMons
Al-Risk
Carryover
AM1
Charitable
Conlfibutms
At.R.* 0/0
ScAction 1:•,
EAltrA
-H7r1
.'
CO
A'! I
ScE"(‘n.r.
179
40
/11.11ek CA)
Ponlollo
Income
DatirCe0e03
At-Risk C/O
K0001.
SEP. RA
A1-111sk
0/0
AM1
Keogh.
SEP. IRA
Al-AS cro
Other
At-Risk
Carryovers
MAT OVA,
Al-RIsk
carryovers
Totals
- No specific Schedule K-1 line reference for these amounts.
25
EFTA00026313
Schedule E
2015
SchomMeml
LineROwetim
(1055/112ov Iwo 6b/5b/2b
11/10r
nrr
13/12/14
13/12r
15/13r
15/13/13
15/13/13
15113r
15/13r
20/17/13
*fie
EMity
No.
Act.
No.
Qualified
Dividends
Sec. 1256.
Contractsa
Straddles
Dependent
Care Benefits
erection
Activities
MEMO
Employers
W-2 Wages
U"
Stnburei
capital owns
EmPeNtemenl
zone Cr"'
mC;(934
01esirZ
Research
AttivelaS
New Markets
Credit
Credit for SS
& Medicare
Taxes
Rcoaottee of
c A ticome
i- , = iri Cram
Royalty/
Depletbn
Expenses
3
3
377.
25.
7
2
4,569.
1
hr.
13.
Totals
Component of:
380.
25.
4,569.
13.
Form 1040,
Line 9b
Form 6781,
Line 1
Form 2441
Line 14
Form 8903.
Line 7
Form 8903,
Line 15
Form 1040.
Line 70
Form 8844.
Line 3
Form 6765.
Line 37
Form 8874.
Line 2
Form 8846.
Line 5
Form 8611.
Line 8
Schedule E.
Page 1 or 2
Schedule K.1
LIne Shirteremato
•
.
.
•
•
'
.
.
(1065111208/10411
Entity
No.
Act.
No.
Schedule E
Basis
Carryover
Mai
schedules
Basis
Cenyinter
ST
Basis
Carryover
AMT
Basis
Carryover
LT
Basis
Carryover
AMT
LT Basis
Carryover
Sec. 1231
Basis
Carryover
AV T
ii,:,
ii."..,,,,..,
4797-Ord
Basis
Carryover
MAT
4T9T-OAT
Bab
carryover
Other
Basis
Carryovers
AMT
Other
Bale
cam/avers
Totals
Component Of:
Mims
UmItall0n
Worksheet
Basis
Limitation
Worksheet
tiara*
L limitation
W0rkSheel
!fasts
Limitation
Worksheet
Batas
L 'Mahan
Weittheet
Flake
Limitation
Worksheet
Basis
Limitation
Wooksheet
OS
Limitation
Workshop'
Bass
Limitation
Worksheet
Hass
Limitation
workmen
Has
Limitanon
WorkShOet
Basis
Limitation
Wookshoet
528076 04-01-15
- No specific Schedule K-1 line reference for these amounts.
26
EFTA00026314
Schedule E
Publicly Traded Partnerships
Name of Activity:
THE BLACKSTONE GROUP, LP - ACTIVITY NO. 1
Activity net income
Activity net loss
Prior year unallowed losses
Net income (loss)
Total loss allowed from the PTP for 2015
Disallowed losses from this PTP
Form or Schedule
SCH E
FORM 4797
Gain/Loss
-19.
347.
347.
-19.
328.
19.
Prior Year
Carryover 0.
0.
Net Gain/Loss
-19.
347.
Unallowed Loss
Allowed Loss
19.
328.
328.
19.
Activity net income
Activity net loss
Prior year unallowed losses
Net income (loss)
Total loss allowed from the PTP for 2015
Disallowed losses from this PTP
Alternative Minimum Tax
338.
9.
Alternative minimum tax adjustment
10 .
Form or Schedule
SCH E
FORM 4797
Gain/Loss
347.
Prior Year
Carryover
Net Gain/Loss
Unallowed Loss
Allowed Loss
0.
0.
347.
9.
338.
338.
9.
510331
04.01-IS
27
EFTA00026315
Schedule of Mineral Interest Properties - Summary
ldenti in Number
ame
Taxable income including NOL carryover ,
Plus allowable depletion
Minus cost depletion
Taxable income before % depletion
65% of taxable income
73, Ir L.
Property
Number
Property
Description
Gross
Income
Royalty
Paid
Severance
Tax
Operating
Expense
IDC
Expense
Dry Hole
Costs
Other
Expenses
Depreciation
Amortization
Overhead
Expense
Net Income
Before
Depletion
LP
,
21.
A ,
12.
-1 OIALS
11.
Z.
1-
12
Property
Number
Property
Description
%
Depletion
% Depletion
Limited to
Net Income
Daily
Production
(Barre°
Quantity
Limitation
Rate
% Uepfetion
After Ouantity
Limitation
Cost •
Depletion
Prior Year %
Depletion
C/O
Greater of
Cost or %
Depletion
% Depletion
1st Iteration
Allocation
Ratio
. Limited 3'
Depletion
% DFeinpaletion
I
Iteration
1.0DUOUC
DIALS
Property
Number
Property
Description
Reallocation
Ratio
• Allowable
Depletion
Net Income
After
Depletion
% Depletion
CIO To
Next Year
Excess
Depletion
Beginning
Accum.
IDC
Amortized
E
e
Expense
" Net Income
for Excess
IDC Cale.
Excess
IDC
• Cost
Depletion for
65% Limit
Reserved Reserved
12,
IOIALS
ll.
Property
Number
Property
Description
Beginning
Recover
ables
Production
Ending
Recoverable&
Basis
Beginning
Accum.
on
Depletion
Adjusted
Basis
Cost
Depleti
Rate
Cost
Depletion
• Allowable
Depletion
Ending
Accum.
Depletion
Reserved Reserved
OIALS
513601
03.0I-I5
"Limited % Depletion' has been limited o 65% of axable Income
"Allowable Depletion" Greater of Percentage Depletion' or 'Cost Depletion' after
calculation for the 65% taxable income Imitations or 'Non-Oil & Gas Depletion"
"Net Income for Excess IOC CALC' - has been reduced by 'Allowable Depletion' and 'Excess IOC' has been added back.
"Cost Depletion for 65% Limitation - Used for computation of taxable income limitation statement for AMT
otal excess Intangible Onllng Cost
Less 65% of Net Income fo Excess IDC Calculation
Excess Intangible Drilling Cost Preference
EFTA00026316
Fans 1116
Department 01 the Norman
inhere, Revenue Service PR
Name
Foreign Tax Credit
(Individual, Estate, or Trust)
P. Attach to Form 1040, 1040NR, 1041, or 990-1.
lb. Information about Form 1116 and its separate instructions is at www.irs.gov/form1116.
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 IM Passive category income
e
Section 901(j) income
e
Lump-sum distributions
b Q
General category income
d 0
Certain income re-sourced by treaty
OMB No. 1545-0121
2015
AnACIVIOnl
Sequence No 19
Identifying number x. Shown an molar you' lax Kam
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! and line Ain Part 71. If you paid taxes tomore than one
foreign country or U.S. possession, use a separate column and line for each country or possession.
PaVd—I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
9
Enter the name of the foreign country or U.S
possession
0.
la Gross income from sources within country shown above
and of the type checked above:
Forei n Country or U.S. Possession
Total
(Add cols. A, B, and C.)
A
B
C
OTHER
COUNTRIES
ITED
INGDOM
la
73,512.
51,257.
22,255.
b Check if line la 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) ..
lo. 0
25,113.
Deductions and losses (Cautlorilroreistruchon4;
2
Expenses definitely relatedto
iw
(attach statement)
gk
tili a 19
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
6
Add lines 2.3g. 4a, 4b, and 5
98.
6
160,355.
160,355.
160,355.
160,355.
51,257.
22,255.
471,259.
471,259.
.10877
.04722
17,442.
7,573.
17,540.
7,573.
7 Subtract line 6 f om line 1a. Enter the result here and on line 5. page 2
Pa'
7
48,399.
Part II Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
cheek one)
g (h) El Paid
8 (I)
m..
Foreign taxes paid or accrued
In foreign currency
In U.S. dollars
Taxes withheld at source on:
(n)Other
foreign
taxes paid or
Taxes withheld at source on:
(r) Other
foreign
taxes paid or
(s)Total foreign
taxes paid or
accrued (add cols.
(k) DOM9 ACK O) igyna 4,,,r (m) Interest
accrued
(o) DNS:Sends
IN trr iatr
(q) Interest
accrued
(o) through (r))
(1) ragard
A
8,307.
8,307.
B
C
8 Add lines A through C, column (s). Enter th total here and on line 9. page 2
Ill'I l3
8,307.
LHA For Paperwork Reduc ion Act Notice, see instructions.
Form 1116 (2015)
511501
11.30.15
29
EFTA00026317
Form 1116 (2015) GH I SLAINE MAXWELL
rPartilli
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
8,307.
10 Carryback or carryover (attach detailed computation)
10
11 Add lines 9 and 10
11
8,307.
12 Reduction in foreign taxes
12
13 Taxes reclassified under high tax kickout
13
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 Slates (before adjustments) for the category of income checked above Part I
15
48,399.
16 Adjustments to line 15
16
14,680.
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 mare than
one Form 1116, you must complete line 20.)
17
63,079.
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
77,771.
Caution: If you figured your tax using the lower rates on qualified dividends or capital gams, see Instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1'
20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, 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 and 37
Caution: if you are completing line 20 for separate category° (lump-sum distributions), see Instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
22 Enter the smaller of tine 14 or tine 21.8 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
OP'
Page 2
Part IV I
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income I
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 990-1, line 40a
23
24
26
28
4,419.
1.
14
8,307.
19
.81109
20
5,448.
21
4,419.
22
4,419.
27
4,420.
28
4,420.
29
30
4,420.
Form 1116 (2015)
511511
M3045
30
EFTA00026318
Form 1116
Department ol the Raman
inmenal Revenue Service KIR
Name
Foreign Tax Credit
(Individual, Estate, or Trust)
la. Attach to Form 1040, 1040NR, 1041, or 990-1.
► Information about Form 1116 and its separate instructions is at www.irs.gov/form1116.
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 CI
Passive category income
e
Section 901(j) income
e
Lump-sum distributions
b IM General category income
d 0
Certain income re-sourced by treaty
OMB No. 1545-0121
2015
AnACIVIOnl
Sequence No 19
Identifying numbers Shown co pogo I or you' lax velum
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! and line Ain Part II. If you paid taxes tomore than one
foreign country or U.S. possession, use a separate column and line for each country or possession.
PrVd-I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
g
Enter the name of the foreign country or U.S
possession
go
la Gross income from sources within country shown above
and of the type checked above:
Forel n Country or U.S. Possession
Total
(Add cols. A, B, and C.)
A
B
C
OTHER
COUNTRIES
la
19.
19.
_
b Check if line la 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)
la. 0
7.
Deductions and losses (Caut/orir grtstrucnon4:
2
Expenses definitely related to the income on line la
(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 fines 3a and 3b
d Gross foreign source income
e Gross income from all sources
r Divide fine 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
6
Add fines 2. 3g. 4a, 4b, and 5
6
160,355.
160,37'5.
19.
471,259.
.00004
7.
7.
7 Subtract line 6 f om line Ia. Enter the result here and on line 15. page 2
110. 7
12.
Part II Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
.g.
check one)
g (h) Weald
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.
(o) through (r))
o (I) OAcauea
L)
(I) gtzidd
(k) DOM9 ACK (IJ igynar
(m) Interest
(o) Dividends
tillt;i4.244
(q) Intel
A
2.
2.
B
C
8 Add lines A through C, column (5). Enter th total here and on line 9, page 2
Pi' I 8
2.
LHA For Paperwork Reduc ion Act Notice, see instructions.
Form 1116 (2015)
511501
11.30. IS
31
EFTA00026319
Form 1116 (2015) GH I SLAINE MAXWELL
rPartilli
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
2.
10 Carryback or carryover (attach detailed computation)
10
11 Add lines 9 and 10
11
2.
12 Reduction in foreign taxes
12
13 Taxes reclassified under high tax kickout
13
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 Slates (before adjustments) for the category of income checked above Part I
15
12.
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 mare than
one Form 1116, you must complete line 20.)
17
12.
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
77,771.
Ca uti on: If you figured your tax using the lower rates on qualified dividends or capital gams, see instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1'
20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, 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 and 37
Caution: if you are completing fine 20 for separate category° (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
22 Enter the smaller of tine 14 or tine 21.8 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
OP'
Page 2
14
2.
19
.00015
20
5,448.
21
1.
22
1.
Part IV I
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income I
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 990-1, line 40a
23
24
25
28
27
28
29
30
Form 1116 (2015)
511511
M3045
32
EFTA00026320
For. 3800
Dapattmr: <4
Ireasemy
WPM* Renanoe Service
(9
harmer.) Wort on return
General Business Credit
► Information about Form 3800 and its separate instructions is at www.irs.goviform3800.
go. You must attach all pages of Form 3800, pages 1, 2, and 3, to your tax return.
OMB No 1545-0895
2015
Attacnmonl
Sequence Pro 22
I Part I I 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 III with box A checked
2
Passive activity credits from line 2 of all Pasts III with box Et checked
I 2 I
2 9 .
3
Enter the applicable passive activity credits allowed for 2015 (see instructions)
4
Carryfonvard of general business credit to 2015. Enter the amount from line 2 of Part III with
box C checked. See instructions for statement to attach
6
Carryback of general business credit from 2016. Enter the amount from line 2 of Part III with
box D checked
6
Add lines 1. 3. 4. and 5
tien:R ing number
1
3
0.
4
5
6
art
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, Schedulet..
lines la and 1b; 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
• Estates and trusts. Enter the amount from Schedule I (Form 1041), line 56
9 Add lines 7 and 8
10a Foreign tax credit
b Certain allowable credits (see instructions)
e Add lines 10a and 10b
4,420.
7
5,448.
8
27,605.
9
33,053.
11 Net income tax. Subtract line 10c from line 9. If zero, skip lines 12 through 15 and enter O• on line 16
12 Net regular tax. Subtract line 10c from line 7. If zero or less, enter O.
12
13
13 Enter 25% (.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, line 33
• Corporations. Enter the amount from Form 4626. line 12
14
• Estates and trusts. Enter the amount from Schedule I
(Form 1041), line 54
15 Enter the greater of line 13 or line 14
1,028.
28,633.
16 Subtract line 15 from line 11. If zero or less, enter .0.
17 Enter the smaller of line 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 (2015)
10c
4,420.
11
28,633.
15
28,633.
16
0.
17
0.
511491
I2-23-15
33
EFTA00026321
Form 3800 (2015)
Part III Allowable Credit (Continued)
Note. If you are not required to report any amounts on lines 22 or 24 below, skip lines 18 through 25 and enter -0- on line 26.
18 Multiply line 14 by 75% (.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
21 Subtract line 17 from line 20. If zero or less, enter
22 Combine the amounts from line 3 of all Parts III with box A C, or D checked
23 Passive activity credit from line 3 of all Parts III with box B checked
24 Enter the applicable passive activity credit allowed for 2015 (see instructions)
25 Add lines 22 and 24
26 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
30 Enter the general business credit from line 5 of all Pans III with box A checked
23
18
Page 2
19
20
21
22
31 Reserved
32 Passive activity credits from line 5 of all Parts III with box 8 checked
32
24
25
26
0.
27
28,633.
28
29
28,633.
30
31
33 Enter the applicable passive activity credits allowed for 2015 (see Instructions)
34 Carryfonvard of business credit to 2015. Enter the amount from line 5 of Part III with box C checked
and line 6 of Pan Ill with box G checked. See instructions for statement to attach
35 Carryback of business credit from 2016. 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 yea'. Add lines 28 and 37.
Report the amount from line 38 (if smaller than the sum of Part I. line 6. and Part II, lines 25 and 36,
see instructions) as indicated below or on the applicable brie 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
33
34
35
36
37
38
Form 3800 (2015)
514402
1292.15
34
EFTA00026322
Form 3800 (2015)
Page 3
Memo) Sheri on return
Ident
I
number
I Part 111
General Business Credits or Eligible Small Business Credits(see instructions)
Complete a separate Part III for each box checked below. (see instructions)
A
General Business Credit From a NorWassive Activity
E
Reserved
B IM General Business Credit From a Passive Activity
F
Reserved
C
C
General Business Credit Carryforwards
G
Eligible Small Business Credit Canyforwanis
General Business Credit Carrybacks
H
Reserved
I
If you are filing more than one Part III with box A or B checked, complete and attach first an additional Part III combining amounts from all
Parts III with box A or B checked. Check here if this is the consolidated Past III
tal Description of credit
Note. On any line where the credit Is from more than one source, a separate Part III is
needed for each pass•tNouoh entity.
la Investment (Form 3468, Part II only) (attach Form 3468)
b Reserved
c Increasing research activities (Form 6765)
STMT 20
d Lowincome lousing (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)
j
Small employer pension plan startup costs (Form 8881) (see instructions for limitation)
k
Employerprovided child care facilities and services (Form 8882) (see instructions
for limitation)
I
Biodlesel and renewable diesel fuels (attach Form 8864)
m Low sulfur diesel fuel production (Form 8896)
n Distilled spirits (Form 8906)
o
Nonconventional source fuel
p
Energy efficient home (Form 8908)
q Energy efficient appliance
r
Alternative motor vehicle (Form 8910)
s
Alternative fuel vehicle refueling property (Form 8911)
t
Reserved
u Mine rescue team training (Form 8923)
Agricultural chemicals security (cern/tom/3rd only)
w Employer differential wage payments (Form 8932)
x
Carbon dioxide sequestration (Form 8933)
y
Qualified plugin electric drive motor vehicle (Form 8936)
z
Qualified plug•in electric vehicle (canyforward only)
aa New hire retention (canyforward only)
bb General credits from an electing large partnership (Schedule Ic1 (Form 1065.8))
zz Other
2
Add lines la through lzz and enter here and on the applicable line of Part I
2 9 .
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 Lowincome housing (Form 8586, Part II)
e Renewable electricity. refined coal, and Indian coal production (Form 8835)
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
Reserved
j
Reserved
z
Other
5
Add lines 4a through 4z and enter here and on the applicable line of Part II
6
Add lines 2, 3. and 5 and enter here and on the applicable line of Part II
6
2 9 .
II
(b)
donning the Weal from a
pass-IM:rugn slily, enter the EIN
is
ib
10. O
(e)
Enter the appropriate amount
c 90-0907396
29
id
is
11
1
1h
i
1j
1k
11
1m
1n
to
1p
1q
1r
is
1t
1u
1v
1w
1x
1y
1z
1aa
lbb
lzz
2
3
4a
4b
4-c
4d
4.e
41
4g
4h
4i
4j
4z
5
514403 M-23-15
FG•I'l 3800 r2015I
35
EFTA00026323
Form 4797
Deparbrienl a Ito Troosmy
Internal ROvOnue Service
NamerS}Sn0wn on return
Sales of Business Property
(Also Involuntary Conversions and Recapture Amounts
Under Sections 179 and 280F(bX2))
Pro Attach to your tax return.
OMB No. 1545.0184
2015
Arlochmont
v
► Information about Form 4797 and its separate Instructions Is at www.trs.gov/form4797.
Sequoia
n
No.
I
1
I
(dying number
1 Enter the gross proceeds from sales or exchanges reported to you for 2015 on Form(s) 1099.8 or 10995
(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 Involuntary Conversions From
Other Than Casualty or Theft-Most Property Held More Than 1 Year (see instructions)
(a)OooMpBon
01 ixopety
2
(b) Data 004tared
(no,. day. 5T,)
CO Date*Cid
(mo.. deg. yr.)
(d) Gross solos
price
(e) D°Pn'aab"
allowed or
allowable soma
au:Manion
(f) cost a aha
era Pkt9
irripr0vemante end
Maws. of solo
(g) gain or (loss)
Subfla (*tom Me
Sum MOB BIM (.1
THE BLACKSTONE
GROUP, LP
347.
