Case File
efta-efta00315679DOJ Data Set 9OtherETRADE CLEARING LLC
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00315679
Pages
12
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
ETRADE CLEARING LLC
PO BOX484
JERSEYCITY, NJ 07303-0484
Account No:
Account Name:
LESLEY KATHERINE GROFF &
Taxpayer Identification Number: ON-FILE
Account Executive No:
ETt
ORIGINAL:
12/31/12
2012 FORMS 1099 & DETAILS
YEAR-END MESSAGES
CERTAIN EVENTS SUCH AS COST BASIS ADJUSTMENTS OR
RECLASSIFICATION OF AN INCOME PAYMENT RECEIVED FROMA MUTUAL
FUND, ETF, REIT OR RIC MAY RESULT IN AN AMENDED 1099FOR PRIOR OR
CURR ENT TAXYEARS. PLEASE SEE INSERT FOR DETAILS OR VISIT
VVWW.ETRADE.COM/COSTBASIS FOR ANY UPD ATES. QUESTIONS PLEASE
CALL 1-800-ETRADE-1 (-800-387-2331) OR LOG ON TO YOUR ACCOUNT AND
SEND USA SECURE MESSAGE BY CLICKING ON THE CUSTOMER SERVICE
LINK AT THE TOP OF THE PAGE.
Your Account did not receive the following Forms:
1099 OID
1099 MISCELLANEOUS
LESLEY KATHERINE GROFF &
TWROS
TABLE OF CONTENTS
1099 Dividends and Interest
3
Instructions for Forms 1099
4
1099 Gross Proceeds.
5
1099 Dividend & Distribution Details
10
1099 Interest Income Details
11
Investment Details
12
EFTA00315679
This page intentionally left blank.
Paget of *. 2
EFTA00315680
E'TRADE CLEARING LLC
PO BOX 484
JERSEY CITY NJ 07303-0484
Account No:
Account Name:
Taxpayer Identification Number
Account Executive No:
ORIGINAL:
LESLEY KATHERINE GROFF &
ETI
12/31/12
RECIPIENT'S Name, Street Address, City, State, and Zip Code
LESLEY KATHERINE GROFF &
DANIEL GROFF JTWROS
Copy B for recipient
7
2nd TIN Notice
2012 Consolidated 1099 Form
Payers Federal Identification Number: 32-0012683
Payer's Name, Street, City, State, Zip Code:
E*TRADE CLEARING LLC
PO BOX 484
JERSEY CITY, NJ 07303-0484
Telephone NuMber. (800) 387-2331
2012 FORM 1099-DN: DIVIDENDS AND DISTRIBUTIONS (OMB NO. 1645-0110)
2012 FORM 10994NT: INTEREST INCOME (OMB NO.16464112)
1a
Total Ordinary Dividends
54.130 88
1
Interest Income not included in box 3
5763.74
1b
Qualified Dividends
$4,130.88
2
Early vAthdrawal penalty
2a
2b
Total Capital Gain Distributions
Unrecap Sec. 1250 gain
3
Interest on U.S. Savings Bonds & Treasury
obligations
2c
Section 1202 gain
4
Federal income tax withheld
2d
Collectibles (28%)gain
5
Investment Expenses
3
NOndividend Distributions
6
Foreign tax paid
4
Federal income tax
7
Foreign country Or LIS possession
withheld
Investment Expenses
5
8
Tax-Exempt interest
6
Foreign Tax Paid
9
Specified private activity bond interest
7
Foreign country or US possession
10
Tax-exempt bond CUSIP no. (see instructions)
8
Cash Liquidation Distributions
9
Noncash Liquidation Distributions
10
Exempt-interest dividends
53.75
11
Specified private acfivity bond interestdividendS
$2.16
Thisisimportanttax information and is being furnished to the Internal Revenue Sento (except as indicated). If you am required to file a return,
a negligence penalty orothersanctlon may be imposed on you If this income Istaxable and the IRS determinesthat It has not been reported.
Page 3 of 12
EFTA00315681
meninxtown for Ringarsol .0~ndincome
Rompient's iambic/bon number. Fa you aelaton the lam may (Mr. Ca', the matt bu liXs el you 30C,31140,5tf minter ISSN) rdadaellapayor idertfaion rirrnta
ach(0<n12,p3w, ,WItita,on nusuts (ATIN) brewt the sum h:n npodol you crane dortacaton numbs MIN IRS Ind whore
applere to $1314 .314,3r local ;mammals
Account mad», May New an xcart a rot rape numb« to pans av and to Ostraish You amour.