3
Gain, if any, from Form 4684. line 39
4
Section 1231 gain from installment sales from Form 6252. line 26 or 37
5
Section 1231 gain or (loss) from like-Mind exchanges from Form 8824
6
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 11205, 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 did not 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 0% 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
347.
8
9
Part
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.
5,310.
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, erne 25 or 38
15
16
Ordinary gain or (loss) from likekind exchanges from Form 8824
16
17
Combine Ines 10 through 16
.
17
5,310.
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 past of the loss here. Enter
the past of the loss from incomeproducing 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 (loss) on line 17 excluding the loss, if any on line 18a. Enter here and on
Form 1040. line 14
18a
18b
5,310.
WA For Paperwork Reduction Act Notice, see separate Instructions.
Form 4797 (2015)
sisal,
12.75.15
EFTA00026324
Form 4797 (2015)GHI SLAINE MAXWELL
Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255 (see instructions)
Part III
19 (a) Description of section 1245, 1250, 1252, 1254, or 1255 property:
(b) Date acquired
(rm.. day. yr.)
(c) Date sold
(mo., day, yr.)
A
B
C
D
These columns relate to the properties on
lines 19A through 19O.
Ili.
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 line 21
24 Total gain. Subtract line 23 from line 20
20
21
22
23
24
26 If section 1245 property:
a Depreciation allowed or allowable from line 22
b Enter the smaller of line 24 or 25a
25a
25b
26 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 is not more than line 26a, skip
lines 26d and 26e
d Additional depreciation after 1969 and before 1976
e Enter the smaller of line 26c or 26d
I Section 291 amount (corporations only)
g Add lines 26b. 26e, and 26f
26a
266
26c
26d 0.0
4‘
26e
126f
26g
27 If section 1252 properly: Skip this section if you did not
dispose of farmland or if this form is being completed for
a partnersh0 (other than an electing large partnership)
a Soil, water, and land clearing expenses
b Line 27a multiplied by appkable percentage
e Enter the smaller of line 24 or 27b
27a
IS
A
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 Ill 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
I Part IV I
30
31
32
Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less
(see instnictions)
33 Section 179 expense deduction or depreciation allowable in prior years
34 Recomputed depreciation (see instructions)
35 Recapture amount. Subtract line 34 from line 33. See the instructions for where to report
(a) Section
179
(b) Section
280F(bX2)
33
34
35
510312 le-28.15
37
Form 4797 (2015)
EFTA00026325
Form 6251
DoperImam of Its Beasley
Imp/no/ Nevem. SONIC.
(99)
Alternative Minimum Tax - Individuals
► Information about Form 6251 and its separate instructions is at www.irs.govIlorm6251.
Ile Attach to Form 1040 or Form 1040NR.
Name(s) shown on Form 1040 or Form 1040NR
OMB No. 1545.0074
2015
Mtadssit as
$4<pssof No 32
Your social security number
Part I I Alternative Minimum Taxable Income
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 Medical and dental. If you or your spouse was 65 or older, enter the smaller of Schedule A (Form 1040), line 4.
or 2.5% (.025) of Form 1040. line 38. If zero or less, enter 0-
3 Taxes from Schedule A (Form 1040). line 9
4 Enter the home mortgage interest adjustment, If any, from line 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 $154.950 or less, enter
Otherwise, see Instructions
7 Tax refund from Form 1040. line 10 or line 21
8 Investment Interest expense (difference between regular tax and AMT)
9 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
apt
14 Exercise of incentive stock options (excess of AMT income over regular tax income)
15 Estates and trusts (amount from Schedule K1 (Form 1041), box 12, code A)
16 Electing large partnerships (amount from Schedule K1 (Form 1065.8). 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)
19 Passive activities (difference between AMT and regular tax income or loss)
SEE STATEMENT 21
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 income)
23 Mining costs (difference between regular tax and AMT)
24 Research and experimental costs (difference between regular tax and AMT)
25 Income from certain installment sales before January 1. 1987
26 Intangible drilling costs preference
27 Other adjustments, including income-based related adjustments
28 Alternative minimum taxable Income. Combine lines 1 through 27. (If married fling separately and line 28 is
more than $246,250. see instructions.)
1
77,771.
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
119,703.
40,652.
0.
10.
28
238,136.
Part it I Alternative Minimum Tax (AMT)
29 Exemption. (If you were under age 24 at the end of 2015. see instructions.)
IF your filing status is...
AND line 28 Is not over...
THEN enter on line 29...
Single or head of household
$119.200
$53.600
Married filing jointly or qualifying wiclow(er)
158.900
83,400
Married filing separately
79.450
41.700 STMT 2
If line 28 is over the amount shown above for your filing status, see Instructions.
30 &Ban, lino 29 from lino 28.1t mom than zero. go 101139 31. II into off lea. enter .0. nom and on loos 31.33. and 35. and 9010 lino 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 $185,400 or less ($92,700 or less if maMed filing separately), multiply line 30 by
26% (.26). Otherwise, multiply line 30 by 28% (.28) and subtract $3,708 ($1,854 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, line 44, refigure
that tax without using Schedule J before completing this line (see instructions)
35 AMT. Subtract line 34 from line 33. If zero or less. enter -0.. Enter here and on Form 1040, line 45
Misr is LHA
For Paperwork Reduction Act Notice, see your tax return instructions.
38
29
23,866.
30
214,270.
31
36,942.
32
33
8,309.
28,633.
34
35
1,028.
27,605.
Form 6251 (2015)
EFTA00026326
Form 625 J20
Part III I 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 255.5EZ, enter the amount from
line 3 of the worksheet in the instructions for line 31
36
214,270.
Page 2
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 line 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
119,551.
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
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 NAT, if necessary). If you are filing Form 2555 or
255.5EZ. see instructions for the amount to enter
39
119,551.
40 Enter the smaller of line 36 or line 39
40
119,551.
41 Subtract line 40 from line 36
41
94,719.
42 If line 41 is $185,400 or less ($92,700 or less if married filing separately), multiply line 41 by 26% (.26). Otherwise
multiply line 41 by 28% (.28) and subtract $3,708 ($1.854 if manled filing separately) from the result
► 42
24,627.
43 Enter:
• $74.900 if manled filing jointly or qualifying widow(er).
• $37.450 if single or married filing separately, or
43
37,450.
• $50200 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 41. If you
are filing Form 2555 or 255.5EZ, see instructions for the amount to enter
44
O.
46 Subtract line 44 from line 43. If zero or less. enter 4:).
45
37,450.
46 Enter the smaller of line 36 or line 37
46
119,551.
47 Enter the smaller of line 45 or line 46. This amount is taxed at 0%
47
37,450.
48 Subtract line 47 from line 46
49 Enter:
• $413200 if single
• $232,425 if maMed filing separately
• $464.850 if manled filing jointly or qualifying widow(er)
• $439.000 if head of household
50 Enter the amount from line 45
50
37,450.
61 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
If you are filing Form 2555 or Form 2555EZ,
see instructions for the amount to enter
52 Add line 50 and line 51
52
37,450.
53 Subtract line 52 from line 49. If zero or less, enter 43-
53
375,750.
54 Enter the smaller of line 48 or line 53
54
82,101.
55 Multiply line 54 by 15% (.15)
Pl. 56
12,315.
56 Add lines 47 and 54
56
119,551.
If lines 56 and 36 we the same, skip lines 57 through 61 and go to line 62. Otherwise, go to line 57.
57 Subtract line 56 from line 46
0 .
58 Multiply line 57 by 20% (.20)
►
II line 38 is zero or blank, skip lines 69 through 81 and go to Ilne 82. Otherwise, go to line 69.
59 Add lines 41. 56, and 57
60 Subtract line 59 from line 36
61 Multiply line 60 by 25% (.25)
►
62 Add lines 42. 55. 58, and 61
62
36,942.
63 If line 36 is $185,400 or less ($92,700 or less if married fill* separately), multiply line 36 by 26% (.26).
Otherwise, multiply line 36 by 28% (28) and subtract $3,708 ($1.854 if married filing separately) from the result
63
56,288.
64 Enter the smaller of line 62 or line 63 here and on line 31. If you are filing Form 2555 or 255.5EZ, do not enter
this amount on line 31. Instead, enter it on line 4 of the worksheet in the instructions for line 31
64
36,942.
37
38
48
82,101.
49
413,200.
51
57
58
59
60
61
519591 01-11.16
39
Form 6251 (2015)
EFTA00026327
Name(s)
Social Security Number
Form
Name
Dose, peon
Income
Adjustment
Form 6251. Line 17
Form 6251, Line 18
Form 6251. Une 19
Form 6251. Line 20
Form
1
Other Adjustment
E -
\THE BLACKSTONE GROUP,
LP - PTP
* REGULAR INCOME
AMT ADJUSTMENTS
* AMT NET INCOME
* * TOTAL ADJ & PREF * *
I
19.
10.
9.
I
1
10.
10.
5199u
04.01.15
EFTA00026328
Fain 1116
Docortment of Ms !moon
InNenal Rayon.. Smola BO)
Name
Foreign Tax Credit
(Individual, Estate, or Trust)
► Attach to Form 1040, 1040NR, 1041, or 990-1.
In. Information about Form 1116 and its separate instructions is at www.irs.gov/form1116.
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 IM Passive category income
e
Section 901(j) income
e
Lump-sum distributions
b Q
General category income
d 0
Certain income re-sourced by treaty
OMB No. 1545-0121
2015
AnACIVIOnl
Sequence No 19
Identifying numbers shown al molar
yotr lax velum
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! and line Ain Part 11. If you paid taxes tomore than one
foreign country or U.S. possession, use a separate column and line for each country or possession.
PaVd—I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
9
Enter the name of the foreign country or U.S
possession
li.
la Gross income from sources within country shown above
and of the type checked above:
Forei n Country or U.S. Possession
Total
(Add cols. A, B, and C.)
A
B
C
OTHER
COUNTRIES
ITED
INGDOM
la
73,512.
51,257.
22,255.
b Check if line la 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) ..
lo. 0
98.
Deductions and losses (Deutiorir gr ikistruchon4:
2
Expenses definitely related to the income on line 1a
(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 tines 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
6
Add tines 2.3g. 4a, 4b, and 5
98.
6
51,257.
22,255.
471,259.
471,259.
.10877
.04722
98.
7 Subtract line 6 f om line 1a. Enter the result here and on line 15. page 2
Pa'
7
73,414.
Part II Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
cheek one)
g (h) El Paid
8 (I)
Accrued
Foreign taxes paid or accrued
In foreign currency
In U.S. dollars
Taxes withheld at source on:
(n)Other
foreign
taxes paid or
Taxes withheld at source on:
(r) Other
foreign
taxes paid or
(s)Total foreign
taxes paid or
accrued (add cols.
(k) DOM9 ACK (IJ igy2,44
(m) Interest
accrued
(o) ON0:tondo
WI tgyn244
(q) Wenost
accrued
(o) through (r))
U) ragard
A
8,307.
8,307.
B
C
8 Add lines A through C, column (s) Enter th total here and on line 9, page 2
Ill'I l3
8,307.
LHA For Paperwork Reduc ion Act Notice, see instructions.
Form 1116 (2015)
511501
11.30.15
41
EFTA00026329
Form1116(2M5) GHISLAINE MAXWELL
Pbarflifl
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
8,307.
10 Carryback or carryover (attach detailed computation)
10
11 Add lines 9 and 10
11
8,307.
12 Reduction in foreign taxes
12
13 Taxes reclassified under high tax kickout
13
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 Slates (before adjustments) for the category of income checked above Part I
15
73,414.
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 mare than
one Form 1116, you must complete line 20.)
17
73,414.
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
238,136.
Ca uti on: If you figured your tax using the lower rates on qualified dividends or capital gams, see instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1'
20 Individuals: Enter the amounts from Form 1040, lines 44 and 46.1f you are a nonresident aRen, 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 and 37
Caution: if you are completing fine 20 for separate category° (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
22 Enter the smaller of tine 14 or tine 21.8 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
OP'
Part IV I
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income I
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 990-1, line 40a
23
24
26
28
8,307.
2.
Page 2
14
8,307.
19
.30829
20
36,942.
21
11,389.
22
8,307.
27
8,309.
28
8,309.
29
30
8,309.
Form 1116(2015)
511511
M3045
42
EFTA00026330
Form 1116
Department ol the Raman
InNenal Revenue Service KIR
Name
Foreign Tax Credit
(Individual, Estate, or Trust)
► Attach to Form 1040, 1040NR, 1041, or 990-1.
In. Information about Form 1116 and its separate instructions is at www.irs.gov/form1116.
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 Q
Passive category income
e
Section 901(j) income
e
Lump-sum distributions
b IM General category income
d 0
Certain income re-sourced by treaty
OMB No. 1545-0121
2015
AnACIVIOnl
Sequence No 19
Identifying numbers Shown in pogo I or you lax velum
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! and line Ain Part 11. If you paid taxes tomore than one
foreign country or U.S. possession, use a separate column and line for each country or possession.
PaVni i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
g
Enter the name of the foreign country or U.S
possession
lo
la Gross income from sources within country shown above
and of the type checked above:
Forel n Country or U.S. Possession
Total
(Add cols. A, B, and C.)
A
B
C
OTHER
COUNTRIES
la
19.
1 9 .
_
b Check if line la 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)
la. 0
Deductions and losses (Caudisrir grnstrucnon4:
2
Expenses definitely related to the income on line la
(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 fines 3a and 3b
d Gross foreign source income
e Gross income from all sources
r Divide fine 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
6
Add lines 2. 3g. 4a, 4b, and 5
6
19.
471,259.
.00004
7 Subtract line 6 f om line Ia. Enter the result here and on line 15. page 2
OP 7
19.
Part II Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
.g.
check one)
g (h) LXJ Paid
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.
(o) through (r))
o (I) OAcauea
L1
(I) razz%
(k) DOMI9ACK (IJ V ynVer:d
(m) Interest
(o) Dividends
tin Ig ynlqad
(q) Interest
A
2.
2.
B
C
8 Add lines A through C, column (5). Enter th total here and on line 9, page 2
III' I 8
2.
LHA For Paperwork Reduc ion Act Notice, see instructions.
Form 1116 (2015)
511501
11.30. IS
43
EFTA00026331
Form 1116 (2015) GHISLAINE MAXWELL
rPartilli
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
2.
10 Carryback or carryover (attach detailed computation)
10
11 Add lines 9 and 10
11
2.
12 Reduction in foreign taxes
12
13 Taxes reclassified under high tax kickout
13
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 Slates (before adjustments) for the category of income checked above Part I
15
19.
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 mare than
one Form 1116, you must complete line 20.)
17
19.
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
238,136.
Ca uti on: If you figured your tax using the lower rates on qualified dividends or capital gams, see Instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1'
20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, 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 and 37
Caution: if you are completing fine 20 for separate category° (lump-sum distributions), see instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
22 Enter the smaller of tine 14 or tine 21.8 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
OP'
Page 2
14
2.
19
.00008
20
36,942.
21
3.
22
2.
Part IV I
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income I
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 990-1, line 40a
23
24
25
28
27
28
29
30
Form 1116 (2015)
511511
M3045
44
EFTA00026332
Form 4952
Department of the Treasesy
Internal Sevres,. Service
(99)
Investment Interest Expense Deduction
► Information about Form 4952 and Its instructions is at www.its.govilorm4952.
Pro Attach to your tax return.
CiVH Nn 1545.0101
2015
Attach-Tic...it
„
Sogance No 0 I
Nameis) shown on return
Identifying number
Part I I Total Investment Interest Expense
1
Investment interest expense paid or accrued in 2015 (see instructions)
SEE STATEMENT 23
1
2
Disallowed investment interest expense from 2014 Form 4952, line 7.
2
3
Total Investment interest expense. Add lines 1 and 2
3
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 24
b Qualified dividends included on line 4a
c Subtract line 4b from line 4a
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)
f Subtract line 4e from line 4d
4a
245,760.
4b
119,551.
4d
2,002.
2,002.
4c
126,209.
4e
g Enter the amount from lines 4b and 4e that you ele
o Include in Investment income
(see instructions)
h Investment income. Add lines 4c. 4f. and 4g
5
Investment expenses (see instructions)
SEE STATEMENT 25
6
Net Investment income. Subtract line 5 from line 4h. If zero or less, enter .0.
Part III I Investment Interest Expense Deduction
41
49
4h
126,209.
5
34,528.
6
91,681.
7
Disallowed investment interest expense to be carried forward to 2016. Subtract line 6 from line 3.
If zero or less. enter
8
Investment Interest expense deduction. Enter the smaller of line 3 or 6. See instructions
STMT 26
LHA
For Paperwork Reduction Act Notice, see separate instructions.
7
0.
8
2,002.
Form 4952 (2015)
51(801
11.02.15
45
EFTA00026333
Form 4952
Department of the Treasesy
Internal Sevres,. Service
(99)
Nameis) shown on return
Investment Interest Expense Deduction
► Information about Form 4952 and Its instructions is at www.its.govilorm4952.
► Attach to your tax return.
CiVH Nn 1545.0101
2015
Attach-Tic...it
„
Sogance No 0 I
Identifying number
Part I I Total Investment Interest Expense
1 Investment interest expense paid or accrued in 2015 (see instructions)
SEE STATEMENT 27 1
2
Disallowed investment interest expense from 2014 Form 4952, line 7.
2
3
Total Investment interest expense. Add lines 1 and 2
3
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)
b Qualified dividends included on line 4a
c Subtract line 4b from line 4a
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)
f Subtract line 4e from line 4d
4a
245,760.
4b
119,551.
4d
2,002.
2,002.
4c
126,209.
g Enter the amount from lines 4b and 4e that you ele
o Include in Investment income
(see instructions)
h Investment income. Add lines 4c. 4f. and 4g
5
Investment expenses (see instructions)
6
Net Investment income. Subtract line 5 from line 4h. If zero or less, enter .0.
Part III I Investment Interest Expense Deduction
41
49
4h
126,209.
5
6.
6
126,203.
7
Disallowed investment interest expense to be carried forward to 2016. Subtract line 6 from kne 3.
If zero or less. enter
8
Investment Interest expense deduction. Enter the smaller of line 3 or 6. See instructions
LHA
For Paperwork Reduction Act Notice, see separate instructions.
7
0.
8
2,002.
Form 4952 (2015)
REGULAR FORM 4952, LINE 8
2,002.
LESS RECOMPUTED FORM 4952, LINE 8
2,002.
INTEREST ADJUSTMENT - FORM 6251, LINE 8
51(801
11.02.15
46
EFTA00026334
Form 8960
Dopattment 01 Ito Treastay
Weenie Revenue Sennett (90)
Net Investment Income Tax -
Individuals, Estates, and Trusts
O. Attach to your tax return.
lo Information about Form 8960 and its separate Instructions Is at www.irs.govirom78960.
OW No 1545.2227
2015
Attachment
Sentsanhe No. 72
Name(s) shown on your tax return
Part I
Investment Income U
Section 6013(g) election (see instructions)
Section 6013(h) election (see instructions)
Regulations section 1.1411.10(g) election (see instructions)
1
Taxable interest (see Instructions)
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 nonsection 1411 trade or business (see instructions) STATEMENT 28
c
Combine lines 4a and 4b
6a
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)
d Combine lines 5a through 5c
6
Adjustments to investment income for certain CFCs and PFICs (see instructions
7
Other modifications to investment income (see instructions)
8
Total investment income. Combine lines 1. 2, 3. 4c. 5d. 6. and 7
Part II
Investment Expenses Allocable to Investment Income and Modifications
9a
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
10
Additional modifications (see instructions)
11
Total deductions and modifications. Add lines 9d and 10
Part III Tax Computation
12
Net investment income. Subtract Part II. line 11 from Part I, line 8. Individuals complete lines 13-
17. Estates and trusts complete lines 18a21. If zero or less, enter
Individuals:
13
Modified adjusted gross income (see Instructions
14
Threshold based on filing status (see instructions
14
13
243,496.
15
Subtract line 14 from line 13. If zero or less, enter -O.
15
16
Enter the smaller of line 12 or line 15
17
Net investment income tax for individuals. Multiply line 16 by 3.8% (.038).Enter here and
Include on your tax return (see instructions)
Estates and Trusts:
18a
Net investment income One 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 0.
19a
Adjusted gross income (see instructions)
b Highest tax bracket for estates and trusts 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
4a
Your social security number or EIN
-3,642.
1
2
3
63,088.
182,240.
4b
1,736.
Se
2,310.
55bc
-5,310.
4c
-1,906.
5d
6
7
8
-3,000.
240,422.
9a
9b
9c
17.
34,263.
34,522.
9d
10
11
68,802.
68,802.
18b
18c
19a
19b
19c
21
Net investment income tax for estates and trusts. Multiply line 20 by 3.8% (.038). Enter here
and Include on yew tax return (see instructions)
LHA For Paperwork Reduction Act Notice, see your tax return Instructions.
Form 8960 (2015)
200,000.
43,496.
12
171,620.
16
43,496.
17
1,653.
20
21
523121
12.10.15
47
EFTA00026335
Lin
5a-5d - Net Gains
Losses
r
Keep for Your Records
1.
Beginning Net Gains and Losses
(A)
Capital gains/posses)
Form 1040, Line 13, or
Form 1041. Line 4
(B)
Ordinary gains/Oct.-sea)
Form 1040, Line 14, or
Form 1041. Line 7
Total of columns (A) • (El)
-3,000.
5,310.
Enter MN amount on Ina Ss
2,310.
2.
Gains and Losses excluded from Net Investment Income, use current year amounts for lines 2a-2g and 21.
(a) Enter net gains from the disposition of property used in a
nonsection 1411 trade or business (enter as negative
amounts):
Name of Trade or Business
Amount
(
) (
5,310 . )
Emet this amount on Ins 5o
-5,310.
SEE STATEMENT 29
(
)
(
)
(b) Enter net losses from the disposition of property used in a
nonsection 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 469(O(1)(k)
(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 nonsection 1411 trade or
business
(e) Enter the net gain attributable to the net unrealized
appreciation (NUA) in employer securities
(I)
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 longterm capital gain for regular income tax
purposes under section 1293(aX10)
(g) Enter any other gains and losses included ki 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 20) of this worksheet from
your prior tax year retum 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
(i)(1) or 0(2) as a negative number
(I)(1) If the sum of the amounts reported on lines 2(a).2(h)
and line 3(d), column (A), is greater than zero, enter that
amount here. Otherwise, enter 0 on line 2(i) and go to
line 20)
4.
(
i
-5,310.
0.
(
0 .
OR
(iX2) The amount of capital loss carried over to next
year (Schedule D (Form 1040), line 16, less the amount
allowed as a current deduction on Schedule D (Form 1040).
iine 21) entered as a positive number , 6,295,291.
(j)
Sum of lines 2(a)-2(I)
3.
Adjustment for Gains and Losses attributable to the
disposition of interests in partnerships and S corporations ,
Add fines 1, 26) and 3
-3,000.
Emet this amount on Ins 5c
Emet this amount on We 54
-3,000.
47.1
EFTA00026336
Line 7 - Deduction Recoveries Worksheet
NEW YORK
Keep for Your Records
1. Enter total amount of recovery included in gross income
1.
0 .
• Do not include recoveries of items that are included in net Investment
income in the year of recovery (included on lines 1.6).
• Do not include recoveries of items if the amount relates to a deduction
taken in a tax year beginning before 2013.
• Do not include recoveries of items if the amount relates to a deduction
taken in a tax year beginning after 2012, and you were not subject to the
NIIT solely because your MAGI was below the applicable threshold.
CAUTION
This rub does not apply if you incurred a net operating loss (NOL) in such
year, and a portion of such NOL constitutes a section 1411 NOL.
2. Amount of the recovery that would have been included in gross income but
for the application of the tax benefit rule under section 111
2.
17,622.
3. Total amount of recovery (add lines 1 and 2)
3.
17,622.
4. Enter the percentage of the deduction allocated to net investment income
in the prior year. (If the deduction was not allocated between investment
income and non investmeM income, enter 100%.)
4.1.000000000
5. Enter the lesser of (a) line 3 muftiplied by line 4, or (b) the total amount deducted on the prior
year Form 8960 attributable to item recovered (after any deduction limitations imposed by
section 67 or 68)
s.
17,622.
Calculation of recoveries when the deduction is not taken into account in computing your section 1411 NOL
6. Muftiply hne 5 by .038
.
6.
670.
7. Enter the amount of net investment income In the year of the deduction
(previous years Form 8960. line 12. unless line 12 is zero. then previous
year's Form 8960. line 8 minus line 11)
7.
152,575.
8. Add the amount of line 5 to line 7
8.
170,197.
9. Using the previous year's Form 8960. recalculate the NIIT for the year of
the deduction by replacing the amount reported on line 12 with the amount
reported on line 8 of this worksheet (do not use the net investment income
reported on that year's Form 8960. line 12). Enter your recalculated NIIT
here
9.
1,273.
10. Enter the NIIT reported for the year of the dedu
10.
1,273.
11. Subtract line 10 from line 9
11.
0 .
12. Enter the smaller of line 6 or roe11
12.
0.
13. Divide line 12 by 3.8% (line 12 + .038). Enter the result here and include on
Form 8960 line 7
13.
0 .
Calculation of recoveries when the deduction is taken Into account in computing your section 1411 NOL
14. Enter the amount of the section 1411 NOL in the year of the deduction
(entered as a positive number)
14.
15. Enter the amount of the section 1411 NOL in the year of the deduction
recomputed without the amount on line 5 (entered as a positive number,
but not less than zero)
15.
16. Subtract line 15 from line 14. Enter the result here and include on Form 8960. line 7
16.
523241
01.18.16
47.2
EFTA00026337
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 will be reported):
Description
Line
Amount
(a)
SEE STATEMENT 30
(b)
2. Enter the total of all items listed in line 1
2.
34,522.
3. Enter the amount of all Miscellaneous Itemized Deductions after the
application of the section 67 limitation (Schedule A (Form 1040),
Me 27)
3.
40,652.
4. Enter the lesser of the total reported on line 2 or line 3
4.
34,522.
Part II - Application of Section 67 Limitation to Specific Deductions
rail
(B)
IF line 3 is less than
line 2. THEN divide
--
line 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, Ine 1.
(B).
(6).
Description
Line
Amount
(a)
SEE STATEMENT 31
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 after the appAcatIon of the section 68 limitation.
Estates or trusts - Enter the amounts in column (C) in the appropriate location on lines 9 and 10. Do not complete Parts
Ill or IV of this worksheet.
Keep for Your Records
523251
01.MM
47.3
EFTA00026338
Lines 9 and 10 - Application of Itemized Deduction Limitations on
Deductions Properly Allocable to Investment Income Worksheet -
continued
Keep for Your Reccros
Part Ill - Application of Section 68 to deductions property 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 32
Amount
(b)
2. Enter the amount of state, local, and foreign income taxes that are properly
allocable to investment income
2.
34,263.
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 will 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,
line 40
165,725.
6. Enter all other itemized deductions allowed but not subject to the section
deduction limitation:
(a) Investment Interest Expense
(b) Casualty Losses (other than losses described in
section 165(cX1))
(c) Medical Expenses
(d) Gambling Losses
68,785.
(e) Total of lines 6(a) through 6(d)
et
17.
7. Subtract line 6e from Me 5
7.
165,708.
& Enter the lesser of line 7 or line 4
8.
TIP
68,785.
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 IV of this worksheet to reconcile this amount to the individual deduction amounts reported
on Form 8960, lines 9 and JO.
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:
Description
Line
Amount
1.
(a)
SEE STATEMENT 33
(b)
2. State, local, and foreign income taxes
Itemized Deductions Subject to Section 68 included on Line
3 of Part III:
3.
(a)
(b)
X
X
34,263. x
X
X
(B)
IF Part III, line 8 is less
than Part III. line 4,
THEN divide line 8 by
line 4 AND enter the
amount in column (B).
IF the amounts
reported on Part III.
lines 4 and 8 are
equal. THEN enter
1.00 in column (81.
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.
34,263.
5232520M8-16
47.4
EFTA00026339
For, 8960
Net Investment Income Tax -
Individuals, Estates, and Trusts
2015
NEW YORK
Name(s)
Your s cial securi number or EIN
Part I
Investment Income U
Section 6013(g) election
Regulations section 1.1411.10(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 nongualified plans
4a
Rental real estate, royalties, partnerships, S corporations, trusts,
etc. (Form 1040, line 17; or Form 1041, line 5)
b Adjustment for net income or loss derived in the ordinary course of
a ncrisection 1411 trade or business
e
Combine lines 4a and 4b
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
•
Adjustment from disposition of partnership interest or S corporation
stock
d Combine Ines 5a through 5c
6
Changes in investment income for certain CFCs and PFICs
7
Other modifications to investment income
8
Total investment income. Combine lines 1. 2. 3. 4c. 5d. 6. and 7
Part II
State Income Tax Pro-ration for 2015 Income Tax P
9
State total income
10
State income tax payments for 2015
11
2015 state income tax payments attributable to investment income. line 8 divided by line 9 times line 10
Part III State Income Tax Pro-ration for 2014 Estimate Pa ments Made in 2015
12
State estimate payments for 2014
13
Percent of state income taxes attributable to investment income for 2014
14
2014 state estimate payments attributable to investment income. Line 12 times line 13
Part IV State Income Tax Pro-ration for Balance of Prior Years Tax Plus Extension Pa
a
4a
-3,642.
1
2
3
72,195.
182,240.
4b
1,736.
5a
2,310.
sb
-5,310.
keel
4c
-1,906.
5d
6
7
8
-3,000.
249,529.
9
10
11
252,694.
24,571.
24,263.
y
12
13
14
ments Paid in 2015
15
Balance of prior years tax plus extension payments paid in 2015
15
10,000.
16
Percent of state income taxes attributable to investment income for 2014
16
1.000000
17
Balance of prior years tax and extension payments attributable to investment income. Line 15 times line 16
17
10,000.
Part V
Reduction of State Tax Deduction
18
Reduction of state tax deduction
18
19
Percent of state income taxes attributable to investment income for 2014
19
20
Reduction of state tax deduction attributable to investment income. Line 18 times line 19
20
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
34,263.
Form 8960 (2015)
523161
07.24.15
47.5
EFTA00026340
,..8801
Departmenl 01 the Treasesy
Internal Revenue Service
Cag)
Credit for Prior Year Minimum Tax -
Individuals, Estates, and Trusts
► Information about Form 8801 and its separate instructions is at www.irs.govilom78801.
90 Attach to Form 1040, 1040NR, or 1041.
OMB No. 1545- ID75
2015
Aztatiimani
SaCIUAft44 NO 74
Name(s) shown on return
Identifying number
Part I I Net Minimum Tax on Exclusion Items
1 Combine lines 1, 6. and 10 of your 2014 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 4} here and on line 15 and go to Part II. If more
than $242,450 and you were married filing separately for 2014. see instructions
6 Enter: $82,100 if married filing jointly or qualifying widow(er) for 2014; $52,800 if single or head of household for
2014; or $41,050 if married filing separately for 2014. Estates and trusts, enter $23,500
6 Enter: $156,500 if married filing jointly or qualifying widow(er) for 2014; 5117.300 If single or head of household
for 2014; or $78,250 if married filing separately for 2014. Estates and trusts, enter $78,250
7 Subtract line 6 from line 4. If zero or less, enter •l} here and on line 8 and go to line 9
8 Multiply line 7 by 25% (025)
9 Subtract fine 8 from line 5. If zero or less, enter
If under age 24 at the end of 2014. see Instructions
10 Subtract line 9 from line 4. If zero or less, enter 4> here and on line 15 and go to Part II. Form
1040NR filers, see instructions
11 • If for 2014 you filed Form 2555 or 2555.EZ. see instructions for the amount to enter.
• If for 2014 you reported capital gain distributions directly on Form 1040, line 13; you reported qualified
dividends on Form 1040, line 9b (Form 1041. line 2b(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 line 55 here. Form 1040NR filers, see instructions.
• All others: If line 10 is $182.500 or less ($91,250 or less if married filing separately for 2014). multiply line 10
by 26% (026). Otherwise, multiply line 10 by 28% (0.28) and subtract $3.650 ($1.825 if married filing separately
for 2014) 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 2014 Form 6251, line 34. or 2014 Form 1041. Schedule I. line 55
15 Net minimum tax on exclusion items. Subtract line 14 from line 13. If zero or less, enter 6-
LHA
For Paperwork Reduction Act Notice, see Instructions.
Form 8801 (2015)
1
58,041.
2
175,468.
3
4
233,509.
5
52,800.
6
117,300.
7
116,209.
8
29,052.
9
23,748.
10
209,761.
11
35,456.
12
1,120.
13
34,336.
14
1,459.
15
32,877.
519851
09.02.'5
48
EFTA00026341
Form 8801 (2015)
-Pace
2
I Part III Minimum Tax Credit and Carryforward to 2016
16 Enter the amount from your 2014 Form 6251. line 35. or 2014 Form 1041. Schedule I, line 56
16
32,878.
17 Enter the amount from line 15
17
32,877.
18 Subtract line 17 from line 16. If less than zero, enter as a negative amount
18
1 .
19 2014 credit carryforward. Enter the amount from your 2014 Form 8801, line 26
20 Enter your 2014 unallowed qualified electric vehicle credit (see instructions)
21 Combine lines 18 through 20. If zero or less. stop here and see the instructions
21
1 .
22 Enter your 2015 regular income tax liability minus allowable credits (see instructions)
22
1,028.
23 Enter the amount from your 2015 Fonn 6251. line 33. or 2015 Form 1041. Schedule I. line 54
23
28,633.
24 Subtract line 23 from line 22. If zero or less. enter 0. .
24
0 .
19
20
25 Minimum tax credit. Enter the smaller of line 21 or line 24. Aso enter this amount on your 2015
Form 1040. line 54 (check box b); Form 1040Na line 51 (check box b): or Form 1041, Schedule G.
line 2c
26 Credit carryforward to 2016. Subtract line 25 from line 21. Keep a record of this amount because
you may use it in future years
26
1 .
25
0.
Form 8801 (2015)
519882
09.02.15
49
EFTA00026342
Form 8801
15)
Part III
Tax Computation Using Maximum Capital Gains Rates
Complete Part III only if you are required to do so by line 11 or by the Foreign Earned Income Tax Worksheet in the instructions.
-Pace
3
Caution: If you didn't complete the 2014 Qualified Dividends and Capital Gain Tax Worksheet,
the 2014 Schedule D Tax Worksheet, or Part V of the 2014 Schedule D (Form 1041), see the
instructions before completing this part. '
27
Enter the amount from Form 8801, line 10. If you filed Form 2555 or 2555•EZ for 2014, enter the
amount from line 3 of the Foreign Earned Income Tax Worksheet in the Instructions
27
Caution: If for 2014 you filed Form 1040NR, 1041, 2555, or 2555EZ, see the instructions before
completing lines 28, 29, and 30.
28
Enter the amount from line 6 of your 2014 Qualified Dividends and Capital Gain Tax Worksheet,
the amount from line 13 of your 2014 Schedule D Tax Worksheet, or the amount from line 26 of
the 2014 Schedule D (Form 1041), whichever applies'
28
If you figured your 2014 tax using the 2014 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 2014 Schedule D (Form 1040), or line 18b. column (2), of the
2014 Schedule D (Form 1041)
29
30
Add lines 28 and 29, and enter the smaller of that result or the amount from line 10 of your 2014
Schedule D Tax Worksheet
30
31
Enter the smaller of line 27 or line 30
31
32
Subtract line 31 from line 27
32
33
If line 32 is $182,500 or less ($91,250 or less if married filing separately for 2014), multiply line 32
by 26% (0.26). Otherwise, multiply line 32 by 28% (0.28) and subtract $3,650 ($1,825 if married fliir4
separately for 2014) from the result. Form 1040NR filers, see instructions
i
lob 33
34
Enter
• $73,800 if married filing Jo:My or qualifying widow(er) for 2014,
• $36,900 if single or married filing separately for 2014,
• $49,400 if head of household for 2014. or
>
34
209,761.
123,149.
123,149.
123,149.
86,612.
22,519.
36,900.
• $2,500 for an estate or trust.
Form 1040NR filers, see instructions.
36
Enter the amount from line 7 of your 2014 Qualified Dividends and Capital Gain Tax Worksheet, the
amount from lite 14 of your 2014 Schedule D Tax Worksheet, or the amount from line 27 of the 2014
Schedule D (Form 1041), whichever applies. If you didn t complete either worksheet or Part V of the
2014 Schedule D (Form 1041). enter the amount from your 2014 Form 1040, line 43. or 2014 Form
1041, line 22, whichever applies: if zero or less, enter -0. F011111040NR filers, see instructions
35
36
Subtract line 35 from line 34. If zero or less. enter 0-
38
37
Enter the smaller of line 27 or line 28
37
38
Enter the smaller of line 36 or line 37 cl i
n
k
38
39
Subtract line 38 from line 37
39
40
Enter
• $406,750 if single for 2014,
• $228,800 if married filing separately for 2014,
• $457,600 if married filing jointly or qualifying widow(er) for 2014,
• $432200 if head of household for 2014, or
• $12,150 for an estate or trust.
Form 1040NR filers. see instructions.
123,149.
36,900.
86,249.
40
406,750.
41
Enter the amount from line 36
41
36,900.
42
Form 1040 filers, enter the amount from line 7 of your 2014 Qualified Dividends and Capital Gain Tax
Worksheet or the amount from line 19 of your 2014 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
2014 Schedule D (Form 1041) or line 18 of your 2014 Schedule D Tax Worksheet, whichever apples. If
you didn't complete either the worksheet or Part V of the 2014 Schedule D (Form 1041), enter the amount
from your 2014 Form 1041, line 22; if zero or less, enter 0.. Form 1040NR filers, see instructions
42
^ The 2014 Qualified Dividends and Capital Gain Tax Worksheet is in the 2014 Instructions for Form 1040. The 2014 Schedule D Tax Worksheet is in the 2014 Instructions
for Schedule D (Form 1040) (or the 2014 Instructions for Schedule D (Form 1041)).
519883
09.02.15
50
Form 8801 (2015)
EFTA00026343
Form 8801 2015)
Part III
Tax Computation Using Maximum Capital Gains Rates (continual)
43
Add lines 41 and 42
44
Subtract line 43 from line 40. If zero or less, enter .0.
45
Enter the smaller of line 39 or line 44
46
Multiply line 45 by 15% (0.15)
47
Add lines 38 and 45
If lines 47 and 27 are the same, skip lines 48 through 62 and go to Une 63. Otherwise, go to
line 48.
48
Subtract line 47 from line 37
49
Multiply line 48 by 20% (0.20)
If line 291s zero or blank, skip lines 60 through 62 and go to line 63. Otherwise, go to line 60.
50
Add lines 32, 47 and 48
51
Subtract line 50 from line 27
52
Multiply line 51 by 25% (0.25)
53
Add lines 33, 46, 49, and 52
54
If line 27 is $182.500 or less ($91,250 or less if married filing separately for 2014), multiply line 27
by 26% (0.26). O0lerwise, multiply line 27 by 28% (0.28) and subtract $3,650 ($1,825 if married filing
separately for 2014) from the result. Form 1040NR filers, see instructions
56
Enter the smaller of line 53 or line 54 here and on line 11. If you filed Form 2555 or 2555EZ for
2014, 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
-Pace
4
43
44
45
46
47
36,900.
369,850.
86,249.
12,937.
123,149.
48
49
0.
50
51
52
53
54
55
35,456.
55,083.
35,456.
Form 8801 (2015)
519854
09-02.15
51
EFTA00026344
Form 1116
Department of tiw (moon
inmenal Revenue Swim KO)
Name
FORM 8801
Foreign Tax Credit
(Individual, Estate, or Trust)
P. Attach to Form 1040, 1040NR, 1041, or 990-1.
lb. Information about Form 1116 and its separate instructions Is at www.irs.gov/form1116.
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 IM Passive category income
Section 901(j) income
b Q
General category income
d 0
Certain income re-sourced by treaty
OMB No. 1545-0121
2014
AttelC5O111111
SMoloo0o No 19
Identifying number x. shown co pogo I of you' IDX MUM
e EJ 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! and line Ain Part 71. If you paid taxes tomore than one
foreign country or U.S. possession, use a separate column and line for each country or possession.