Box Ii. Shan 1[01 otan.lry a .dads the 44 faneilt treble the annul a, Ire 9a of Fern 104)s 1041A 4144 neater &Naha B(IDO:A ar IMO). Nrcalrod
The rout shorn may be Giikr,34 acara4on plid deed% to µ 31 e pinsedal (Of bentriCidy CI 3p0!Ø) n a employee dab awash° pram (ESOP) Ripen 1 n a (bard on pot Fan 1001~44,G, I 81
ao intetborl nob. he any «Mr espe»
Box lb. Shatine ~011 1/4 ~in nb>v 13 MI rflPf be 14064 1,1 11/4 15%a as cat 2 gain r%41 549 Fen 0401040A mbar: re la taste Meanest rn roan Report the cloak annal en Ms Rs, Fam IC40 oe 1040A
Sol ii . Stems Påsketal tern detntUran tram:Marl badmen corapry Co real estate re amp, Met Rear the arrene sham n to. 2a on &NAM II (Mrs N40) be 13 &I doe mart rs roan n bate 7m2drg 'Worn/ U9131(0113 and lonel re tapis Dan ~Web tar may to IØ to roar the rout
roan n to. 2a on iro 13 a Form 11110 (me 10 el Form IONA) raner ban S:tor).X D Sec the Form ININICIIM rotrudas
Boy 16. Shots tie paten ofte armlet n lea 2a bat 1. Irrec ~lid eat*, 1250 gen tcm LIM«, doyEutilo ros moody Roro! IM arose <n to Lbecaaved Salon 1250 Gam 1gansheet-Ine NV in the SelaMM D rancher* (Farm 1040)
Box It Mans the ten« ol the arrant n W s 2a1na n '<Øn 12Q2 5411 tan COIStrålblitelf saltha nay be Pipet b a W4, trerem and :elan urponumnt zone banns Red that may to nand to a60%4%014D, See be Scheado I) (Fan 1049)retnadbas
Box N Morn Mtge ern tom mks Co erchban ol Cd0:1013$ II roamed UN 1N1 rost venen compereMe 28% Pao Gan Illorkshod-lon 18 n tie rtaluChent b SCh011.10 D (Fans 1040)
Box 3 Sheave the pat of re adriatom Mat roam ati. Omani t re a Mir Of par 0‘41 (0' "(Alin) Yea mug mate your ant (a ahr Dace) by the,3m<urtb11rgm2pna hi* ,4hco pu MB marscAB,tdmar9ilØ IA van Cod (a oast bale) mast Vast ditratons
CarSigans 503 Rib 55) IrneitMal
'Nob and Byernes
Box 4 Sham badup wrhanna A ',mar nal balmnth/ad on avian payment, l quad net gar you ~ow danficabon Natar to to pap, Sot Farm 149 Rearnd far impale Idaldcann Nunar andColn:Mon la ~melon on tack)? yytMolang Inaba taearroul on 0051 un:ono ta) ram as Mr wiMeid
Box 5. Mons a, that a moonset of a non Malay abed 10~05 ~rt.«
coripry, paw*, ran pybkly caned ~al had II yarile Icon 10N. you may Coda:11bn °pence. rib 'Ora ozone( Imo oh SchedUe A (Fenn 104,m, shod to re "lent Th. anon', a nebelad n to. to
Box 8 Shone the beep la< to nay may be alt to care as a darelon se a crab on Fan 104 Seethe Nan 104)reinst<ne
Box 7. NI tOo Todd be bb «X* I3 ftQilafed mundmdl comport f€90M/11/4 *areal tar roen es be, 6
Bole. 8 and 9 !Pan can and n:Nash manlaan delitnlorn
Box 10. Stain monamareit OWeena9 tema rrutal funds clher rerend regret commert ~IQpa SAM re err*
yew Inelxie Inc arrant on In 8bd Fain 104131 IIA4 »Immoral wtered The rout may be candet to Nato wthhaldeg See be. 4
Sox 11. Sham monttirtered dadorat adayed lobe aternalara mrvnsnlm Tan smart a navlad in box 10 Sc. IM 11/4012/01/4 kr Fam 6251
Nominets. NIM /«14 mat rails barging Iv rah« war you re CO1/4 6tled a noene ledpal You mat Be FamlOCO.ONDN relh 3 Fam 1(46) *MS the IRS b ea:h d re duer ,lineol to show thee rat ofte mere. and you nul birth a Form 1040)V lo each A husband a irk se rya ramred lo go 3 crane
«fun to dos matte Owned by the «her Me be 2012 Gaves random la Calm Irearrolon Ragre
Indructian for Propene Interest Income
Reciaenrs Identification number. Fa sou proiabomIInbn may row oily the hel feu elijts of pal 93031 warty nat« (5371). exintval Impart 'ambition baba (RIV) or aMiatran tmpayer (galena, brae< (MN) Noma«. be nbår has rebated på ~ale ,dentlegen nUf1/4 0' lo the IRS toabe
molcabr la Ilse aided 1:csl anom-mle
Account nun n. May Now a accourt a Ota Logue number the payer ~Ira a dergur xis account
Box I. Mums tirode mitred toil to yon dump be ed0'09 «Oft« 44 tap The dent not yaws reand sham n bas 3 Mar oho chow the Iota raft cl the erode trom der newer crag, hands GJlar craft Naas ~fed %witty weer vacs bade b. dean renewable energy bras pared asp come .atinn
bads. paned :ono a:ademy bras ktebestom !moral, bad. Waned Saba Crabbier, bake and bill Aft,ene3 b00% IhS miss be snaudnal in nu flat« «one These masts were treated as pad to you surg 2012 on the neat abwance dabs (Mach 15. June IS. Settenta IS. rd Dabber IS) Fer mete
saint an see Feb 8911 Credit to Haion of T3... Croat Lands