PaVd—I i Taxable Income or Loss From Sources Outside the United States (for Category Checked Above)
9
Enter the name of the foreign country or U.S
possession
Ilk.
la Gross income from sources within country shown above
and of the type checked above:
Forei n Country or U.S. Possession
Total
(Add cols. A, B, and C.)
A
B
C
OTHER
COUNTRIES
ITED
INGDOM
la
128,182.
106,055.
22,127.
b Check if line la 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) ..
pi. 0
11.
Deductions and losses (Caut/ori:rristrucnon4:
2
Expenses definitely related to the income on line la
(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
r Divide fine 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
6
Add lines 2. 3g. 4a, 4b, and 5
11.
6
1677055.
22,127.
369,869.
369,869.
.286737
.059824
11.
7 Subtract line 6 f om line la. Enter the result here and on line 15. page 2
NI,
7
128,171.
Part II Foreign Taxes Paid or Accrued
Credit is claimed
for taxes
(you must
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.
(o) through (r))
g (h)
Paid
8 (I)
Accrual
w m
e%
(k) 0151d9Ath
(I) Itjit .i4d
(m) imagist
(o) Divkionds
IPI132244
(q) Instil
A
B
C
8 Add lines A through C, column (s). Enter the total here and on line 9, page 2
Ill'Ill
For Paperwork Redo ion Act Notice, see instructions.
Form 1116 (2014)
511491
04.01.15
52
EFTA00026345
FORM 8801
Form 1116 (2014) 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
1,120.
10 Carryback or carryover (attach detailed computation)
10
11 Add lines 9 and 10
11
1,120.
12 Reduction in foreign taxes
12
13 Taxes reclassified under high tax kickout
13
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 Slates (before adjustments) for the category of income checked above Part I
15
128,171.
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 avid for the category of income
you checked above Part I. Skip lines 18 through 22. However, if you are filing mare than
one Form 1116, you must complete line 20.)
17
128,171.
18 Individuals: Enter the amount from Form 1040, line 41, or Form 1040NR, line 39.
Et'
Estates and trusts: Enter your taxable income without the deduction for your
exemption
18
233,509.
Caution: If you figured your tax using the lower rates on qualified dividends or capital gams, see Instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter '1'
20 Individuals: Enter the amounts from Form 1040, lines 44 and 46. If you are a nonresident aRen, 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 and 37
Caution: if you are completing line 20 for separate category° (lump-sum distributions), see Instructions.
21 Multiply line 20 by line 19 (maximum amount of credit)
22 Enter the smaller of tine 14 or tine 21.8 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
OP'
Page 2
14
1,120.
19
.548891
20
35,456.
21
19,461.
22
1,120.
Part IV I
Summary of Credits From Separate Parts III
23 Credit for taxes on passive category income i
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 990-1, line 40a
23
24
25
28
27
28
29
1,120.
30
1,120.
Form 1116 (2014)
511491
12.22.15
53
EFTA00026346
Form
1116AMT - 8801
Minimum Tax Foreign Tax Credit
on Exclusion Items
2014 Schedule D Tax Worksheet Recalculated
Name
1. Enter your taxable income from Form 8801. line 10
t
209,761.
2. Enke yea qualdled dividendstom Rem 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. If zero or less, enter -0- 5.
WA
6. Subtract line 5 from line 2. If zero or less, enter -0-
6.
N/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
8.
WA
9. Subtract line 8 from line 7. If zero or less, enter -0•
9.
N/A
10. Add lines 6 and 9
10.
123,149.
11. Add lines 18 and 19 of Schedule D
11.
12. Enter the smaller of line 9 or line 11
12.
13. Subtract line 12 from line 10
14. Subtract line 13 from line 1. If zero or less, enter .0.
15. Enter:
• $36,900 if single or married filing separately:
$73,800 if married filing jointly or qualifying widow(er); or
15,
1186,900.
$49,400 if head of household
16. Enter the smaller of line 1 or line 15
16.
36,900.
17. Enter the smaller of line 14 or line 16
17.
36,900.
18.
86,612.
18. Subtract Ono 10 from Si. I. If zoo a No& enter .0.
19. Enter the larger of line 17 or line 18
P. 19.
86,612.
20. Subtract line 17 from line 16. This amount is taxed at 0%
If lines 1 and 16 are the same, skip lines 21 through 41 and
21. Enter the smaller of line 1 or line 13
22. Enter the amount from line 20 (if line 20 is blank. enter CO
23. Subtract line 22 from line 21. If zero or less. enter 0.
24. Enter.
20.
go to line 42. Otherwise, go to line 21.
21.
123,149.
. 22.
O.
pr. 33.
123,149.
• $406,750 if single;
• $228,800 if married filing separates.;
• $457,600 if married filing jointly or
"ng widow(er); or
24.
406,750.
• $432,200 if head of household
25. Enter the smaller of line 1 or line 24
25.
209,761.
26. Add lines 19 and 20
26.
86,612.
27. Subtract line 26 from line 25, if zero or less, enter -0-
27.
123,149.
28. Enter the smaller of line 23 or line 27
pr. 28.
123,149.
29. Multiply line 28 by 15%(.15)
29.
N/A
30. Add lines 22 and 28
30.
123,149.
If lines 1 and 30 are the same, skip lines 31 through 41 and go to line 42. Otherwise, go to line 31.
31. Subtract line 30 from line 21
► 31.
32. Multiply line 31 by 20% (.20)
32.
N/A
13.
123,149.
14.
86,612.
If 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.
36. Subtract line 35 from line 34. If zero or less enter .0-
36.
37. Subtract line 36 from line 33. If zero or less. enter 43.
I. 37.
38. Multiply line 37 by 25% (.25)
N/A
If Schedule D, line 18, is zero or blank, skip lines 39 through 41 and go to line 42. Otherwise, go to line 39.
511525 ID-26.15
54
EFTA00026347
Minimum Tax Foreign Tax Credit on Exclusion Items 2014 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.
42. Figure the tax on the amount on line 19. If the amount on line 19 Is less than $100.000. 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.
43. Add lines 29, 32, 38, 41. and 42
43.
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.
45. Tax on all taxable Income (Including capital gains and qualified dividends). Enter the smaller of tine 43 or
line 44
45.
GJ
511526
04.01- 15
55
EFTA00026348
Form 6781
Gains and Losses From Section 1256
Contracts and Straddles
Deparnnent o+un Tialikr!
► Information about Form 6781 and its instructions is at wwwits.gov/form6781.
Internal Revenue Rance
► Attach to vour tax return.
Ramis/ Shown on tax ream
OMR No. ISAS-06.44
2015
AttaCher5411
Soaance NO 82
Chock all applicable boxes
A I
Mixed straddle election
C LJ Mixed straddle account election
(see instructions).
13
Straddletystraddle identification election
D Q
Net section 1256 contracts loss election
I Part I I Section 1256 Contracts Marked to Market
(a) Identification of account
(b) (Loss)
(e) Gain
FROM K-1 - ALPHAKEYS MILLENNIUM
FUND, L.L.C.
25.
2 Add the amounts on line 1 in columns (b) and (c)
2
25.
3 Net gain or (loss). Combine line 2, columns (b) and (c)
3
25.
4 Form 1099.8 adjustments. See instructions and attach statement
4
5 Combine lines 3 and 4
5
25.
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 did not check box D. enter 0-
6
7 Combine lines 5 and 6
7
25.
8 Short•term capital gain or (loss). Multiply line 7 by 40% (.40). Enter here and include on line 4 of Schedule D
or on Form 8949 (see instructions)
8
10.
9 Longterm capital gain or (loss). Multiply line 7 by 60% (.60). Enter here and include on line 11 of Schedule
D or on Form 8949 (see instructions)
.
.
9
15.
Identifying nurraar
Part II I Gains and Losses From Straddles. Attach a separate statement listing each straddle and its components.
Section A - Losses From Straddles
0)pm/intim al properly
PR Ima
entered into a
a:4~
PROMS.
ashes pace
aleost a
cwicr basis
plus a rasnia
o' sal°
(I) Loss
If ONtenn(a)ls
more inn(dl. enter
daterence.
Otherwise.
enter 4.
(p)Unecognited
gain en ottaaring
posnions
gn Recognized Inds.
II column (I)
Is mare than Rd.
enter ditterencie.
Othrewt9e. iota 4.
data:
let or
Sold
Mo. Day Yr
10
11 a Enter the short•term portion of losses from line 10, column (h), here and include on line 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 line 11 of Schedule D or on
Form 8949 (see instructions
11a
)
11b
)
ctton 6 - Gains From Straddles
la)Deemption of apacety
b1 Date enterer.
nto or accuad
00 Grad sdaS Oar
(0) Cost or other teals
plus expense of Sale
d) Gan. If corneal (di
is more than (a),
enter difference.
Othrewt9e. iota -0.
1cl Date closed
Out a 9011
Mo Day Yr.
12
13 a Enter the short•term portion of gains from line 12, column (0, here and include on line 4 of Schedule D or on
Form 8949 (see instructions)
b Enter the long•temi 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 Unrecognized Gains From Positions Held on Last Day of Tax Year. Memo E try Only (see instructions)
(kr 04:CylptoOn of rgecaty
;0) DMA Au, mad
(C) Far mania. value
on last brass day Of
tax ).ailf
40 po
other CAWS
ad
et a
c) Ilwarepaird pan t mann
IGO mere I0In Wald
dittftrgt Oftroist, erts. -0-
Leo
Day
Yr
14
519701
11.25.15 LHA For Paperwork Reduction Act Notice, see Instructions.
56
Form 8781 (2015)
EFTA00026349
Form 8582
Passive Activity Loss Limitations
ow No 1545.1008
► See separate instructions.
2015
Dopartmoni ol It* Treowy
► Attach to Form 1040 or Form 1041.
Internal Revenue SINN* 199/
anaoo
► Information about Form 8582 and its instructions is available at wwwirs.gov/form8582.
&Koonce No 88
Name(s) shown on return
identifying number
Part I 12015 Passive Activity Loss
Caution: Complete Worksheets 1, 2, and 3 before completing Pan t
Rental Real Estate Activities With Active Participation (For the definition of active participation, see
Special Allowance for Rental Real Estate Activities in the instructions.)
la Activities with net income (enter the amount from Worksheet 1,
column (a))
la
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 lines la. 1b. and lc
lb
lc
(
)
)
ld
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)
e Add lines 23 and 2b
All Other Passive Activities
2a
2b
)
)
2c
3a Activities with net income (enter the amount from Worksheet 3,
column (a))
3a
b Activities with net loss (enter the amount from Worksheet 3,
column (b))
3b
e Prior years unallowed losses (enter the amount from Worksheet 3,
column (c))
3e
d Combine lines 3a, 3b. and 3c
(
118,3514
4,2754
3d
-122,626.
4 Combine lines 1 d, 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 the 4 is a loss and:
• Line ld is a loss, go to Part II.
• Line 2c is a loss (and line ld is zero or more). skip Part II and go to Part III.
• Line 3cl is a loss (and lines Id 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 yearflo not complete
Part 11 or Part lit 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.
4
-122,626.
5 Enter the smaller of the loss on line 1 d or the loss on line 4
6 Enter $150,000. If married filing separately. see instructions
7
Enter modified adjusted gross income, but not less than zero (see instructions)
Note: If One 7 is greater than or equal to line 6, skip lines 8 and
9, enter -0- on line W. Otherwise, go to Me 8.
8 Subtract line 7 from line 6
9
10
6
7
5
8
Multiply line 8 by 50% (.5).Do not enter more than $25,000. If married filing sepa ately. see instructions
Enter the smaller of fine 5 or line 9
If line 2c is a loss. go to Part III. Otherwise. go to line 15.
9
10
Part Ill Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities
Note: Enter all numbers in Part NI as positive amounts. See the example for Part ll 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 lie 13
I 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 2015. Add lines 10, 14, and 15. See instructions
to find out how to report the losses on your tax return
SEE STATEMENT 3 7
11
12
13
14
15
16
0.
LHA 519751 12.09-15 For Paperwork Reduction Act Notice, see Instructions.
Form 8582 (2015)
57
EFTA00026350
Form 8582 (2015) GHISLAINE MAXWELL
Page 2
Caution: The worksheets must be bled with your tax return. Keep a copy for your records.
Worksheet 1 - For Form 8582, Lines 1a, 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)
(e) Unallowed
loss (line 1c)
(d) Gain
(e) Loss
Total. Enter on Form 8582, lines la,
lb, and lc
llro
worxsneet z - ror torn 000z, Lines a ano zo (see instructions.)
Name of activity
(a) Current year
deductions (line 2a)
(b) Prior year
unallowed deductions (line 214
(c) Overall loss
Total. Enter on Form 8582, lines 2a
and 2b
Illo
Worksheet 3 - For Form 8582, Lines 3a, 3b, and 3c (See instructions
Name of activity
Current year
Prior yea's
Overall gain or loss
(a) Net income
(line 3a)
(b) Not loss
(line 3b)
(e) Unallowed
loss (line 3c)
(d) Gain
(e) Loss
SEE ATTACHED STATEMENT FOR WORKSHEET 3
Total. Enter on Form 8582, lines 3a,
3b, and 3c
Nil,
-118,351.
-4,275.
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
SEE ATTACHED STATEMENT FOR WORKSHEET 5
Total
10.
122,626. 1.000000000
122,626.
51976) 12-501S
58
Form 8582 (2015)
EFTA00026351
Form 8582 (2015) GHISLAINE MAXWELL
Page 3
Worksheet 6 - Allowed Losses (See instructions
Name of activity
Form or schedule
and line number
to be reported on
(see instructions)
(a) Loss
(b) Unallowed loss
(c) Allowed loss
SEE ATTACHED STATEMENT FOR WORKSHEET 6
Total
III.
122,626.
122,626.
Worksheet 7 - Activities With Losses Reported on Two or More Forms or Schedules See instruc ions.
Name of activity:
(a)
(b)
(c) Ratio
(d) Unallowed
loss
(e) Allowed loss
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule
Illo
b Net income from form or
schedule
Iv'
c Subtract line lb from ine la. If zero or less. enter -0.
ill,
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule
Pv.
b Net income from form or
schedule
illo
c Subtract line I b from kne Ia. If zero or less. enter C•
IIP.
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule
Illo
b Net income from form or
schedule
Pro
c Subtract line lb from fine Ia. If zero or less. enter -O.
Ilr.
Total
Ilr.
8582
519763
12.03.15
59
EFTA00026352
Form 8582-CR
(Rev. January 2012)
Dopartmeni of
treaaty
Internal nevem. Swim
Nanwo00 Shawn on return
Passive Activity Credit Limitations
► See separate instructions.
► Attach to Form 1040 or 1041.
J
e
i Mying number
oke No. 1545.1034
AiVacnmced
50quenoe No. es
I Part I I Passive Activity Credits
Caution: II you have credits from a publicly traded partnership, seePublicly Traded Partnerships (PTPs) in the instructions.
Credits From Rental Real Estate Activities With Active Participation (Other Than Rehabilitation
Low-Income Housing Credits) (See Lines la through 1c in the instructions)
la Credits from Worksheet 1, column (a)
b Prior year unalloyed credits from Worksheet 1, column (b)
c
Add lines la and lb
Credits
to
and
lc
lb
Rehabilitation Credits From Rental Real Estate Activities and Low-Income Housing Credits for
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 unalloyed credits from Worksheet 2, column (b)
c Add lines 2a and 2b
Property
the instructions.)
Placed in Service
2c
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 unalloyed credits from Worksheet 3. column (b)
1st
e Add lines 3a and 3b
in the
3a
instructions.)
f
All Other Passive Activity Credits (See Lines 4a through 4c in the instructions.)
4a Credits from Worksheet 4, column (a)
b Prior year unalloyed credits from Worksheet 4, column (b)
e Add lines 4a and 4b
4a
29.
4c
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 year.
do not complete Part N. Ill. or IV. Instead. go to line 37.
5
29.
6
0 .
7
29.
Part
Special Allowance for Rental Real Estate Activities With Active Participation
amount on line lc. Otherwise, go to Part lit
Note: Complete this part only,! you have an
8
Enter the smaller of line tc or line 7
8
9
Enter $150,000. If married filing separately, see instructions
9
10
Enter modified adjusted gross income, but not less than zero (see instructions).
It line 10 is equal to or more than line 9, skip lines 11
through 15 and enter -0- on line 16
10
11
Subtract line 10 from line 9
11
12
Multiply line 11 by 50% (.50). Do not enter more than $25,000. If married
filing separately, see instructions
12
13a
b
Enter the amount, if any, from line 10 of
Form 8582
Enter the amount, it any, from ine 14 of
Form 8582
13a
13b
c Add lines 13a and 13b
13e
14
Subtract line 13c from line 12
14
15
Enter the tax attributable to the amount on line 14 (see instructions)
15
16
Enter the smaller of line 8 or line 15
16
LHA
For Paperwork Reduction Act Notice, see instructions.
Form 8582-CR (Rev. 01-2012)
51977t 04-01.15
60
EFTA00026353
Form 8582-CR (Rev. 01-2012) GHI SLAINE MAXWELL
Page 2
part III SpeCial Allowance tar Rehabilitation Credits From Rental Heal Estate ACtiV lea an
OW- nCOMe
Housing Credits for Property Placed in Service Before 1990 (or From Pass-Through Interests
Acquired Before 1990)
Note: Complete this part only if you have an amount on line 2c. Otherwise, go to Part IV.
17 Enter the amount from line 7
18 Enter the amount from line 16
19 Subtract line 18 from line 17. If zero, enter -0- here and on Ines 30 and 36, and then go to Part V
20 Enter the smaller of line 2c or line 19
21 Enter $250,000. If married filing separately, see instructions to find
out if you can skip lines 21 through 26
21
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 tine 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
c Add lines 25a and 25b
26 Subtract line 25c from line 24
27 Enter the tax attributable to the amount on Nne 26 (see instructions)
28 Enter the amount, if any, from line 18
29 Subtract line 28 from line 27
25a
22
23
24
17
18
19
20
2Gb
30 Enter the smaller of line 20 or line 29
a
25c
26
27
28
29
30
Partili Special Allowance for Low-Income Housing Credits for Property Placed in Service After 1989
Note: Complete this part only if you have an amount on hoe 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 31.8 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. 37
0.
Part VI Election To Increase Basis of Credit Property
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
properly, 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 (Moe. 01.2012)
519772
04.01.15
61
EFTA00026354
Form 8582
Passive Activity Loss Limitations
ow No 1545.1008
Ile See separate instructions.
2015
Department ol Ina Treosesy
I84 Attach to Form 1040 or Form 1041.
Interne/ Revenue swim (99)
I"' Information about Form 8582 and its instructions is available at www.irs.gov/form8582.
soworcomiM
Name(s) shown on return
identifying number
Part I 12015 Passive Activity Loss
Caution: Complete Worksheets 1, 2, and 3 before completing Pan t
Rental Real Estate Activities With Active Participation (For the definition of active participation, see
Special Allowance for Rental Real Estate Activities in the instructions.)
la Activities with net income (enter the amount from Worksheet 1,
column (a))
la
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 lines la. 1b. and lc
lb
lc
(
)
)
ld
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)
e Add lines 23 and 2b
All Other Passive Activities
2a
2b
)
)
2c
3a Activities with net income (enter the amount from Worksheet 3,
column (a))
3a
b Activities with net loss (enter the amount from Worksheet 3,
column (b))
3b
e Prior years unallowed losses (enter the amount from Worksheet 3,
column (c))
3e
d Combine lines 3a, 3b. and 3c
(
118,3514
4,2754
3d
-122,626.
4 Combine lines 1 d, 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 fonts and schedules normally used
If the 4 is a loss and:
• Line ld is a loss, go to Part II.
• Line 2c is a loss (and line ld is zero or more). skip Part II and go to Part III.
• Line 3d is a loss (and lines Id 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 yearido not complete
Part 11 or Part lit 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.
4
-122,626.
5 Enter the smaller of the loss on line 1 d or the loss on line 4
6 Enter $150,000.1( married filing separately. see instructions
7
Enter modified adjusted gross income, but not less than zero (see instructions)
Note: If line 7 is greater than or equal to fine 6, skip lines 8 and
9, enter -0- on line W. Otherwise, go to line 8.