Boo i Stmanm stand a proopal Mbleg because of eats argar, are assn's Ye° MY data Be. rant to fi:tre you ~fed prom bane on you Nome tae «en See be ram:Inns b Fam IMO to tee Were totale te denxbon
Box 3. Mans retest «IDS Slangs Bade Twisty Ink Treasury bends and Tumor mest. Th. mayor may not al be taxable Sat Rib 550 The rived es mural tem die and Mealwane Imes The Nato n rd (load 11 bet 1
Boo k 5.1/4 W,b3C, UP Ø13n: Gendarl,. a payer m,a baslup milbad if you ded not brash 30.1 110113yer FOCTOftb30 r14113C, (1111] et pu ild net fun* the fried TIN lobepm« See Fam 1V.9
.rovl en you meant In. alum at la. rib«
Box 5. My rob sham n you shoe cf batman, ' ,cerise-Ida sin*, fats REMIC It µ fk Farm '040 ray may deduct raw banes on the 'CI* marmot' IN of Sandie A [Fab ION) nand to lb 211m1 The ran rt reldod mho'. I
Boot Mons bow Ia. Pad Yonmaybe abe to dam the tar as a desalon or 3 003! a ros Form ION. See vene Fart 040 nary:tab
Boot:be !merry" abed 13.03 10 µ sarg be aØ
pa try the papa Racal Ti ran on Ire eta et Fan, 1040 a Farm 1040A Ths smart nay be etled to !mate wihtalarg Set be. 4
Box I. ;ham tare. rot slued whoa to Me tamtue ~MI" Is. Ths amaut n relabel n bon 8 See re 1-istnatem b Farm 6251
Box le. Siam CVSIP rannorts)la tm.euanct bras) match tar.e rob* incest was pad to pea brng the saltily rear rd labeled n for 8 OW* so CUSP numb' was moo/ la lb bra./
Nominee...8On fern motets roans tetonprg to ratter micro) soy re~weda iMnee ispierne Cap's, 3 fain ten INT b each ofte ether arms des gthe n:cane araer to each Ft Copy A of be lam nth be IRS fasan Copy BM each nor La prut as the 'pryer ad the dies enals) 3011/4
',tapod' Fie Fro) MW INT nth Tam Sty8 wth re Nana Rambo Sauce Costa b pa yea On Form tads M youse/ as the 'Se 'A husband or ale 4 ml tamed to lk a 1/4 17.0Ce isem lo show am:oris omed by [1/4 ~
InsInatiorn for Recipient - Records Frt.,. Brolier and Barter Exchange Tnnsactirs
Orden and bra eichanms nul report tromeds for 1-2•43C1Cht lo pas and the IRS on Fpm 10990 Repatng a 31,3 based Mon rat bad( laws et as corn !albs that 3 col:onto+ na•tth pea
sbl has had a rimed,* ilhang tri :atom a capial *bete You may be mutedto raorce Ban tan the recta
ol cat, flO9 et Obtf :ropey !ha was mohanced 411 camplan e god apt bola iodated ths type cl broaden to you. be oracraen ty <<nifed in tor 8
Rea: enl's identification nuaber. Fa you proteabom Ms lam byre,* oily the bed for del; of sar riod secuny nuets (554). nrbdial Impayer rdertdcalon rumba (IFNI
akoban Lynam, der/fibber ranter (MN) Hose., to sav has reared på <arcane dertbren nutter to be IRS rd. Mae
melcabe to slat rda Etal prom-one
ACCOUM briber. May she, an acacia a ref urn numbs the pale angered to delimaish you amain
CUSIP number. Fa ram ~ens
may No. be CUM P (Comma ore on Urban batty berintron Preceduesl roots' el the torn rotated
Box 13. Shan the tad date of the sae a enhamge For rat Sib, the die sham is the date Pc sassily was debatedto Poseberat sae ret anegat malmen Doses 9 Vrags 12 no airy site aerie
Box lb. Ths he mar Le blatlbo. 63 .1 th3<ked atria sautes sob were rased on a+rayef data Fa gad saes. lb dae *oar me ate
manedthe smut, Maned!, prote sled site
Box to. Shots the maniac cash 'meet ton tab-miens rsokng gods tends amer debt abler:tons. erraodbos a lensard eatacts Neal shoat the «meads ton re dwagon d oser artsod(4) In 3 inlay had LM 'bereft had May *a Now the aggregate rout of Ca«, 'MN* la madcl ',be of ry dad,
obs «cooly recowd n a rotatable &one n colts et <Øa gudm< rang from the coma» bract et promrty to 3 beg, c0,ø20, Lones on land contacts xe «CM« In prat/bees Do bar does roe mØ «sals ton roplalod Naos caustic Tb boav must Moat Man« the saes wee a the mks pee
W.es comma:ors (nbangtratner las es) and Wen «enure sex reared lobe IRS ResatPm abort on Form Sa t9 as ettand n lb miry:eons b Sched-le 0 (Fan, 1040)
Bosti. If :hooked po oa-nd lake 3 Ins on you tar rØ based on ;tom ;Webs. frOM 3 rmattk cha-ge neater a axe,: ansbe repro, n bow 23 Co areal be Ion an Fab 8949 a Scheale D Teacta rani Mane go: Xlf bi$05 On 3 it,fle
31(,, Cflt
Boot 910W311/4 05d a tie tar anetabs sad Nbco 6a n :hoaxed Mc 3 nay be brit See et Scantiel)(Form IMS) tiro:tons ce Rio 550 fee delab tat Was
Bol e. Moan badabollbarg Cawal/. a MCI ""-tt ensue ."Mad 'bat ad "a lb rgh ~mama ~odor, rondos lobe pea Sec Fan n9 b rIcrinalon on tad wa .41~
reside Pis anon en you manne I,. rear as !mantic!