8 Subtract line 7 from line 6
9
10
6
7
5
8
Multiply line 8 by 50% (.5).Do not enter more than $25,000. If married filing sepa ately. see instructions
Enter the smaller of fine 5 or line 9
If line 2c is a loss. go to Part III. Otherwise. go to line 15.
9
10
Part Ill Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities
Note: Enter all numbers in Part NI as positive amounts. See the example for Part ll 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 lie 13
I 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 2015. Add lines 10, 14, and 15. See instructions
to find out how to report the losses on your tax return
SEE STATEMENT 44
11
12
13
14
15
16
0.
LHA 519761 12.09-15 For Paperwork Reduction Act Notice, see Instructions.
Form 8582 (2015)
62
EFTA00026355
Form 8582 (2015) GHISLAINE MAXWELL
Page 2
Caution: The worksheets must be bled with your tax return. Keep a copy for your records.
Worksheet 1 - For Form 8582, Lines 1a, 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)
(e) Unallowed
loss (line 1c)
(d) Gain
(e) Loss
Total. Enter on Form 8582, lines la,
lb, and lc
lllo
worxsneet z - ror torn 000z, Lines a ano zo (see instructions.)
Name of activity
(a) Current year
deductions (line 2a)
(b) Prior year
unallowed deductions (line 214
(c) Overall loss
Total. Enter on Form 8582, lines 2a
and 2b
Illo
Worksheet 3 - For Form 8582, Lines 3a, 3b, and 3c (See instructions
Name of activity
Current year
Prior yea's
Overall gain or loss
(a) Net income
(line 3a)
(b) Not loss
(line 3b)
(e) Unallowed
loss (line 3c)
(d) Gain
(e) Loss
SEE ATTACHED STATEMENT FOR WORKSHEET 3
Total. Enter on Form 8582, lines 3a,
3b, and 3c
Nil,
-118,351.
-4,275.
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
SEE ATTACHED STATEMENT FOR WORKSHEET 5
Total
10.
122,626. 1.000000000
122,626.
51976) 12-501S
63
Form 8582 (2015)
EFTA00026356
Form 8582 (2O GHISLAINE MAXWELL
Page 3
Worksheet 6 - Allowed Losses (See instructions
Name of activity
Form or schedule
and line number
to be reported on
(see instructions)
(a) Loss
(b) Unallowed loss
(c) Allowed loss
SEE ATTACHED STATEMENT FOR WORKSHEET 6
Total
III.
122,626.
122,626.
Worksheet 7 - Activities With Losses Reported on Two or More Forms or Schedules See instruc ions.
Name of activity:
(a)
(b)
(c) Ratio
(d) Unallowed
loss
(e) Allowed loss
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule
Illo
b Net income from form or
schedule
Iv'
c Subtract line lb from ine la. If zero or less. enter -0.
ill,
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule
Pv.
b Net income from form or
schedule
illo
c Subtract line I b from kne Ia. If zero or less. enter C•
IIP.
Form or schedule and line number
to be reported on (see
instructions):
la Net loss plus prior year unallowed
loss from form or schedule
Illo
b Net income from form or
schedule
Pro
c Subtract line lb from fine Ia. If zero or less. enter -O.
Ilr.
Total
Ilr.
8582
519763
12.03.15
6 4
EFTA00026357
Form 8938
Deparipmemolflaun
WinvillwerunUmco
Statement of Specified Foreign Financial Assets
► Information about Form 8938 and its separate instructions Is at wwwirs.govIlotn78938.
► Attach to your tax return.
For calendar year 2 015 or tax year beginning
and ending
OMB No 15452195
2015
Attachment
Sequence No. 175
If you have attached continuation statements, check here LXJ
Number of continuation statements
3
Name(s) shown on return
TIN
Part I Foreign Deposit and Custodial Accounts Summary
1
Number of Deposit Accounts (reported on Form 8938
2
Maximum Value of All Deposit Accounts
3
Number of Custodial Accounts (reported on Form 8938)
4
Maximum Value of All Custodial Accounts
5
Were any foreign deposit or custodial accounts closed during the tax year?
Part II Other Foreign Assets Summary
1 Number of Foreign Assets (reported on Form 8938)
2
Maximum Value of All Assets
3
Were any foreign assets acquired or sold during the tax year?
Part III Summary of Tax Items Attributable to Specified Foreign Financial Assets(see instructions
►
5
2,488,652.
►
$
►
$
I
I Yes
Lxi No
2
I
I Yes
Lxi No
(a) Asset Category
(b) Tax item
(c) Amount reported on
form or schedule
Where reported
(d) Form and line
(e) Schedule and line
1 Foreign Deposit and
Custodial Arrnints
la Interest
$
22,255. 1040/LINE 8A
SCH B, LN 1
1b Dividends
$
1c Royalties
$
1d Other income
$
le Gains (losses)
$
1t Deductions
$
10 Credits
$
3,637. 1040/LINE 48
2 Other Foreign Assets
2a Interest
$
2b Dividends
$
2c Royalties
$
2d Other income
$
2e Gains Dosses)
$
2f Deductions
$
2g Credits
$
Part IV Excepted Specified Foreian Financial Assets(see instructions)
If you reported specified foreign financial assets on one or more of the following tams, enter the number of such forms filed. You do not need to
include these assets on Form 8938 for the tax year.
1.
4.
Number of Forms 3520
2. Number of Forms 3520•A
3. Number of Forms 5471
Number of Forms 8621
5. Number of Forms 8865
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. attach a continuation statement for each additional account (see instructions).
1 Type of account
LXJ Deposit
LJ Custodial
2
or other designation
3
Check all that apply
a I
I Account opened during tax year
b LJ Account closed during tax year
owned with
use
d M
No tax item reported in Part III with respect to this asset
c ILI Account
4
Maximum value of account during tax year
7 , 5
5 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars?
LXI Yes
LJ No
6 If you answered 'Yes' to line 5 complete a I that aptly.
(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.
Form 8938 (2015)
S2332 I
11-05-15
65
EFTA00026358
Form 8938 (2015)
Page 2
Pad 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
b Reserved
BARCLAYS
8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no.
8 WEST HALKIN STREET
9 City or town, state or province, and country (including postal code)
LONDON SW1X 8JE UNITED KINGDOM
Pad VI Detailed Information for Each 'Other Foreign Asset" Included In the Pad II Summary (see instructions)
Note. If you reported specified foreign financial assets on Forms 3520, 3520-A, 5471, 862 f, or 8865, you do not have to include the assets on
Form 8938. You must complete Part IV. See instructions.
If you have more than one asset to report. attach a continuation statement for each additional asset (see instructions).
1 Description of asset
2 Identifyin
er 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
c 0
Check if asset jointly owned with spouse
d Ell Check if no tax item reported in Part III with respect to this asset
4 Maximum value of asset during
ar (check box that applies)
a
0
so • $50.000
b &550,001 • $100,000
c O
6100O01 $150,000
d O
$150,001 • $200,000
a 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?
LIU Yes
LJ No
6 If you answered 'Yes. to line 5. complete a I that apply.
(a) Foreign currency in which asset is
denominated
(b) Foreign currency exchange rate used to
convert to U.S. dollars
.675000000
(e) 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 Reserved
c Type of foreign entity
(1) LJ Partnership
(2) LJ Corporation
(3) I
I Trust
(4) U
Estate
d Mailing address of foreign entity. Number, street. and room or suite no.
e 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 countemany WEALTH AT WORK LIMITED
Check if information is for
LX.I Issuer
t
Counterparty
b Type of issuer or counterparty
(1) El
Individual
(2) M
Partnership
(3) 0
Corporation
(4) El
Trust
(5) El
Estate
c Check if issuer or counterparty is a
0
u S person
LxJ Foreign person
d Mailing address of issuer or counterparty. Number, street, and room or suite no.
5 TEMPLE SQUARE, TEMPLE STREET
a City or town, state or province, and country (including postal code)
LIVERPOOL L2 5RH UNITED KINGDOM
Form 8938 (2015)
525022
11.05.15
66
EFTA00026359
Last Name or Organization Name
Part V Foreign Deposit and Custodial Accounts (see instructions)
1 Type of account
Deposit
U
Custodial
MM.
Form 8938
umber or other designation
3 Check all that apply
a U
Account opened during tax year
b U
Account closed during tax year
c ILI Account jointly owned with spouse
d El 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?
LXJ Yes
Li
No
6 If you answered *Yee' to line 5 complete all that a
(1) Foreign currency in which account
is maintained
$
1,164,654.
(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 Reserved
8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no.
9 NELSON STREET
9 City or town. province or state, and country (including postal code)
BRADFORD BD1 5AN UNITED KINGDOM
1 Type of account
LXJ Deposit
LJ Custodial
number or other designation
3 Check all that apply
a LJ Account opened during tax year
b LJ Account closed during tax year
c ILI Account jointly owned with spouse
d O
No tax item reported in Part III with respect to this asset
4 Maximum value of account during tax year
Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars?
6 If you answered 'Yes' to line 5. complete all that apply.
304,665.
LXJ Yes
Li No
(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 mantalned
BARCLAYS
8 Mailing address of financial institution In which account is maintained. Number. street. and room or suite no.
b Reserved
8 WEST HALKIN STREET
9 City or town, province or state, and country (including postal code)
LONDON SW1X 8JE UNITED KINGDOM
1 Type of account
LXJ Deposit
L_I Custodial
umber or other designation
3 Check all that apply
a I
I Account opened during tax year
bLJ Account closed during tax year
c ILI Account jointly owned with spouse
d M
No tax item reported in Part Ill with respect to this asset
4 Maximum value of account during tax year
Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars?
LXJ Yes
LJ No
6 If you answered 'Yes' to line 5 complete a I that a
(1) Foreign currency in which account
is maintained
$
55,668.
(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 Reserved
8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no.
5 TEMPLE SQUARE, TEMPLE STREET
9 City or town. province or state, and country (including postal code)
LIVERPOOL L2 5RH UNITED KINGDOM
573031 06-24.15
67
EFTA00026360
Last Name or Organization Name
Part V Foreign Deposit and Custodial Accounts (see instructions)
1 Type of account
Deposit
LJ Custodial
MM.
Form 8938
umber or other designation
3 Check all that apply
a U
Account opened during tax year
b U
Account closed during tax year
c ILI Account jointly owned with spouse
d El 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?
LXJ Yes
Li No
6 If you answered *Yee' to line 5 complete all that a
(1) Foreign currency in which account
is maintained
UNITED KINGDOM,
POUND
$
916,141.
(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
BARCLAYS
8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no.
b Reserved
8 WEST HALKIN STREET
9
City or town, province or state, and country (including postal code)
LONDON SW1X 8JE UNITED KINGDOM
1 Type of account
I I Deposit
I
I Custodial
2 Account number or other designation
3
Check all that apply
a LJ Account opened during tax year
c ILI Account jointly owned with spouse
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?
6 If you answered 'Yes' to line 5. complete all that apply.
b LJ Account closed during tax year
d C
No taxi em reported in Part III with respect to this asset
(1) Foreign currency in which account
is maintained
(2) Foreign currency exchange rate used to
convert to U.S. dollars
LJ Yes
I
I No
(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 mantalned
•
b Reserved
r
8 Mailing address of financial institution In which account is maintained. Number. street. and room or suite no.
9 City or town, province or state, and country (Including postal code)
1 Type of account 1=
Deposit
I
1 Custodial
2 Account number or other designation
3 Check all that apply
a I I Account opened during tax year
bLJ Account closed during tax year
owned with spouse
d El No taxi em reported in Part III with respect to this asset
c ILI Account jointly
4 Maximum value of account during tax year
Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars?
I
I Yes
LJ No
6 If you answered *Yee to line 5 complete a I 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 Reserved
8 Mailing address of financial institution in which account is maintained. Number. street. and room or suite no.
9 City or town, province or state, and country (including postal code)
523031 06-24.15
68
EFTA00026361
Last Name or Organization Name
Form 8938
Part VI Other Foreign Assets
Note. you reported specified torsion financial assets on Forms 3520, 352O.,4, 5477, 8627, or 8865, you do not have to Include the assets on
Font, 8938. You must complete Part IV. See instructions.
If you have more than one asset to report. attach a continuation sheet with the same information for each additional asset (see instructions).
1 Description of asset
2 Identifying number or other designation
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
0
Check if asseljoiMly owned with spouse
d
Check if no tax Item reported in Part III with respect to this asset
4 Maximum value of asset durgi! tax year (check box that apaer
a
0
$0 • $50,000 b Li $50,001 • $100,000
c Li $100,001 • $150,000
d C
$150,001 • $200,000
e If more than $200.000. list value
6 Did you use a foreign currency exchange rate to convert the value of the asset Into U.S. dollars?
Yes
8 If you answered 'Yes' to line 5, complete a I that apply.
(1) Foreign currency in which asset is
denominated
No
(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
a Name of foreign entity
b Reserved
c Type of foreign entity
(1) I
I Partnership
(2) Li
Corporation
d Mailing address of foreign entity. Number, street. and room or suite no.
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.
(3) I
I Trust
(4) Li
Estate
e 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 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
LXJ Issuer
Li
Counterparty
b Type of issuer or counterparty
(1) ILI Individual
(2) 0
Partnership
5 5) M
Corporation
c Check if issuer or counterparty is a
0U S person
Foreign person
d Mailing address of issuer or counterparty. Number, street, and room or suke no.
(4) 0
Trust
(6) ILI Estate
e City or town, province or state, and country (including postal code)
523032
06-24.15
69
EFTA00026362
Form 1116
U.S. and Foreign Source Income Summary
went
FOREIGN
INCOME TYPE
TOTAL
U.S.
Compensation
Dividends/Distributions
Interest
Capital Gains
Business/Profession
RenURoyally
State/Local Refunds
Parthership/S Corporation
Trust/Estate
Other Income
Gross Income
STMT 45
Less:
Section 911 Exclusion
Capital Losses
Capital Gains Tax AdjustmeM
Total Income - Form 1116
Deductions:
Business/Profession Expenses
Rent/Royalty Expenses
Parthership/S Corporation Losses
Trust/Estate Losses
Capital Losses
Non-capital Losses
Individual Retirement Account
Moving Expenses
Self-employment Tax Deduction
Self-employment Health Insurance
Keogh Contributions
Alimony
Forfeited Interest
Foreign Housing Deduction
Other Adjustments
Capital Gains Tax Adjustment
Total Deductions
Adjusted Gross Income
223,491.
223,491.
182,240.
63,088.
220,491.
182,240.
40,833.
220,491.
9.
9.
121.
121.
5,310.
-45,966.
471,259.
397,728.
l
i
k
-98.
4,272.
4,174.
243,496.
170,063.
Less itemized Deductions:
Specifically Allocated
5,353.
5,353.
Home Mortgage Interest
Other Interest
17.
17 .
Ratably Allocated
160,355.
135,333.
... Total Adjustments to Adjusted Gross Income
165,725.
140,703.
a
a Taxable Income Before Exemptions
77,771.
29,360.
GENERAL
PASSIVE
19.
22,255.
51,257.
19.
73,512.
19.
73,512.
98.
98.
19.
73,414.
7.
25,015.
7.
25,015.
12.
48,399.
70
EFTA00026363
Form 1116
Allocation of Itemized Deductions
NALIF
Taxes
Interest - Not Including Investment
Interest
Contributions
Miscelaneous 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:
Medical/Dental
Investment Interest
Casualty Losses
Gambling Losses
Foreign Adjustment
Total Itemized Deductions
Total Allowed on Schedule A
Total
Itemized
Deductions
Itemized Deductions
After Sec. 68
Reduction
Form 1116
Specifically U.S.
Specificaly Foreign
Ratable
119,703.
119,703.
119,703.
5,353.
5,353.
5,353.
40,652.
40,652.
40,652.
165,708.
165,708.
17.
17.
17.
165,725.
165,725.
5,370.
160,355.
527871
W.01.15
71
EFTA00026364
Form 1116
Foreign Tax Credit Carryover Statement (Page 1 of 2)
mmE
Foreign Income Category
Regular
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax + )
or excess of knit ( - )
7. Foreign tax carryback
8. Foreign tax carryforward
9. Foreign lax or excess
limit remaining
Total foreign taxes from all
2010
2011
2012
2013
2014
2015
2.
2.
1.
1.
1.
available years to be c rried to next year ...
1 .
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax ( + )
or excess of limit - )
7. Foreign tax carryback
9. Foreign lax or excess
limit remaining
8. Foreign tax carryforward
2005
2006
2007
2008
2009
t
ill
527115
04.01.15
72
EFTA00026365
Form 1116
Foreign Tax Credit Carryover Statement (Page 2 of 2)
NAM?
Foreign Income Category
AMT
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
2010
2011
2012
2013
2014
2015
2.
2.
3.
6. Unused foreign tax + )
or excess of knit ( - )
7. Foreign tax carryback
8. Foreign tax carryfonvard
9. Foreign lax or excess
limit remaining
Total foreign taxes from all available years to be carried to next year
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax ( + )
or excess of limit - )
7. Foreign tax carryback
9. Foreign lax or excess
limit remaining
8. Foreign tax carryforward
2005
2006
2007
2008
2009
t
ill
527116
04.01.15
73
EFTA00026366
Form 1116
Foreign Tax Credit Carryover Statement (Page 1 of 2)
NAM?
Foreign Income Category
Regular
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax + )
or excess of knit(- )
7. Foreign tax carryback
8. Foreign tax carryforward
9. Foreign lax or excess
limit remaining
Total foreign taxes from all
PASSIVE INCOME
2010
2011
2012
2013
2014
2015
8,307.
8,307.
4,419.
-1,459.
3,888.
1,459.
1,459.
2,429.
available years to be c rried to next year ...
2,429.
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax ( + )
or excess of limit - )
7. Foreign tax carryback
9. Foreign lax or excess
limit remaining
8. Foreign tax carryforward
2005
2006
2007
2008
2009
t
i
527115
04.01.15
74
EFTA00026367
Form 1116
Foreign Tax Credit Carryover Statement (Page 2 of 2)
NAM?
Foreign Income Category
AMT
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax + )
or excess of knit ( - )
7. Foreign tax carryback
8. Foreign tax carryforward
9. Foreign lax or excess
limit remaining
Total foreign taxes from all
!PASSIVE INCOME
2010
2011
2012
2013
2014
2015
8,307.
8,307.
11,389.
-18,342.
-3,082.
-18,342.
-3,082.
available years to be carried to next year ....
1. Foreign tax paid/accrued
2. FTC carryback to 2015
for amended returns
3. Reduction in foreign
taxes
4. Foreign lax available
5. Maximum credit allowable
6. Unused foreign tax ( + )
or excess of limit - )
7. Foreign tax carryback
9. Foreign lax or excess
limit remaining
8. Foreign tax carryforward
2005
2006
2007
2008
2009
t
ill
527116
04.01.15
75
EFTA00026368
52784104.01.15
Form 1116
Pro Rata Share of Allocated Losses
Allocation of Losses from Other Categories
Passive income
Income re-sourced by treaty
General limitation income
Totals
ALLOCATED
LOSS NOT
INCOME
LOSS
LOSS
ALLOCATED
48,399.
12.
48,411.
Allocation of U.S. Losses
Passive income
Income re-sourced by treaty
General limitation income
Totals
REMAINING
U.S.
ALLOCATED
LOSS NOT
INCOME
LOSS
LOSS
ALLOCATED
48,399.
12.
48,411.
Recapture of Prior Year Overall Foreign Loss
Passive income
Income re-sourced by treaty
General limitation income
Totals
Recapture percentage
REMAINING
RECAPTURED
LOSS NOT
INCOME
LOSS
LOSS
RECAPTURED
48,399.
12.
48,411.
Recapture of Separate Limitation Loss Accounts
Passive income
Income re-sourced by treaty
General limitation income
Totals
REMAINING
INCOME
48,399.
12.
48,411.
PRIOR YEAR
RECHARACTERIZED
LOSS NOT
LOSS
LOSS
RECHARACTERIZED
Recapture of Overall Domestic Loss Prior to 2012
Passive income
Income re-sourced by treaty
General limitation income
Totals
U.S. TAXABLE
INCOME LIMIT
PRIOR YEAR
RECAPTURED
LOSS NOT
LOSS
LOSS
RECAPTURED
Recapture of Overall Domestic Loss
U.S. TAXABLE
PRIOR YEAR
RECAPTURED
LOSS NOT
INCOME LIMIT
LOSS
LOSS
RECAPTURED
Passive income
14,680.
19,289.
14,680.
4,609.
Income re-sourced by treaty
General limitation income
Totals
14,680.
19,289.
14,680.
4,609.
Adjustments to Form 1116, Line 15
OTHER
U.S.
PRIOR YEAR
RECAPTURE OF
DOMESTIC
FORM 1116.
CATEGORIES
LOSSES
OVERALL
LOSS ACCOUNTS
RECAPTURE
LINE 16
Passive
Re-sourced by treaty
General limitation
14,680.
14,680.
76
EFTA00026369
FORM 1040
STATEMENT
1
2014
2013
2012
NEW YORK
17,622.
17,622.
17,622.
Go
77
STATEMENT(S) 1
EFTA00026370
FORM 1040
STATEMENT
2
2014
2013
2012
17,622.
17,622.
-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
175,469.
1.
175,468.
140,374.
233,510.
254,200.
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
-20,690.
13A TOTAL ADJ. ITEMIZED DEDUCTIONS
13B PRIOR YR. STD. DED. AVAILABLE
14 PRIOR YR. ALLOWABLE ITEM. DED.
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
175,469.
6,200.
169,269.
54,091.
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 2012
0.
TOTAL TO FORM 1040, LINE 10
0.
78
STATEMENT(S) 2
EFTA00026371
FORM 1040
STATEMENT
3
NAME OF PAYER
AMOUNT
UBS - Y1 23574 - T/E
5,672.
TOTAL TO FORM 1040, LINE 8B
5,672.
FORM 1040
NAME OF PAYER
UBS - Y1 23568
UBS - Y1 23570
UBS - Y1 23571
UBS - Y1 23574
UBS - Y1 23572
FROM K-1 - THE BLACKSTONE GROUP, LP
FROM K-1 - ALPHAKEYS MILLENNIUM FUND,
L.L.C.
TOTAL INCLUDED IN FORM 1040, LINE 9B
STATEMENT
4
ORDINARY
DIVIDENDS
QUALIFIED
DIVIDENDS
40,340.
40,340.
21,805.
88.
33,471.
7,817.
20,493.
20,109.
54,713.
50,817.
126.
53.
681.
327.
119,551.
SCHEDULE A
DESCRIPTION
STATEMENT
5
UBS Y1-23574
U
Y1-23571
UBS Y1-23568
UBS Y1-23570
UBS Y1-23571
FROM K-1 - THE BLACKSTONE GROUP, LP
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
AMOUNT
7,744.
5,074.
8,111.
4,832.
8,488.
21.
252.
TOTAL TO SCHEDULE A, LINE 23
34,522.
79
STATEMENT(S) 3, 4, 5
EFTA00026372
SCHEDULE A
STATEMENT
6
DESCRIPTION
AMOUNT
NEW YORK 2ND QTR ESTIMATE PAYMENTS
2,000.
NEW YORK 3RD QTR ESTIMATE PAYMENTS
5,000.
17,571.
10,000.
TOTAL TO SCHEDULE A, LINE 5
34,571.
SCHEDULE A
STATEMENT
7
DESCRIPTION
GROUP,
14
LP
AMOUNT
FROM K-1 - THE BLACKSTONE
17.
17.
SCHEDULE A
STATEMENT
8
DESCRIPTION
AMOUNT
TOTAL TO SCHEDULE A, LINE 1
I
6,955.
6,955.
SCHEDULE B
INTEREST INCOME
STATEMENT
9
NAME OF PAYER
AMOUNT
BARCLAYS
16,736.
5,519.
1,515.
UBS - Y1 23568
6.
UBS - Y1 23571
1.
UBS - Y1 23574 - INTEREST
37,673.
UBS - Y1 23574 - BOND PREMIUM
-51.
UBS - Y1 23574 - T/E
10,000.
UBS - Y1 23575
12.
UBS - Y1 23572
7.
UBS - Y1 23680
17.
FROM K-1 - THE BLACKSTONE GROUP, LP
416.
80
STATEMENT(S) 6, 7, 8, 9
EFTA00026373
FROM K-1 - CARGOMETRICS TECHNOLOGIES LLC
75.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
269.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
893.
TOTAL TO SCHEDULE B, LINE 1
73,088.
SCHEDULE B
STATEMENT 10
NAME OF PAYER
AMOUNT
UBS - Y1 23574 - T/E
5,672.
TOTAL TAX-EXEMPT INTEREST TO SCHEDULE B, LINE 1
5,672.
SCHEDULE B
STATEMENT 11
NAME OF PAYER
AMOUNT
AO
TOTAL ABP ADJUSTMENT TO SCHEDULE B, LINE 1
4,328.
UBS - Y1 23574 - T/E
4,328.
SCHEDULE D
STATEMENT 12
FORMS 6252, 4684, 6781 AND 8824
GAIN OR LOSS
FORM 6781, PART I
10.
TOTAL TO SCHEDULE D, PART I, LINE 4
10.
SCHEDULE D
STATEMENT 13
4797, 2439, 6252, 4684, 6781 AND 8824
GAIN OR LOSS
28% GAIN
FORM 6781, PART I
15.
FORM 4797
347.
TOTAL TO SCHEDULE D, PART II, LINE 11
362.
81
STATEMENT(S) 9, 10, 11, 12, 13
EFTA00026374
SCHEDULE D
STATEMENT 14
GAIN OR LOSS
-7.
TOTAL TO SCHEDULE D, PART I, LINE 5
-7.
SCHEDULE D
STATEMENT 15
GAIN OR LOSS
28% GAIN
1,471.
6.
TOTAL TO SCHEDULE D, PART II, LINE 12
1,477.
SCHEDULE D
STATEMENT 16
NAME OF PAYER
UBS - Y1 23571
UBS - Y1 23575
a
TOTAL
CAPITAL GAIN
28% GAIN
8,868.
629.
TOTALS TO SCHEDULE D, LINE 13
9,497.
82
STATEMENT(S) 14, 15, 16
EFTA00026375
SCHEDULE D
STATEMENT 17
1. ENTER THE AMOUNT FROM FORM 1040, LINE 41
2. ENTER THE LOSS FROM SCHEDULE D, LINE 21, AS A POSITIVE AMOUNT
3. COMBINE LINES 1 AND 2. IF ZERO OR LESS, ENTER -0-
4. ENTER THE SMALLER OF LINE 2 OR LINE 3
77,771.
3,000.
80,771.
3,000.
5. ENTER THE LOSS FROM SCHEDULE D, LINE 7, AS A POSITIVE AMOUNT
179,183.
6. ENTER THE GAIN, IF ANY, FROM SCHEDULE D,
LINE 15
7. ADD LINES 4 AND 6
3,000.
8. SHORT-TERM CAPITAL LOSS CARRYOVER TO NEXT YEAR.
SUBTRACT LINE 7 FROM LINE 5. IF ZERO OR LESS, ENTER
176,183.
9. ENTER THE LOSS FROM SCHEDULE D, LINE 15, AS A POSITIVE AMOUNT
6,119,108.
10. ENTER THE GAIN, IF ANY, FROM SCHEDULE D,
LINE 7
11. SUBTRACT LINE 5 FROM LINE 4. IF ZERO OR LESS,
ENTER -0-
12. ADD LINES 10 AND 11
13. LONG-TERM CAPITAL LOSS CARRYOVER TO NEXT YEAR.
SUBTRACT LINE 12 FROM LINE 9. IF ZERO OR LESS, ENTER
6,119,108.
SCHEDULE E
OTHER EXPENSES
STATEMENT 18
DESCRIPTION
AMOUNT
LP
6.
TOTAL TO SCHEDULE E, PAGE 1, LINE 19
6.
FORM 1116
STATEMENT 19
DESCRIPTION
COUNTRY
AMOUNT
OTHER COUNTRIES
98.
TOTAL TO FORM 1116, PART I, LINE 2
98.
83
STATEMENT(S) 17, 18, 19
EFTA00026376
FORM 3800
STATEMENT 20
1 TAXABLE INCOME ATTRIBUTABLE TO THIS ACTIVITY
75.
2 TAXABLE INCOME FROM FORM 1040, LINE 43
73,771.
3 DIVIDE LINE 1 BY LINE 2
.001016660
4 NET INCOME TAX FROM FORM 3800, LINE 11
28,633.
5 TAX LIABILITY LIMITATION (LINE 3 X LINE 4)
29.
4,569.
C TOTAL CREDITS
4,569.
CURRENT YEAR CREDIT (LESSER OF 5A OR 5 - 5B)
29.
FORM 6251
STATEMENT 21
FORM
AMT
REGULAR
ADJUSTMENT
LP - PTP
-9.
-19.
10.
TOTAL TO FORM 6251, LINE 19
10.
84
STATEMENT(S) 20, 21
EFTA00026377
FORM 6251
STATEMENT 22
1 ENTER: $53,600 IF SINGLE OR HEAD OF HOUSEHOLD; $83,400 IF
MARRIED FILING JOINTLY OR QUALIFYING WIDOW(ER); $41,700
2 ENTER YOUR ALTERNATIVE MINIMUM TAXABLE INCOME
(AMTI) FORM 6251, LINE 28
238,136.
3 ENTER: $119,200 IF SINGLE OR HEAD OF HOUSEHOLD;
$158,900 IF MARRIED FILING JOINTLY OR
QUALIFYING WIDOW(ER); $79,450 IF MARRIED
119,200.
4 SUBTRACT LINE 3 FROM LINE 2. IF ZERO OR LESS
ENTER -0-
118,936.
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
53,600.
29,734.
23,866.
FORM 4952
STATEMENT 23
DESCRIPTION
CURRENT
CARRYOVER
FROM K-1 - THE BLACKSTONE GROUP, LP
17.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
1,985.
TOTALS TO FORM 4952, LINES 1 AND 2
2,002.
FORM 4952
STATEMENT 24
DESCRIPTION
AMOUNT
INTEREST INCOME
DIVIDEND INCOME
THE BLACKSTONE GROUP, LP - ACTIVITY NO. 1
63,088.
182,240.
9.
328.
95.
TOTAL TO FORM 4952, LINE 4A
245,760.
85
STATEMENT(S) 22, 23, 24
EFTA00026378
FORM 4952
STATEMENT 25
DESCRIPTION
AMOUNT
6.
34,522.
TOTAL TO FORM 4952, LINE 5
34,528.
FORM 4952
STATEMENT 26
NAME
FORM OR
INTEREST
INTEREST
INTEREST
INTEREST
SCHEDULE
EXPENSE
EXPENSE
FROM K-1 - THE BLACKST SCH A
FROM K-1 - ALPHAKEYS M SCH E
TOTALS
17.
0.
0.
17.
1,985.
0.
0.
1,985.
2,002.
0.
0.
2,002.
FORM 4952AMT
STATEMENT 27
DESCRIPTION
CURRENT
CARRYOVER
FROM K-1 - THE BLACKSTONE GROUP, LP
17.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
1,985.
TOTALS TO FORM 4952AMT, LINES 1 AND 2
2,002.
FORM 8960
STATEMENT 28
1,736.
AMOUNT TO FORM 8960, LINE 4B
1,736.
86
STATEMENT(S) 25, 26, 27, 28
EFTA00026379
FORM 8960
STATEMENT 29
IN A NON-SECTION 1411 TRADE OR BUSINESS
AMOUNT
5,310.
TOTAL TO NET GAINS AND LOSSES WORKSHEET, LINE 2A
5,310.
FORM 8960
STATEMENT 30
DESCRIPTION
LINE
AMOUNT
UBS Y1-23574
9C
7,744.
UBS Y1-23571
9C
5,074.
UBS Y1-23568
9C
8,111.
UBS Y1-23570
9C
4,832.
UBS Y1-23571
9C
8,488.
FROM K-1 - THE BLACKSTONE GROUP, LP
9C
n
21.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.
9C
252.
TOTAL TO LINES 9 AND 10 WORKSHEET, PART I, LINE 1
34,522.
FORM 8960
STATEMENT 31
DESCRIPTION
RATIO
COLUMN C AMNT
UBS Y1-23574
9C
7,744. 1.0000
7,744.
UBS Y1-23571
9C
5,074. 1.0000
5,074.
UBS Y1-23568
9C
8,111. 1.0000
8,111.
UBS Y1-23570
9C
4,832. 1.0000
4,832.
UBS Y1-23571
9C
8,488. 1.0000
8,488.
FROM K-1 - THE BLACKSTONE GROUP, LP 9C
21. 1.0000
21.
FROM K-1 - ALPHAKEYS MILLENNIUM FUN 9C
252. 1.0000
252.
TOTAL TO LINES 9 & 10 WKST, PART II
34,522.
34,522.
87
STATEMENT(S) 29, 30, 31
EFTA00026380
FORM 8960
STATEMENT 32
DESCRIPTION
LINE
AMOUNT
UBS Y1-23574
9C
7,744.
UBS Y1-23571
9C
5,074.
UBS Y1-23568
9C
8,111.
UBS Y1-23570
9C
4,832.
UBS Y1-23571
9C
8,488.
FROM K-1 - THE BLACKSTONE GROUP, LP
9C
21.
FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C.
9C
252.
TOTAL TO LINES 9 AND 10 WORKSHEET, PART III, LINE 1
34,522.
FORM 8960
STATEMENT 33
DESCRIPTION
RATIO
COLUMN C AMNT
UBS Y1-23574
UBS Y1-23571
UBS Y1-23568
UBS Y1-23570
UBS Y1-23571
FROM K-1 - THE BLACKSTONE GROUP, LP
FROM K-1 - ALPHAKEYS MILLENNIUM FUN
TOTAL TO LINES 9 & 10 WORKSHEET,
PART IV, LINE 1
9C
9C
9C
9C
9C141I
9C
9C
7,744.
5,074.
8,111.
4,832.
8,488.
21.
252.
1.0000
1.0000
1.0000
1.0000
1.0000
1.0000
1.0000
7,744.
5,074.
8,111.
4,832.
8,488.
21.
252.
34,522.
34,522.
FORM 8582
OTHER PASSIVE ACTIVITIES - WORKSHEET 3
STATEMENT 34
CURRENT YEAR
PRIOR YEAR
NET
UNALLOWED
INCOME NET LOSS
LOSS
GAIN
LOSS
CARGOMETRICS
TECHNOLOGIES
TOTALS
LLC
0.
-118,351.
-4,275.
-122,626.
0.
-118,351.
-4,275.
-122,626.
88
STATEMENT(S) 32, 33, 34
EFTA00026381
FORM 8582
ALLOCATION OF UNALLOWED LOSSES - WORKSHEET 5
STATEMENT 35
FORM
OR
UNALLOWED
SCHEDULE
LOSS
RATIO
LOSS
SCH E
122,626. 1.000000000 122,626.
TOTALS
122,626. 1.000000000 122,626.
FORM 8582
ALLOWED LOSSES - WORKSHEET 6
STATEMENT 36
FORM
OR
UNALLOWED
ALLOWED
SCHEDULE
LOSS
LOSS
LOSS
SCH E
122,626.
122,626.
TOTALS
122,626.
122,626.
FORM 8582
STATEMENT 37
R
R
FORM
E
OR
PRIOR
NET
A NAME
LOSS
LOSS
CARGOMETRICS
SCH E
-118,351.
-4,275. -122,626. 122,626.
TOTALS
-118,351.
-4,275. -122,626. 122,626.
TOTAL TO FORM 8582, LINE 16
89
STATEMENT(S) 35, 36, 37
EFTA00026382
FORM 8582-CR
STATEMENT 38
WORKSHEET 4
PRIOR YEAR
FROM
CURRENT
UNALLOWED
TOTAL
FORM
YEAR CREDITS
CREDITS
CREDITS
CARGOMETRICS TECHNOLOGIES6765/3800,
LLC
LINE 2
29.
29.
TOTALS
29.
29.
FORM 8582-CR
ALLOCATION OF UNALLOWED CREDITS - WORKSHEET 8
STATEMENT 39
TOTALS
FORM
REPORTED
UNALLOWED
ON
CREDITS
RATIO
CREDITS
FORM 3800,
LINE 3
29. 1.000000000
29.
29. 1.000000000
29.
FORM 8582-CR
ALLOWED CREDITS - WORKSHEET 9
STATEMENT 40
i r
FORM
REPORTED
UNALLOWED
ALLOWED
ON
CREDITS
CREDITS
CREDITS
FORM 3800,
LINE 3
29.
29.
0.
TOTALS
29.
29.
0.
90
STATEMENT(S) 38, 39, 40
EFTA00026383
FORM 8582
STATEMENT 41
OTHER PASSIVE ACTIVITIES - WORKSHEET 3
CURRENT YEAR
PRIOR YEAR
UNALLOWED
NET INCOME
NET LOSS
LOSS
GAIN
LOSS
CARGOMETRICS
0.
-118,351.
-4,275.
-122,626.
TOTALS
0.
-118,351.
-4,275.
-122,626.
FORM 8582
STATEMENT 42
ALLOCATION OF UNALLOWED LOSSES - WORKSHEET 5
FORM
OR
UNALLOWED
SCHEDULE
LOSS
RATIO
LOSS
CARGOMETRICS
LLC
TECHNOLOGIES
SCH E
122,626. 1.000000000
122,626.
TOTALS
122,626. 1.000000000
122,626.
FORM 8582
STATEMENT 43
ALLOWED LOSSES - WORKSHEET 6
NAME OF ACTIVITY k
FORM
OR
UNALLOWED
ALLOWED
SCHEDULE
LOSS
LOSS
LOSS
SCH E
122,626.
122,626.
TOTALS
122,626.
122,626.
91
STATEMENT(S) 41, 42, 43
EFTA00026384
FORM 8582AMT
STATEMENT 44
R
R
FORM
E
OR
PRIOR
NET
A NAME
LOSS
LOSS
CARGOMETRICS
SCH E
-118,351.
-4,275. -122,626. 122,626.
TOTALS
-118,351.
-4,275. -122,626. 122,626.
TOTAL TO FORM 8582AMT, LINE 16
FORM 1116
STATEMENT 45
DESCRIPTION
AMOUNT
BARCLAYS
16,736.
ION444‘l
5,519.
22,255.
FORM 1116
STATEMENT 46
DESCRIPTION
INCOME
LOSS
121.
-3,721.
121.
-3,721.
92
STATEMENT(S) 44, 45, 46
EFTA00026385
2015 TAX RETURN FILING INSTRUCTIONS
DECEMBER 31, 2015
Prepared for
C/O MARKS PANETH LLP-685 3RD AV
NEW YORK, NY 10017
Prepared by
685 THIRD AVENUE
NEW YORK, NY 10017
Amount of tax
Total tax
Less: payments and credits
Plus: interest and penalties
OVERPAYMENT
$
15,560 Auk
24 634
0
9,
.074
Overpayment
Miscellaneous Donations
0
Credited to your estimated tax
9,074
Refunded to you
0
Make check
payable to
NOT APPLICABLE
Mail tax return
and check (if
applicable) to
SIGN, DATE, AND RETURN FORM TR-579-IT TO OUR OFFICE. WE WILL
Return must be
mailed on
or before
RETURN FORM TR-579-IT TO US BY OCTOBER 17, 2016.
Special
Instructions
521;081
04•01• IS
EFTA00026386
NEW
YORK
STATE
2015
Department of Taxation and Finance
New York State E-File Signature Authorization for Tax Year 2015
For Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210
Electronic return originator (ERG): do not mail this form to the Tax Department. Keep it for your records.
Taxpayers name: GHISLAINE MAXWELL
Purpose
Form TR57SIT must be completed to authorize an ERO toe-file a
personal income tax return and to transmit bank account information for
the electronic funds withdrawal.
General Instructions
Taxpayers must complete Part B before the ERO transmits the
taxpayer's electronically filed Form 11201, ResWent Income Tax
Return, IT-201-X, Amended Resident Income Tax Return,11-203,
Nonresident and Part-Year Resident Income Tax Return,11-203-)(
Amended Nonresident and Pad-Year Resident Income Tax Return,
IT-214, Claim for Real Property Tax Credit, NYC-208, Claim for New
York City Enhanced Real Property Tax Credit, or Ny0210, Claim for
New York City School Tax Credit.
For returns filed jointly, both spouses must complete and sign
Form TR-5791T.