Box S glom the rascal or naderable 1050 it a wash sak l,aexhan Fee Maio an mash saes, see be Stedse 0 (For 1040)indantom and Rh 560
Boo 4. If ~boa lb so:tries MO We rotednefed sartes as [0.ei lb. 1e.3. ard 5may be Mr* Comas a no-coatted marts mars a 'covey obi Pon «0«. sled pichasod babe 7011. deck 11 mpg melvel 'ebb 343~ regaSod ~man e0r,93-Ki piChT.Cd Mitre 2012. and gal purred n er
hankered to 3 es ederd ream/erred tabn betas 2012
Boo 9b. If :baked the bass n bor 3 has tor matted to tie IRS
Bolt glom the cad, you/monad to Ix mold .ae of arm «apati a maces yen morod and be la ragel int of any Ira* slobs a ma «tiled to på accost by abater tamme See RD 525
Boot Shorn a «el tesadhu alb ten a VON« b wheht1/4 poselo bran; mars Ghanareported Fa PCQJ3ted base.: Cat) XII ad sand caramel. 'RFC' a oba amtaphae ~par
maybe shown Fa a «wren rat had a rep:dale 4433?, in Control or era,' abase to to. may lbw eb demo( sloe/
as C ;common) P («drol) « 0 (ahoy)
Regulated Fuldm Centred% (Basest %roc*, 12):
Box 9. Sham the prat et (nss) laked en regJaled Mutt or latex artercy C0.173d( dOitd dump 2011
Box to. Shoes a-ry pave aaudnen lobe pole gloss) sham n tar 9 tbe to open wears en
31.2011
Box Il Mom oe neded all or Ilas) a, omn cobacts had in par mown en Deter:ter 31 2012 Them at «nu!~ sad x «that tale Tb mel tomb an »Almon remind n to. 10 n 2013
Boo 12. Bops 9 Ti) and If re al isod to late be mania prat a Ross) on regd2ed ttues a grog, curtency COrtrada fa 11/4 yea In:14e ths abut en you 411 Form 6781
Instra town har Reapard - Origral Issas Cincotta
Øn31 ass Osman (CND) is be moons el an nonmens stated redeneton ate at matey C.dt ti awe act (303‘dhen ett b 3 draped tend a coupon) OID !mate aunties, oser tele d lb algair M yOu die MC etla «31 00 ~Oa
g0-1:T31, )03 and minute a arart d00 n rat pas nors each lea
you had b celpaten CelgaarS Ina may hire 00 ne..de 3 band aborts*. its. comfoao or Ø
treer« of raterts bang 3 Wn cirrus Ton I yea Fa mantle, be CND nks may amly b °annexes of depas (CDs). a-e spats. Øs savngs Mans to «ha dome ragenas. ~nay 4 rho parmod ol
noel( is doferted aril blue,
altton the 00 rub 3ppry 10 Treasury tabbasactttled sautes See ND 550 baron Iscox and Eames b rue plantar
N. as the. record Mar. you:mac Form 1093-00 'berg abuts tel:NdN)10 attics puma you re consdered a nonroe rapert Carpal* a Vain 1093.040 la tab of be era bras snorers In< ammets 31Ce3bk 10 ea?, Fie Came, el ere fern puttee IRS Furnsh Comfier, east owner List 'ousel attic 'pow' rd
the eta °mamba 'reopen ' Fk Fer y01109100 wan Faro 1.556 Mara Mama, and Trarra d U S lane.