Spouse's name:
(Jointly filed return only)
588351 11.2545
EROs must complete Part C prior to transmitting electronically filed
income tax returns (Forms IT-201, 11-201-X. IT-203, IT-20&X.17214,
NYC-208, and NYC-210).
Both the paid preparer and the ERO are required to sign Part C.
However, if an individual performs as both the paid preparer and the
ERO, he or she is only required to sign as the paid preparer. It is not
necessary to include the ERO signature in this case. Please note that
an alternative signature can be used as described in Publication 58.
Information for Income Tax Return Preparers. Go to our Web site at
wnw.tax.ny.gov to view this document.
Do not mall Form TR-579-IT to the Tax Department. EROs must
keep this form for three years and present it to the Tax Department
upon request.
This form is not required for electronically filed Form IT-370, Application
for Automatic Six-Month Extension of Time to File for Individuals.
See Form TR.579.14T. New York State Taxpayer Authorization for
Electronic Funds Withdrawal for Tax Year 2015 Form IT-370.
Part A - Tax return Information
1 Federal adjusted gross Income (from applicable line)
2 Refund
1.
2.
3 Amount you owe
3.
243496
0
Part B Declaration of taxpayer and authorizations for Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210
Under penalty of perjury, I declare that I have examined the information on my 2015 New York State electronic personal income tax return, including any accompanying
schedules, attachments, and statements, and certify that my electronic return is true, correct, and complete. The ERO has my consent to send my 2015 New York State
electronic return to New York State through the Internal Revenue Service (IRS). In addition, by using a computer system and software to prepare and transmit my form
electronically, I consent to the disclosure to New York State of all information pertaining to the transmission of my tax form electronically. I understand that by executing
this Form TR-579-IT, I am authorizing the ERO to sign and file this return on my behalf and agree that the ERO's submission of my personal income tax return to the IRS.
together with this authorization, will serve as the electronic signature for the return and any authorized payment transaction. If I am paying my New York State personal
income taxes due by electronic funds withdrawal, I authorize the New York State Tax Department and its designated financial agents to initiate an electronic funds
withdrawal from the financial institution account indicated on my 2015 electronic return, and I authorize my financial institution to withdraw the amount from my account
As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may
revoke this authorization for payment only by contacting the Tax Department no later than five (5) business days prior to the payment date.
Taxpayers signature:
Date:
Spouse's signature:
(jointly filed return only)
Date:
Part C Declaration of electronic return originator (ERO) and paid preparer
Under penalty of perjury, I declare that the information contained in this 2015 New York State electronic personal income tax return is the information furnished to me
by the taxpayer. If the taxpayer furnished me a completed paper 2015 New York State retum signed by a paid preparer, I declare that the information contained in the
taxpayer's 2015 New York State electronic return is identical to that contained in the paper copy of the return. If I am the paid preparer, under penalty of perjury I declare
that I have examined this 2015 New York State electronic personal income tax return, and, to the best of my knowledge and belief, the return is true, correct, and
complete. I have based this declaration on all information available to me.
ERO's signature:
Print name:
Paid preparer's signature:
Print name: BLECHER , ALAN
Date:
Date:
TR-579-IT (12/15)
1
1019
EFTA00026387
er
NEW
YORK
, STATE
2015
Department of Taxation and Finance
Application for Automatic Six-Month
IT-370
Extension of Time to File for Individuals (with instructions) 5683°°94645
Instructions
New for 2015
Selfemployed individuals engaging in business within the
Metropolitan Commuter Transportation District (MCTD) must
now submit then application for automatic six•month extension
of time to file, along with any required payment for metropolitan
commuter transportation mobility tax (MCTMT). using
Form IT-370 rather than Form MIA?, Application for Automatic
Six-Month Extension of Time To File a Metropolitan Commuter
Transportation Mobility Tax Return. Form MTA•7 is obsolete.
General information
Purpose
Ale Form IT370 on or before the due date of the return to get
an automatic six•month extension of time to file Form IT201.
Resident income Tax Return, or Form 11203, Nonresident and
Pan-Year Resident Income Tax Return.
Note: We no longer accept a copy of the federal extension form
in place of Form IT370.
If you are requesting an extension of time to file using
Form IT-370, you may still file Form IT•201 or Form IT203
electronically, provided you meet the conditions for electronic
fling as listed in the instructions for the forms.
It you have to file Form Y.203, Yonkers Nonresident Earnings
Tax Return, the time to file Is automatically extended when you
fie Form IT,370. For more information on who is required to file
Form Y203, see the instructions for the form.
We cannot grant an extension of time to fie for more than
six months if you live in the United States. However, you
may qualify for an extension of time to file beyond st<
months under section 157.3(b)(1) of the personal income tax
regulations because you are outside the United States and
Puerto Rico, or you intend to claim nonresident status under
section 605(b)(1)(A)00 of the Tax Law (548.day rule). as
explained in the instructions for Form IT-203 under Additional
information. Also see the special condition code instructions for
the return you will be filing (Form IT201 or Form IT-203).
When to file
File one completed Form 17370 on or before the filing deadline
for your return (extension applications filed after the filing
deadline for the return are invalid). Generally, the filing deadline
is the fifteenth day of the fourth month following the close of your
tax year (April 18, 2016, for calendarlear filers).
However, you may file Form ITS70 on or before:
•
June 15, 2016, if you qualify for an automatic twomonth
extension of time to file your federal and New York State
income tax returns because you are out of the country (for
additional information, see When to file/Important dates on the
back cover of the instructions for the return you are filing) and
you need an additional four months to file (October 17, 2016):
•
June 15, 2016. if you are a U.S. nonresident alien for federal
income tax purposes and you qualify to file your federal and
New York State Income tax returns on June 15, 2016, and you
need an additional six months to file (December 15, 2016): or
•
July 14, 2016. (if your due date is April 18, 2016) or
September 13, 2016 (if you are a nonresident alien and
your due date is June 15, 2016), if you qualify for a 90.day
extension of time to file because your spouse died within
30 days before your retum due date and you need additional
time to file. However, you must file your return on or before
October 17. 2016, if your due date is April 18. 2016. or on or
before December 15, 2016, if you are a nonresident alien and
your due date is June 15. 2016.
See Special condition codes on page 2.
If you qualify for an extension of time to file beyond six
months. you must file Form IT•370 on or before the filing
deadline for your return.
.bito
llow to file
Complete Form 11%370 and file it, along with payment for any tax
due, on or before the due date of your return. Use the worksheet
on page 3 to determine if a payment is required.
V Detach (cut) here• Do not submit with your return.
2015
NEW
YORK
Department of Taxation and Finance
STATE
Application for Automatic Six-Month Extension of Time to File for Individuals
IT-370
Paid paperer/ Mark an X In tha box and complete pegs 2
Your scent sacunty number (SSM
Spotc,e's SSN (only a Nog a pm room)
Your test name and middle i111S
GHISLAINE
Your last name
MAXWELL
Spouse's Wet name and middleinitial
CMS's last name
Mailing address (number and *veal or PO boxl
Apartment number
C/0 MARKS PANETH LLP -685 3RD AV
City. village. or post *Moe We inisectersi
NEW YORK
Slate
NY
ZIP coda
10017
E.mall:
Enter your 2-climactor spacial 'Sender, Cede
It applicable (see InstructionM
Mark an X m the box to each tax that yOu we subject to:
•I=
NYS lax El
NYC lax El
Seekers tax D mcimr LI
I Sales and use tax
2 Total payment
Dollen
0
0
Cents
3701151019
1111111
1111 1111111
111111111
EFTA00026388
Page 2 of 2 IT-370 (2015)
568302 09.16-15
Spouses who file separate returns must complete separate
Forms IT•370. Do not include your spouse's SSN or name on
your separate Form IT•370.
Payment of tax • To obtain an extension of time to file. you
must make full payment of the properly estimated tax balances
due. Payment may be made by check or money order. See
Payment options below.
Penalties
Late payment penalty If you do not pay your tax liability when
due (determined with regard to any extension of time to pay).
you will have to pay a penalty of 1/2 of 1% of the unpaid amount
for each month or part of a month it is not paid, up to a maximum
of 25%. The penalty will not be charged if you can show
reasonable cause for paying late. This penalty is in addition to
the interest charged for late payments.
Reasonable cause will be presumed with respect to the addition
to tax for late payment of tax if the requirements relating to
extensions of time to file have been complied with, the balance
due shown on the :looms tax return, reduced by any sales or
use tax that is owed, is no greater than 10% of the total New
York State, New York City, Yonkers. and MCTMT tax shown
on the income tax return, and the balance due shown on the
income tax return is paid with the return.
Late filing penalty • If you do not file your Form IT•201 or
Form 11.203 when due (determined with regard to any extension
of time to file), or if you do not file Form IT•370 on time and
obtain an extension of time to file, you win have to pay a penalty
of 5% of the tax due for each month, or part of a month, the
return is late, up to a maximum of 25%. However• if your return
is not filed within 60 days of the time prescribed for filing a return
(including extensions). this penalty win not be less than the
lesser of 5100 or 100% of the amount required to be shown as
tax due on the return reduced by any tax paid and by any credit
that may be claimed. The penalty will not be charged if you can
show reasonable cause for filing late.
Interest
Interest will be charged on income tax. MCTMT. or sales or use
tax that is not paid on or before the due date of your return. even
if you received an extension of time to file your return. Interest
is a charge for the use of Ilxxay and in most cases may not be
waived. Interest is compounded daily and the rate is adjusted
quarterly.
Fee for payments returned by banks
The law allows the Tax Department to charge a $50 fee when a
check, money order. or electronic payment is returned by a bank
for nonpayment. However• if an electronic payment is returned
as a result of an error by the bank or the department, the
department won't charge the fee. If your payment is returned,
we will send a separate bill for $50 for each return or other tax
document associated with the returned payment.
Privacy notification
See our Web site or Publication 54, Privacy Notification.
Specific instructions
Name and address box' Enter your name (both names if
filing a joint application). address and social security number(s).
Failure to provide a social security number may invalidate this
extension. If you do not have a social security number, enter do
not have one. If you do not have a social security number, but
have applied for one, enter applied for.
Foreign addresses Enter the information in the following
order: city. province or state, and then country (all in the City,
village. or post office box). Follow the country's practice for
entering the postal code. Do not abbreviate the country name.
Special condition codes • If you are out of the country and
need an additional four months to file (October 17. 2016).
enter special condition code Ed. If you are a nonresident alien
and your filing due date is June 15, 2016. and you need an
additional six months to file (December 15. 2016), enter special
condition code fa If you qualified for a 9Oday extension of
time to file because your spouse died, and you need additional
time to file (on or before October 17, 2016, or in the case of
a nonresident alien, on or before December 15. 2016). enter
special condition code 00. Also enter the applicable special
condition code, Ed. Ea or (19 on Form IT•201 or Form IT•203
when you file your return.
• DetachIcutThere •
Do not submit with Your return
IT-370 (2015) (page 2)
Payment options • Ful payment must be made by check or money order
of any balance due with this automatic extension of time to file. Make the
check or MLR rofy order payable in U.S. funds to New York State Income Tax
and write your social security number and 2016 Income Tax on it. For online
payment options. see our Web site (at www.tany.goln.
Paid preparers • Under the law, all paid preparers must sign and complete
he paid prepare/ section of the form. Paid preparers may be subject to
civil and/or criminal sanctions if they fail to complete this section in full.
When completing this section, enter your New York tax preparer registration
identification number (NYTPRIN) if you are required to have one. If you are
not required to have a NYTPRIN, enter in the NYTPRIN act code box one
of the specified 2-digit codes listed below that indicates why you are exempt
from the registration requirement. You must enter a NYTPRIN or an exclusion
code. Also, you must enter your federal preparer tax identification number
(PTIN) if you have one; if not, you must enter your social security number.
V Paid preparer must complete ova instructions) V
Data:
Noon's slow.
0
IIIP. Pro/00meg NYIPRIN
name (Or Mgt 6 640-001PIOYOW
F
V Pc
mars PTIN or
AddrieS
685 THIRD AVENUE
NEW YORK, NY 10017
e
Empi“.icr ltlfintlf CATO) A.Ifill'rty
113518842
'vu ra 01
E.rnaii:
Code Exemption type
Code Exemption type
01
Attorney
02
Employee of attorney
03
CPA
04
Employee of CPA
05
PA (Public Accountant) 06
Employee of PA
07
Enrolled agent
08
Employee of enrolled
agent
09
Volunteer lax preparer
10
tmpioyee ot business
preparing that
business return
See ou Web site for more information about the tax preparer
registr lion requirements.
3702151019
1111111
11111
11111111
111111111
EFTA00026389
IT-370 (2015) Page 1 of 1
Worksheet Instructions
Complete the following worksheet to determine if you must make
a payment with Form IT-370.
If you enter an amount on lines 1,2, 3, or 4 of this worksheet.
mark an X in the appropriate box on IT-370.
Line 1 • Enter the amount of your New York State income tax
liability for 2015 that you expect to enter on Form IT-201, line 46.
or Form IT-203, line 50.
Line 2 • Enter the amount of your New York City income tax
liability for 2015 that you expect to enter on Form IT-201, line 54.
or Form IT-203. line 52a.
Line 3 • Enter the amount of your Yonkers income tax liability for
2015 that you expect to enter on FormIT201, lines 55.56. and
57: or Form IT-203. lines 53 and 54.
Line 4 • Enter the amount of your MCTMT liability for 2015 that
you expect to enter on Form 11%201, line 54b. or Form IT-203,
line 52c.
Line 5 • Enter the amount of sales and use tax, if any, that you
will be required to report when you file your 2015 return. See the
instructions for your NYS income tax return for information on
how to compute your sales and use tax. Also enter this amount
on line 1 on IT-370.
Line 7 • Enter the amount of 2015 tax already paid that you
expect to enter on Form IT-201, line 76, or Form IT-203, line 66
(excluding the amount paid with Form IT-370).
1 New Yet Mato Income lax liability tot 2015
2 New York City income lax liability kw 2015
3 Yonkers income lax liability lot 2015
4 &cum liability to 2015
5 Seen anti um tax due Mt 2015 (enter ells
amount how and on the a on IT-37C6
5.
Total taxes (add l
I though
Total 2015 Income tax already mkt
TOW payment istestract line 7 (tom Me 6 and en* tile amount hAra and an We 2
en 77-370) r Ilne 7 $ more than line 5. e0W 0
6
7
8
1.
2.
3.
4.
Worksheet
Note: You may be subject to penalties if you underestimate
the balance due.
How to claim credit for payment made with this form
Include the amount paid with Form IT-370 on Form IT-201.
line 75, or Form 11-203. line 65.
For more information, see the line instructions for the return you
file.
558303
Where to file
If you are enclosing a payment with Form IT-370, mail to:
Extension Request
PO Box 4125
Binghamton NY 13902-4125
If you are not enclosing a payment with Form IT-370, mail to:
Extension Request-NR
PO Box 4126
Binghamton NY 13902-4126
Private delivery services
If you choose, you may use a private delivery service. instead of
the U.S. Postal Service, to rrei in your form and tax payment.
However, if, at a later date, you need to establish the date you
filed or paid your tax, you cannot use the date recorded by a
private delivery service unless you used a delivery service that
has been designated by the U.S. Secretary of the Treasury
or the Commissioner of Taxation and Finance. (Currently
designated delivery services are listed in Publication 55,
Designated Private Delivery Services. See Need help? below
for information on obtaining forms and publications.) If you
have used a designated private delivery service and need
to establish the date you filed your form, contact that private
delivery service for instructions on how to obtain written proof of
the date your form was given to the delivery service for delivery.
See Publication 55 for where to send the form covered by these
instructions.
Need help?
Visit our Web site at www.tax.ny.gov
e get information and manage your taxes online
• check for new online services and features
Telephone assistance
Automated income tax refund status:
(518) 457-5149
Personal Income Tax Information Center:
(518) 457-5181
To order forms and publications:
(518) 457-5431
Text Telephone (TTY) Hotline (for persons with
heating and speech disabilities using a TTY):
(518) 485-5082
Persons with disabilities: In compliance with the
Americans with Disabilities Act. we will ensure
that our lobbies. offices, meeting rooms, and other
facilities are accessible to persons with disabilities.
If you have questions about special accommodations for
persons with disabilities, call the information center.
10-1945
EFTA00026390
2015
NEW
YORK
STATE
Now York State • New York City • Yonkers • MCTMT
For the full year January 1, 2015, through December 31, 2015, or fiscal year beginning
and ending
Department of Taxation and Finance
Resident Income Tax Return
For help comoletinft your return, see the instructions Form 11-201-I
Your lest name
All
You last name PO, a pint return. enter spaces name on linebelow)
Your date of birth Immdcartry)
Your social seamy number
GHISLAINE
MAXWELL
Spouse's first name
All
SAO
last negro
Spouse's due o both trttorldiforl Spouse's Social Wintry number
Mailing address (see InstructiOnS. page 13) Inumlow and street co PO be, )
Apayment nurnixe
New Yak State county of residence
C/O
MARKS PANETH LLP -685 3RD A
NY
City. villagp. a post orrice
State
ZIP cods
Country Of not li NW Slates)
School district nano
NEW YORK
NY 10017
MANHATTAN
Taxpayer's permanent home address on Instructions. G,V) 13)(number and start or rural route)
Apartment numter
School detrict
code hurts
369
City, village. or post °Moe
State al. code
Infs.:150,401001h rnmO11!)0
SONSISdliCOlOtati SWAIM)/
pzezol
NY
IT-201
A Filing
status
(mark an
X in one
box):
O
W
Single
D Married filing joint return
(enter spouse's social security number above)
0 K
Married filing separate return
(enter spouse's social security number above)
0 K Head of household (with qualifying person)
D Qualifying widow(er) with dependent child
B Did you itemize your deductions on
your 2015 federal income tax return?
Yes❑
No D
C Can you be claimed as a dependent
on another taxpayer's federal return?
Yes D
No El
H Dependent exemption information (see Page 15)
First name
MI
Last name
Relationship
Social security number
Date of birth (mmddyyYY)
D1 Did you have a financial account
located in a foreign country? (see page 14)
Yes El
No El
D2 Yonkers residents and Yonkers part-year residents only:
(1) Dld you receive a property tax freeze credit?
El
Yes
No
(see page 74)
El
(2) If Yes, enter
the amount
00
E (1) Did you or your spouse maintain living
quarters in NYC during 2015? (see page 14) Yes El
No El
(2) Enter the number of days spent In NYC in 2015
(any part of a day spent in NYC Is considered a day)
F NYC residents and NYC part-year
residents only (see page 14):
(1) Number of months you lived in NYC in 2015
(2) Number of months your spouse
lived in NYC in 2015
G Enter your 2-character special conclition
code(s) if applicable (see page 14)
12
If more than 7 dependents. mark an X in the box.