Reruns .thin Memo] Rennie Setae Center 5ar 'au area On roan 1(96 Id strut 34
'Ha
footpad a acre s mt reand letle 3nØ
faun to raw routs mined ty lb other II lay
bait or sob an Megaten &erg ma )53 aras ',xi ate rd a nonnot you are rat maned »clue a le Fr I (03MOID downy rot 00 or dated tared ',matte to the islet
r of 3'0 Ob3?%On
ReOpteWl.$ Identification numb«, fa sou pramben on lam may snow oily the tad feu data el !O.( moa mealy number (SSI.1) Ineknelalli.3yef ,t0 1/4 310n rub« (ITN) a 3d0;144tupaier banterer nat.« (ATLN) Rowena be awl has reported ?pa <cm‘.. le non6:ffiern balmy to be MS and Mae
>micro to date mop local ;mammon'
Account number. May *ow ay account a ru ingot nusset the eater ra9icd to dolman], nu 30:out
Box 1. Sno: the OD rare (tiara, b the pat of re nar you~
RØ the abort n to 1 as mand MORO tr% rar irderte ter røm lbetiff “cons".; ern ts>e ol dots estnanent. the nut or mcpstondae. and one beers (tee «prat 4 pm pad avausben a mod proman. or the otagren n 3 311/4 Q03 bird
a cOupeol) yOu nas raw la figurethecorm« amours ofOID lo rem en pa la,-11 See lab 1211 Cade to &gnat Issue Oneo.rt (Ott)) Instrumerts b Mats en haw »flue Mt cone« 00
Box t Shows OM' Mosl on to Ctibplein b ticpox when& 3n rart i<234,10tOW Ins 010 N you rota the ~en
b rite yea. neat «4 amuse as name smome en nu tai ream Nµ demur, el is ~01
et 303.sted ttan anses bib sang be pa see Pub 550 b repartrg instu-tore If Mae es an
arrart n bah taws 1 and 6 the arrant nar 1 d ~tit ce, a U S ifes3try tt1931da and,. tromp hen stale to scam ,riterne
Sox t Snows flat« « prneip3Ibf010:111yCo ~erg/ be r1/4 00, Were the mast, data otte otigaton. ad. asbonne() You may Mast the arrow, I0Ø your aQuzed pew mob en nu. comma sar Ø
See be estnatens b Fan 1040 to net mat to hake the ekdeton
Sox l Sham bad's,' oelbadn4 &eta. a parrs mud bxlupwtMdddµad net funds rar la•Parer derldieahan natter (TIN) a µ ad net bash re area TIN to Me paya See Fan 1‘1.9, Risled let Tapayer bonAcaten Numb« and Certferm, b Manton on hackie *triad% In eta 340.11«1 pas
bane tai ravn as ter werold
Box I. Shwa the Patfe ran (CUSIP) nrea et &unpinol to otalpeer (nay ,nade Mc stook exchange, ear, capon rat rd par al nasty)
Box I. Snows 0DcnauS Treaus cialgalen b ha part of lb yea pm owned t Roma the arrant as owed exam< en you federal robar roam rd see Rh 1212 to Mum any wort: ~ans
tots abut The 00 norrya ton dale rol Ines Noma taws ado re< rebdel is DO/ 1
Box 7. Any anose rain e pir «4« d rmedntri event'. d a wØ4ama REMO Nµ fie Fenn I040, pol may ~I
them expenses on lb 'Other tents Ix d Sehabk A (Fenn 1040) Waal so IM 2% tent NI aØ s a1/4fØ mn toil
9011.-10. Sao Nont :33 ~NM tOp0,11
Page 4 of 12
EFTA00315682
ETRADE CLEARING LLC
PO BOX484
JERSEY CITY, NJ 07303-0484
Account No:
Account Name:
Taxpayer Identification Number:
LESLEY KATHERINE GROFF &
Account Executive No:
ET1
ORIGINAL:
12/31/12
RECIPIENT'S Name, Street Address, City, State, and Zip Code
LESLEY KATHERINE GROFF &
DANIEL GROFF JTWROS
Copy B for recipient
I I 2nd TIN Notice
2012 GROSS PROCEEDS
Payer's Federal Identification Number: 32-0012683
Payer's Name, Street, City, State, Zip Code:
E*TRADE CLEARING LLC
PO BOX 484
JERSEY CITY, NJ 07303-0484
Telephone Number: (800) 387-2331
2012 FORM 1099-B: PROCEEDS FROM BROKER & BARTER EXCHANGE TRANSACTIONS (OMB NO. 1545-0715)
Box 6a: Non-Covered
Box 6b:
Box to: Type of Gain or Loss:
Report on Form 8949, in either Part I or Part Iles appropriate, with Box B checked.
(Box la)
(Box lb)
(Box 8)
(Box 1d)
(Box le)
(Box 2a)
(Box 3)
(Box 6)
(Box 4)
(Box 2 b)
Date of
SaleOr
Exchange
Date of
Acquisition
Description
Symbol
CUSIP
Quantity Sold
Sales Price Less
Commission and
Option Premiums
Cost or Other
Basis
Wash Sale Loss Federal Income
Loss
K
"—
Allowed
Disallowed
Tax Withheld
11/20/12
—BLUTIP POWER TECHNOLOGIES
HYDVF
09644C106
770,900.00000
$1.02
PRICE:0.00000
03/28/12
CAMBREX CORP
CBM
132011107
840.00000
$5,880.61
PRICE:7.00089
03/28/12
CAMBREX CORP
CBM
132011107
4,160.00000
$29,109.35
PRICE:7.00000
06/19/12
CAMBREX CORP
CBM
132011107
1,000.00000
$8,039.82
PRICE:8.05000
04/04/12
NII HOLDINGS INC
NIHD
62913F201
500.00000
$9,099.80
PRICE: 18.22000
04/18/12
RADIO ONE INC
ROIAK
75040P405
9,999.00000
$9,988.78
PRICE:1.00000
04/19(12
RADIO ONE INC
ROIAK
75040P405
9,999.00000
$9,988.78
PRICE:1.03000
04/24/12
RADIO ONE INC
ROIAK
75040P405
21,000.00000
$20,779.54
PRICE:0.99000
11/09/12
RADIO ONE INC
ROIAK
75040P405
9002.00000
$7,371.48
PRICE:0.82000
This Is Important tax Information and Is being furnished to the Internal Revenue Service (except as indicated). If you am required to Me a return,
a negligence penalty or other sanction may be imposed on you ff this Income Istexable and the IRS determinesthat It has not been reported.