201001151019
For office use only
EFTA00026391
Page 2 of 4 IT-201 (2015)
VOX SOON
ud nurrace
568002 11.1745
Federal income and adjustments (seepage 15)
1 Wages, salaries, tips, etc.
2 Taxable interest income
3 Ordinary dividends
4 Taxable refunds, credits, or offsets of state and local income taxes (also enter on line 25)
5 Alimony received
6 Business Income or loss (submit a copy of federal Schedule Cot C-EZ, Form 1040)
7 Capital gain or loss (if required, submit a copy of federal Schedule D, Form 1040)
8 Other gains or losses (submit a copy of federal Form 4797)
9 Taxable amount of IRA distriputions. If received as a beneficiary, mark an X in the box
10 Taxable amount of pensions and annuities. If received as a beneficiary. mark an X in the box
11 Rental real estate, royalties, partnerships, S corporations, trusts, etc. (submit copy of federal Schedule E, Form 1040)
12 Rental real estate included in line 11
13 Farm income or loss (submit a copy of federal Schedule F, Form 1040)
14 Unemployment compensation
15 Taxable amount of social security benefits (also enter on line 27)
16 Other income Nee Papa IS) 'Identify:
17 Add lines 1 through 11 and 13 through 16
18 Total federal adjustments to income gee page IS)) Identlfy:
Whole dollars only
1
00
2
63088 00
3
182240 00
4
00
5
00
6
-500 00
7
-3000 oo
a
5310 00
9
00
10
00
11
-3642 oo
121
Igo
13
14
15
16
17
18
243496
00
00
00
00
00
00
19 Federal adjusted gross Income (subtract line 18 from Ana 17)
New York additions
(see Page 16)
20 Interest income on state and local bonds and obligations (but not those of NYS or its local governments)
21 Public employee 4140) retirement contributions from your wage and tax statements (see page 16)
22 New York's 529 college savings program distributions (see page 16)
23 Other (Form IT-225, line 9)
24 Add lines 19 through 23
New York subtractions (see Page TV
1
25 taxable rotunda crochet oeftsets ol state and INS Income taxes Orme
4)
26 Pensions et NYS and local governments and rite Nana government (a• page I7)
27 Taxable amount of social security benefits (from Me 15)
28 Interest income on U.S. government bonds
29 Pension and annuity income exclusion (see page 18)
30 New York's 529 college savings program deduction/eamIngs
31 Other Form 1T-225, line 18)
32 Add lines 25 through 31
33 New York adjusted gross Income (subtract tine 32 from fine 24)
19
243496 00
20
21
22
23
24
10000 00
00
00
00
00
25
26
27
28
29
30
31
00
00
00
00
00
00
00
893
15
Standard deduction or itemized deduction (see page 20)
34 Enter your standard deduction (table on page 20) or your itemized deduction (from Form IT-201-D)
Mark an X in the appropriate box:
Standard
El Itemized
35 Subtract line 34 from line 33 (If line 34 is more than line 33, leave blank)
36 Dependent exemptions (enter the number of dependents listed in item H: see page 20)
37 Taxable income (subtract line 36 from line 35)
Hill
32
33
106
253602
908 00
00
252694
34
101679 oo
35
151015 oo
36
000 00
37
151015 00
EFTA00026392
Namefs) as shown on page 1
Your soc"
n i
r
Tax computation, credits, and other taxes
sGsno3 11.17.15
IT-201 (2015) Page 3 of 4
38 Taxable income (from fine 37 on page 2)
38
151015 00
39 NYS tax on line 38 amount (see page 21)
39
10042 00
40 NYS household credit (page 21, table 1, 2, or 3)
40
00
41 Resident credit (see page 22)
41
00
42 Other NYS nonrefundable credits (Form IT-201-ATT, Hne 7)
42
00
43 Add lines 40, 41, and 42
43
00
44 Subtract line 43 from line 39 Of line 43 ls more than line 39, leave blank)
44
10042 00
45 Net other NYS taxes (Form IT-201-A7T, fine 30)
45
00
46 Total New York State taxes (add lines 44 and 45)
46
10042 00
New York City and Yonkers taxes, credits, and surcharges, and MCTMT
47 NYC resident tax on line 38 amount (see page 22)
47
5391 00
48 NYC household credit (Page 22, table 4, 5, or 6)
48
00
49 Subtract line 48 from line 47 Of line 48 is more than
line 47, leave blank)
49
5391 00
50 Part•year NYC resident tax (Form 1T-360.1)
50
00
51 Other NYC taxes (Form IT-201-ATT, line 34)
51
00
52 Add lines 49, 50, and 51
52
5391 00
53 NYC nonrefundable credits (Form 1T-201•ATT, line 10)
53
00
54 Subtract line 53 from line 52 (if gm 531s more than
line 52, leave blank)
54
5391 00
Ma MCTMT net
earnings base
Mel
54b MCTMT
Mb
00
55 Yonkers resident income tax surcharge (see page 25) .
55
00
56 Yonkers nonresident earnings tax (Form V-203)
56
00
57 Part-year Yonkers resident income tax surcharge (Form lT-360.
57
00
58 Total New York City and Yonkers taxes / surcharges and MCTMT (add lines 54 and 54b through 57) sal
59 Sales or use tax (see page 26; do not leave fine 59
)
59
Voluntary contributions
60a Return a Gift to Wildlife
60a
00
60b Misstig/Exploited Children Fund
60b
00
60c Breast Cancer Research Fund
60c
00
60d Alzheimer's Fund
60d
00
60a Olympic Fund (52 or 34; see page 27)
60e
00
601 Prostate and Testicular Cancer Research and Education Fund
601
00
60g 9/11 Memorial
60g
00
60h Vaunteer Firefighting & EMS Recruitment Fund
60h
00
601 Teen Hearth Education
60i
00
60) Veterans Remembrance
60)
00
60k Homeless Veterans
60k
00
601 Mental Illness AntiStigrna Fund
601
00
60m Women's Cancers Education and Prevention Fund
60m
00
60 Total voluntary contributions (add fines 60a through 60m)
too
61 Total New York State, New York City, Yonkers, and sales or use taxes, MCTMT, and
voluntary contributions (add lines 46, 58, 59, and 60)
61
15560 00
(see page 27)
See instructions on
pages 22 through 25 to
compute New York City and
Yonkers taxes, credits, and
surcharges, and MCTMT.
5391 00
127 00
201003151019 III II III
EFTA00026393
Page 4 of 4 IT-201 (2015)
Your soc' securi numb r
%S004 It. '? '!,
82 Enter amount from line 61
Payments and refundable credltel (see page 28)
63 Empire State child credit
63a Family tax relief credit
64 NYS/NYC child and dependent care credit
65 NYS earned income credit (EIC)
66 NYS noncustodial parent EIC
67 Real property tax credit
68 College tuition credit
69 NYC school tax credit (also complete F on page 1; see page 29)
70 NYC earned income credit
70a NYC enhanced real property tax credit
71 Other refundable credits (Form 1T-201-ATT, Me 18)
72 Total New York State tax withheld
73 Total New York City tax withheld
74 Total Yonkers tax withheld
76 Total estimated tax payments and amount paid with Form IT-370
76 Total payments (add lines 63 through 75)
Your refund, amount you owe, and account information
62
15560 00
63
00
63a
00
64
00
65
00
66
00
67
00
68
00
69
63 00
70
00
70a
00
71
00
72
00 If applicable, complete Form(s) IT-2
73
00 and/or IT-1099-R and submit them
74
00 with your return (seepage 12).
75
24571 00
(see pages 31 through 33)
77 Amount overpaid Of line 76 is more than line 62, subtract line 62 from line 76
78 Amount of line 77 to be refunded
r
direct
r
debit'
check
Mark one refund choice: Lj deposit
„
p3)
-or-
Li card -Or- K
check
79 Amount of line 77 that you want applied to your
2016 estimated tax (see instructions)
80 Amount you owe (il line 761s less than line 62, subtract line 76 front line 62). To pay by electronic
funds withdrawal, mark an X in the box D and fig in lines 83 and 84. If you pay by check
76
24634 00
77
9074 00
78
00
79
9074 00
81
82
83
See page 31 for information about
your three refund choices.
See page 32 for payment options.
or money order you must complete Form IT2014/ and mail it with your return
80
00
Estimated tax penalty (include this amount in line 80
See page 35 for the proper
00
or reduce the overpayment on Me 77: see page 32)
assembly of your return.
Other penalties and interest (see page 32)
82
00
Account information for direct deposit or electronic funds withdra
If the funds for your payment (or refund) would come from (or go to)
val (see page 33).
an account outside the U.S., mark a n X in this box (see pg. 33)
83a Account type: D Personal checking - or - D
Personal savings - or - D
Business checking • or - D
Business savings
83b Routing number
83c Account number
84 Electronic funds withdrawal (see page 33)
Date
Amount
00
Third-party
Print designee's name
desigmwonseeinstrJ BLECHER, ALAN
Teen( No nEmit
• Paid preparer must complete(w.nvflomi iirkrrwl
PrepartOS SWOOP*
Preparers printed name
BLECHER, ALAN
Frm's name to yowl/ tl Plit-OelplOyeM
Personal identification
number (PIN)
Ieau rode
.'
01
Proper • PlIN or
mews
685 THIRD AVENUE
NEW YORK, NY
mpitypoltrilitoolionnumhor
113518842
Dal
frmI
201004151019 111
o III
V
Taxpayor(s) must sign here
Your signature
•
Your OCCupatiOn
CONSULTANT
Spouse's signature awl Gott/DOWD tl Pint (OWN
Date
Elms
See instructions for where to mall your return.
EFTA00026394
04 2
r,• !fi
2015
NEW
Department of Taxation and Finance
1T-201-D
YORK
Resident Itemized Deduction Schedule
STATE
Submit this form with Form IT-201. See instructions for completing Form 11.201O in the instructions for Form IT•201.
Name(s) as shown on your Form IT•201
Your socl
1 Medical and dental expenses (federal Schedule A, line 4)
2 Taxes you paid (federal Schedule Aline 9)
3 Interest you paid (federal Schedule A, line 15)
4 Gifts to charity (federal Schedule A, fine 19)
5 Casualty and theft losses (federal Schedule A, line 20)
6 Job expenses/miscellaneous deductions (federal Schedule A, fine 27)
7 Other miscellaneous deductions (federal Schedule A, line 28)
8 Enter amount from federal Schedule A, line 29
9 State. local. and foreign income taxes (or general sales tax, if appllcati
and ether subtraction adjustments (see instructions)
10 Subtract line 9 from line 8
11 Addition adjustments (see instructions)
12 Add lines 10 and 11
13 Itemized deduction adjustment (see insatructinna)
ihtb.
14 Subtract line 13 frcrn line 12
15 College tuition itemized deduction (see Form IT-272)
STATEMENT 1
STATEMENT 2
16 Now York State itemized deduction (add lines 14 and 15; enter on Form IT-201, line 34)
illimiliiii°IiI11111111111111
11111
y. ' et' h
1
1
/1fr
Whole dollars only
1
00
2
119703 oo
3
1700
4
5353 00
5
00
6
40652 00
7
00
8
165725 oo
9
34571 00
10
131154 oo
11
4418 00
12
135572 00
13
33893 oo
14
101679 00
15
00
16
101679 oo
EFTA00026395
er
nIEW
YORK
STATE
2015
Department of Taxation and Finance
New York State Modifications
Attachment to Form IT-201, IT-203, IT-204, or IT-205
SCR-391 V•02-L.
1T-225
Name(s) as shown on return
Identifying number as shown on return
Complete all pals that apply to you; see Instructions (Form 11-225-I). Submit this form with Form IT-201, IT-203, IT-204, or IT-205.
Mark an X in the box identifying the return you are filing:
11201 QX
11203 ri
11-204
IT-205
Schedule A - New York State additions Omer whole dollars only)
Part 1 - Individuals, partnerships, and estates or trusts
1
New York State additions
la
lb
it
ld
10
if
Ig
Number
A-
111
A-
209
A -
A -
A -
A -
A -
A - Total amount
90 00
16 00
00
00
00
00
00
2
Total (add column A, lines la through 1g)
B - NYS allocated amount
00
00
00
00
00
00
00
3
Total of Schedule A, Part 1, column A amounts from additional Form(s)M225. If any
4
Add lines 2 and 3
Part 2 - Partners, shareholders, and beneficiaries
Form IT-201 filers: do not enter EA-103 or EA-113
Form IT-203 filers: do not enter EA•113
Form IT-205 filers: do not enter EA•113 or FA•201
5
New York State additions
5a
5b
5e
5d
5e
5f
59
Number
EA -
EA -
EA -
EA -
EA -
EA -
EA -
A - Total amount
00
00
00
00
00
00
00
2
106 00
3
00
4
106 00
B - NYS allocated amount
00
00
00
00
00
00
00
6
Total (add column A, lines 5a through 5g)
7
Total of Schedule A. Part 2, column A amounts from additional Form(s) 1225. If any
8
Add lines 6 and 7
9
Total additions (add lines 4 and 8; see instructions)
225001151019
6
00
7
00
00
9
106 00
(continued)
EFTA00026396
IT-225 (2015) (page 2)
588397 12.02.15
Schedule B - New York State subtractions (enter whole dollars only)
Part 1 - Individuals, partnerships, and estates or trusts
10 New York State subtractions
10a
10b
10c
10cl
10e
10t
109
Number
s-
213
S -
S -
S -
S -
S -
S -
A - Total amount
15 00
00
00
00
00
00
00
B - NYS allocated amount
00
00
00
00
00
00
00
11 Total (add column A, lines 10a through 10g)
12
Total of Schedule B. Part 1. column A amounts from additional Form(s) IT-225. if any
13 Add lines 11 and 12
11
15 00
12
00
13
15 00
Part 2 - Partners, shareholders, and beneficiaries
Form IT-201 filers: do not enter ES-103, ES-104, ES-106, ES-107, or ES•125
Form IT-203 filers: do not enter ES-106, ES-107, or ES•125
Form IT-205 filers: do not enter ES-125
14
New York State subtractions
14a
14b
14c
14d
14e
14t
14g
Number
ES -
ES -
ES -
ES -
ES -
ES -
ES -
A - Total amount
00
00
00
00
00
00
00
B - NYS allocated amount
00
00
00
00
00
00
00
15
Total (add column A, lines 14a through 14g)
16
Total of Schedule B. Part 2. column A amounts from additional Form(s) IT-225. if any
17
Add lines 15 and 16
18
Total subtractions (add lines 13 and 17; see instructions)
225002151019
15
00
16
00
kid
00
18
15 00
EFTA00026397
Department of Taxation and Finance
Underpayment of Estimated Tax
2015
By Individuals and Fiduciaries
New York State • Now York City a Yonkers a MCTMT
Name(s) as shown on return
II,
art 1 - All filers must complete this part (see instructions. Form IT 2105.9.1. for assistance)
NEW
YORK
STATE
IT-2105.9
Identification number (SSN or EiN)
1 Total tax from your 2015 return before withholding and estimated tax payments (caution: see instructions)
2 Empte State child credit (from Form IT-201, fine 63)
3 NYS/NYC child and dependent care credit (from Form IT-201, fine 64)
4 NY State earned income credit (EIC) (from Form IT-201, Nne 65)
5 NY State noncustodial parent EIC (from Font) IT-201, fine 66)
6 Real property tax credit (from Form IT-201, line 67)
7 College tuition credit (from Form IT-201, line 68)
7a Property tax freeze credit (see Instructions)
7b Family tax relief credit (from Form IT-201, AS 62a)
8 NY City school tax credit (from Form IT-201, line 69, or Form IT-203, line 60)
9 NY City earned income credit (from Form IT-201, fine 70)
9a NY City enhanced real property tax credit (from Form IT-201, line 7th)
10 Other refundable credits Nom Fan, rt.201.11n0 I:Forma-203.nm CI: oFpm lr-205,M53)
11 Add fries 2 through 10
12 Current year tax (subtract AS 11 from AS 1)
Ali-
13 Multiply line 12 by 909E (.90)
2
3
4
5
6
7
.00
.00
.00
.00
.00
.00
.00
.00
7a
7b
e
9
63.0o
.00
.00
.00
9a
10
131
13833.0o
14 Income taxes withheld (Iron Form IT.201. Mee 72.75.000 74; Fpm IT-203. lines 62.63.040 64: or Form 11.205. linos 34. 35. 000 36)
15 Subtract line 14 from line 12. If the result Is less than $300, do not complete the rest of this form (see Instructions)
16 Enter your 2014 tax (caution: see instructions)
110%
17 Enter the smaller of line 13 or line 16
Part 2 - Short method for computing the penalty -complete lines 18 through 24 if you paid withholding tax and/or
estimated tax installments (on the due dates), or If you made no payments of estimated tax. Otherwise, you must complete Part 3 -
18 Enter the amount from line 14 above
18
.00
19 Enter the total amount of estimated tax payments you made (see instructions)
19
.00
20 Add lines 18 and 19
20
.00
21 Total underpayment for yea'. Subtract line 20 from line 17 (if zero or less, you do not owe the penal y)
21
.00
22 Multiply line 21 by .05000 and enter the result
22
00
23 If the amount on line 21 was paid on or alter April 15. 2016. enter 0. If the amount on line 21 was paid before
April 15, 2016, make the following computation to find the amount to enter on this line:
Amount on line 21 x number of days paid before April 15, 2016 x .00020 =
23
.00
24 Penalty. Subtract line 23 from file 22
24 I
00
Enter here and on Form IT-201, line 81: Form 11%203. line 71: or Form IT205. line 42.
Part 3 - Regular method - Schedule A - Computing your underpayment (Schedule e is on page 2)
Payment due dates
A 4/15/15
B 6/15/15
C 9/15/15
D 1/15/16
25 Required installments. Enter Y. of line 17 in each
column. 47f you used the annualized income
installment method, see instructions.)
25
3458.00
3458.00
3458.00
3459.00
26 Estimated tax paid and tax withheld
(see instructions)
Complete lines 27 through 29, one column
at a time, starting in column A.
27 Overpayment or underpayment from
prior period
26
17571 .00
2000 .00
5000 .00
27
14113 .00
12655 .00
14197 au
28 It line 27 is an overpayment, add lines 26
and 27: it line 27 is an underpayment,
subtract line 27 from line 26 (see Instr.)
29 Underpayment (subtract line 28 from line
25) or overpayment (subtract line 25
from line 28: see inst uctions)
28
17571 .00
16113 .00
17655 .00
14197.00
29
14113 .00
12655 .00
14197 .00
1073800
IIII1111ci
5oliiiiii°11
III nu
15433.0o
11
63 oo
12
15370.0o
14
.00
15370.0o
16
16130.0o
17
13833.0o
paid four equal
Regular method.
EFTA00026398
IT-2105.9 (2015) (page 2)
568052 11-17-15
Part 3 - Regular method - Schedule B - Computing the penalty
Payment due dates
30 Amount of underpayment (from line 29)
First Installment (April 15 - June 15, 2015)
31 April 15 • June 15 =
(61 t 365) x 7.5% = .01253
April 15 •
It 365)x 7.5%= •
32 Multiply line 30. column A by line 31
A 4/15/15
30
.00
8 6/15/15
.00
C 9/15/15
.00
D 1/15/16
31
32
Second Installment (June 15 • September 15. 2015)
33 June 15. September 15 = (92 * 365) x 7.5% = .01890
June 15.
=
365) x 7.5% =
•
34 Multiply line 30. column B by line 33
Third installment (September 16, 2016 - January 15, 2018)
35 September 15 • December 31 = (107 + 365) x 7.5% = .02198
January 1 • January 15
= (15 366)x 7.5% = .00306
02504
Total
September 15 -
= (
365) x 7.5% =
January 1 •
(
* 366) x 7,5% = •
33
34
36 Multiply line 30. column C by line 35
Fourth installment (January 15 - April 15, 2018)._
37 January 15 April 15 = (91 366) x 7.5% = .01864
January 15-
=(I
*366)x 7.5% egg •
Total
38 Multiply line 30, column D by line 37
39 Penalty. Add lines 32, 34, 36, and 38. Enter here and on Forni IT-201. tine 81:
Form IT-203, line 71: or Form IT-205, line 42
059002151019
Submit this form with your New York State return.
35
36
uJ
37
38
.00
39
0.00
EFTA00026399
NY IT-201-D ITEMIZED DEDUCTION WORKSHEET - ADDITION ADJUSTMENTS STATEMENT
1
DESCRIPTION
AMOUNT
90.
BOND PREMIUM
4,328.
TOTAL TO FORM IT-201-D, LINE 11
4,418.
14
STATEMENT(S) 1
EFTA00026400
NY IT-201-D
WORKSHEET 3 - ITEMIZED DEDUCTION ADJUSTMENT
STATEMENT
2
1. NEW YORK ADJUSTED GROSS INCOME FROM FORM IT-201,
LINE 33 OR FORM IT-203, LINE 32
2. FILING STATUS 1 OR 3 ENTER $100,000, OR FILING
STATUS 4 ENTER $150,000, OR FILING STATUS 2 OR
5 ENTER $200,000
3. SUBTRACT LINE 2 FROM LINE 1
4. ENTER THE LESSOR OF LINE 3 OR $50,000
5. DIVIDE LINE 4 BY $50,000 AND CARRY THE RESULT
TO 4 DECIMAL PLACES
6. ENTER 25% OF FORM IT-201-D, LINE 12 (IT-203-D, LINE 13)
7. MULTIPLY LINE 5 BY LINE 6 AND TRANSFER THIS AMOUNT TO
FORM IT-201-D LINE 13 (IT-203-D, LINE 14)
252,694.
100,000.
152,694.
50,000.
1.0000
33,893.
33,893.
15
STATEMENT(S) 2
EFTA00026401