Page 5 of 12
EFTA00315683
ETRADE CLEARING LLC
PO BOX 484
JERSEY CITY, NJ 07303-0484
Account No:
Account Name:
Taxpayer Identification Number:
LESLEY KATHERINE GROFF &
Account Executive No:
ET1
ORIGINAL:
12/31/12
2012 GROSS PROCEEDS
2012 FORM 1099-B: PROCEEDS FROM BROKER & BARTER EXCHANGE TRANSACTIONS (OMB NO. 1545-0715) (continued)
Box 6a: Non-Covered
Box 6b:
Box lc: Type of Gain or Loss:
Report on Form 8949. in either Part I or Part II as appropriate, with Box B checked.
(Box la)
(Box lb)
(Box8)
(Box 1d)
(Box le)
(Box 2a)
(Box 3)
(Box 6)
(Box 4)
(Box 2b)
Date of
Sale or
Exchange
Date of
Acquisition
Description
Symbol
CUSIP
Quantity Sold
Sales Price Less
Commission and
Option Premiums
Cost or Other
Basis
Wash Sale Loss Federal Income
Loss
Not
Allowed
Disallowed
TaxWithheld
01/271 2
"'REGIS RESOURCES NL
RGRNF
Q8059N120
2,600.00000
$10,936.01
PRICE: 4.21000
07/26112
"'REGIS RESOURCES NL
RGRNF
Q8059N120
2,500.00000
511,740.01
PRICE: 4.70000
09/14112
"'REGIS RESOURCES NL
RGRNF
Q8059N120
1,000.00000
$5,510.01
PRICE: 5.52000
09/25/12
- REGIS RESOURCES NL
RGRNF
Q8059N120
1,000.00000
$5,730.01
PRICE: 5.74000
12/24112
***REGIS RESOURCES NL
RGRNF
Q8059N120
10,000.00000
654,090.01
PRICE: 5.41000
06/14112
SAPIENT CORP
SAPE
803062108
3,000.00000
632,119.59
PRICE: 10.71010
16 ITEMS -Total
$220,384.82
Thisis Important tax Informationand Is being furnished to the Internal Revenue Service (except as indkated). It you am required to Me a return,
a negligence penalty or other sanction may be imposed on you ff this Income Istexable and the IRS determinesthat It has not been reported.
Page 6 of 12
EFTA00315684
ETRADE CLEARING LLC
PO BOX484
JERSEY CITY, NJ 07303-0484
Account No:
Account Name:
Taxpayer Identification Number:
LESLEY KATHERINE GROFF &
Account Executive No:
ET1
ORIGINAL:
12/31/12
2012 GROSS PROCEEDS
2012 FORM 1099-B: PROCEEDS FROM BROKER & BARTER EXCHANGE TRANSACTIONS (OMB NO. 1545-0715)
Box 6a: Covered Transaction
Report on Form 8949. Part I, with Box A checked.
(Box la)
(Box lb)
(Boxy)
Date of
Date of
Sale or
Description
Acquisition
Exchange
(Box 1d)
Symbol
Box 6b: Cost Basis Reported to IRS
(Box le)
CUSIP
Quantity Sold
Bozic:
(Box 2a)
Sales Price Less
Commission and
Option Premiums
Type of Gain or Loss: Short Term
(Box 3)
(Box 5)
(Box 4)
(Box 2b)
Loss
Cost or Other Wash Sale Loss Federal Income
Basis
Disallowed
TaxWithheld
Not
Allowed
11,20112
1223111
BLUTIP POWER TECHNOLOGIES
HYDVF
09644C106
32,000.00000
$0.01
$1,427.59
PRICE:0.00000
03/22/12
09(08/11 GLOBALOPTIONS GROUP INC
GLOI
37946D209
500.00000
51,474.98
$1,150.33
PRICE: 297000
05/29/12
09/08/11 GLOBALOPTIONS GROUP INC
GLOI
37946D209
2,067.00000
$5,963.50
$4,755.48
PRICE: 2.89000
06(25/12
09/08/11 GLOBALOPTIONS GROUP INC
GLOI
37946D209
4,726.00000
$13,600.58
$10,872.95
PRICE: 2.88000
07/05112
09/09/11 GLOBALOPTIONS GROUP INC
GLOI
37946D209
2,292.00000
$6,621.44
$5,182.33
PRICE: 2.89000
07/05/12
09/08/11 GLOBALOPTIONS GROUP INC
GLOI
37946D209
7,707.00000
$22,265.03
517,731.23
PRICE: 2.89000
07/09112
09/09/11 GLOBALOPTIONS GROUP INC
GLOI
37946D209
7,208.00000
$21,541.44
$16,297.66
PRICE: 2.99000
03/28/12
07/25/11 ONCOTHYREON INC
ONTY
682324108
250.00000
$1,065.60
$2,255.00
PRICE: 4.26250
03/28/12
07/25/11 ONCOTHYREON INC
ONTY
682324108
250.00000
51,063.87
$2,255.00
PRICE: 4.26000
03/28112
07/21/11 ONCOTHYREON INC
ONTY
682324108
400.00000
51,702.18
54,173.99
PRICE: 4.26000
03/28/12
07/21/11 ONCOTHYREON INC
ONTY
682324108
600.00000
$2,553.28
$6,245.70
PRICE: 4.26000
03/28/12
07/22/11 ONCOTHYREON INC
ONTY
682324108
1,000.00000
$4,255.46
$9,739.89
PRICE: 4.26000
04/18112
07/25/11 ONCOTHYREON INC
ONTY
682324108
500.00000
$2,013.01
$4,510.00
PRICE: 4.03010
04/18112
0725111 ONCOTHYREON INC
ONTY
682324108
1,000.00000
$4,026.01
$8,444.39
PRICE: 4.03010
ThisIs important tax Informationand Is being furnished to the Internal Revenue Service (except as indkated). If you am required to Me a return,
a negligence penalty or other sanction may be imposed on you ff this Income Is:amble and the IRS determinesthat It has not been reported.
Page 7 of 12
EFTA00315685
E'TRADE CLEARING LLC
PO BOX 484
JERSEY CITY NJ 07303-0484
Account No:
Account Name:
Taxpayer Identification Number
LESLEY KATHERINE GROFF &
Account Executive No:
ET1
ORIGINAL:
12.31'12
2012 GROSS PROCEEDS
2012 FORM 1099-B: PROCEEDS FROM BROKER & BARTER EXCHANGE TRANSACTIONS (OMB NO. 1545-0715) (continued)
Box 6a: Covered Transaction
Report on Form 8949. Part I, with Box A checked.
(Box la)
(Box lb)
(Box8)
Date of
Date of
Sale Or
Description
Acquisition
Exchange
(Box 1d)
Symbol
Box 6b: Cost Basis Reported to IRS
(Box le)
CUSIP
Quantity Sold
Box 1c: Type of Gain
(Box 2a)
(Box 3)
Sales Price Less
Cost or Other
Commission and
Basis
Option Premiums
or Loss: Short
(Box 6)
Wash Sale Loss
Term
(Box 4)
Federal Income
Tax Withheld
(Box 2b)
Loss
Not
Aimed
DisalluNed
04/18/12
07/26/11 ONCOTHYREON INC
15 ITEMS -Total
ONTY
682324108
1,000.00000
PRICE:4.O3010
54.026 01
$92.172.40
$8,079.49
6103.121.03
This is important tax information and is being furnished to the Internal Revenue Service (except as indicated). It you am required to tile a return,
a negligence penalty orothersanction may be imposed on you ff this Income istaxable and the IRS determinesthat It has not been reported.
Page 8 of 12
EFTA00315686
ETRADE CLEARING LLC
PO BOX464
JERSEY CITY, NJ 07303-0484
Account No:
Account Name:
Taxpayer Identification Number:
LESLEY KATHERINE GROFF &
Account Executive No:
ET1
ORIGINAL:
12/31/12
2012 GROSS PROCEEDS
2012 FORM 1099-B: PROCEEDS FROM BROKER & BARTER EXCHANGE TRANSACTIONS (OMB NO. 1545-0715)
Box 6a: Covered Transaction
Report on Form 8949, Part II, with Box A checked.
Box 6b: Cost Basis Reported to IRS
Box lc: Type of Gain or Loss: Long Term
(Box la)
(Box 1b)
(Boxy)
(Box 1d)
(Box le)
(Box 2a)
(Box 3)
(Box 6)
(Box 4)
(Box 2b)
Date of
Sale or
Exchange
Date of
Acquisition
Description
Symbol
CUSIP
Quantity Sold
Sales Price Less
Commission and
Option Premiums
Cost or Other
Basis
Wash Sale Loss Federal Income
Loss
Not
Allowed
Disallowed
TaxWithheld
04/03/12
03/16/11 "ALLOT COMMUNICATIONS LTD
ALLT
M0854O105
500.00000
511,689.74
$6,177.50
PRICE: 23.40000
06/25112
04/20/11 ROVI CORP
ROVI
779376102
100.00000
$1,976.95
$4,983.33
PRICE: 19.77000
06/25112
04/20/11 ROVI CORP
ROVI
779376102
200.00000
$3,955.91
$9,966.66
PRICE: 19.78000
06/25112
02/23/11 ROVI CORP
ROVI
779376102
300.00000
$5,926.87
$15,819.99
PRICE: 19.79000
06/25112
03/29/11 ROVI CORP
ROVI
779376102
400.0O300
$7,907.82
$21,853.99
PRICE: 19.77000
5 ITEMS -Total
$31.457.29
$68,801.41
END OF 2012 CONSOLIDATED FORM 1099
Thisis Important tax Informationand Is being furnishedto the Internal Revenue Service (except as indicated). If you am required to Me a return,
a negligence penalty or other sanction may be imposed on you ff this Income Istexable and the 1RS determinesthat It has not been reported.
Page 9 of 12
EFTA00315687
ETRADE CLEARING LLC
PO BOX484
JERSEYCITY, NJ 07303-0484
Account No:
Account Name:
LESLEY KATHERINE GROFF &
Taxpayer Identification Number: ON-FILE
Account Executive No:
ET1
ORIGINAL:
12/31/12
DETAILS OF 2012 FORM 1099-DIV
Date
Security Description
2012 DIVIDEND & DISTRIBUTION DETAILS
Transaction
Income Tax
Foreign
CUSIP
Description
Amount
Withheld
Tax Paid
Country
12/17
07/06
10/05
10/22
01/09
04/09
07/09
10/05
BABCOCK& WILCOX CO
CONVERGYS CORP
CONVERGYS CORP
DELL INC
MERCK & CO INC
MERCK & CO INC
MERCK & CO INC
MERCK& CO INC
05615F102
212485106
212485106
24702R101
58933Y105
58933Y105
58933Y105
58933Y105
Dividend
Dividend
Dividend
Dividend
Dividend
Dividend
Dividend
Dividend
$560.00
$375.00
$375.00
$400.00
$605.22
5605.22
$605.22
$605.22
Total Qualified Dividends (Box lb included in Box la)
$4.130.88
Total Ordinary Dividends (Box 1a)
84,130.88
02/01
JPMORGAN MUNICIPAL
MONEY MARKET FDE TRADE CLASS
4812C2635
Dividend
St 59
Total Exempt-interest dividends (Box 10)
$1.59
02/01
JPMORGAN MUNICIPAL
MONEY MARKET FD E TRADE CLASS
4812C2635
Dividend
5216
Total Specified Private Activity bond interest dividends (Box 11)
$2.16
Total Tax Exempt Interest dividends(Box 10)
S3.75
Comments
This statement is not a substitute for form 1099 ands provided for informational purposes only
Page 10 of 12
EFTA00315688
ETRADE CLEARING LLC
PO BOX 484
JERSEY CITY, NJ 07303-0484
Account No:
Account Name:
LESLEY KATHERINE GROFF &
Taxpayer Identification Number: ON-FILE
Account Executive No:
ET I
ORIGINAL:
12/31/12
DETAILS OF 2012 FORM 1099-INT
Security
Date
Description
2012 INTEREST INCOME DETAILS
Transaction
Income Tax
Foreign
CUSIP
Description
Amount
Withheld
Tax Paid
country
02i27
E TRADE BANK
Corporate Interest
$0.37
03/26
E TRADE BANK
Corporate Interest
$0.19
04/26
E TRADE BANK
Corporate Interest
$12.95
05/29
E TRADE BANK
Corporate Interest
$50.52
06/26
E TRADE BANK
Corporate Interest
$58.05
07/26
E TRADE BANK
Corporate Interest
$93.07
08/27
E TRADE BANK
corporate Interest
$112.05
09/26
E TRADE BANK
Corporate Interest
$111.65
10/26
E TRADE BANK
Corporate Interest
$111.94
11/26
ETRADEBANK
Corporate Interest
$114.49
12/26
ETRADEBANK
Corporate Interest
$98.46
Total Interest Income Not Included in Box 3 (Box 1)
$763.74
I
Comments
This statement is not a substitute for form 1099 and is provided for informational purposes only
Page 11 of 12
EFTA00315689
ETRADE CLEARING LLC
PO BOX 464
JERSEY CITY, NJ 07303-0484
Account No:
Account Name:
LESLEY KATHERINE GROFF &
Taxpayer Identification Number: ON-FILE
Account Executive No:
ET
ORIGINAL:
12131.'12
2012 INVESTMENT DETAILS
DETAILS OF 2012 PURCHASES AND SALES
Security
Date
Description
CUSIP
Transaction
Description
Quantity
Price
Amount
Comment
11/09
FIRST MARBLEHEADCORP
320771108
Bought
100.00
$0.84
$83.56
11/09
FIRST MARBLEHEADCORP
320771108
Bought
100.00
$0.84
$83.77
11/09
FIRST MARBLEHEADCORP
320771108
Bought
400.00
$0.84
$334.40
11109
FIRST MARBLEHEAD CORP
320771108
Bought
400.00
$0.84
$335.24
11/09
FIRST MARBLEHEADCORP
320771108
Bought
600.00
$0.84
$511.53
11/09
FIRST MARBLEHEADCORP
320771108
Bought
8,399.00
$0.84
$7,055.16
11/13
FIRST MARBLEHEADCORP
320771108
Bought
9,999.00
$0.76
$7,609.23
11/16
FIRST MARBLEHEADCORP
320771108
Bought
100.00
$0.68
$67.88
11/16
FIRST MARBLEHEAD CORP
320771108
Bought
300.00
$0.68
$213.78
11/16
FIRST MARBLEHEADCORP
320771108
Bought
500.00
$0.68
$339.50
11/16
FIRST MARBLEHEADCORP
320771108
Bought
9,099.00
$0.68
56,187.32
11/19
FIRST MARBLEHEADCORP
320771108
Bought
2,154.00
$0.71
$1,539.33
11,20
FIRST MARBLEHEADCORP
320771108
Bought
25,000.00
$0.70
$17,509.99
DETAILS OF 2012 OPTIONS PURCHASES AND SALES
Security
Transaction
Date
Description
CUSIP
Desert ion
Quantity
Price
Amount
Comment
02/23
CALL ONTY 05119/12 12
Bought
25.00
$2.55
$6,403.94
ONCOTHYREON INC
END OF 2012 DETAILS
This statement is not a substitute for form 1099 and is provided for informational purposes only
Page12 of 12
EFTA00315690
Technical Artifacts (17)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Domain
vvww.etrade.comPhone
(800) 387-2331Phone
12485106Phone
1545-0715Phone
1645-0110Phone
16464112Phone
2324108Phone
303-0484Phone
3062108Phone
800-387-2331Phone
9376102SWIFT/BIC
CLEARINGSWIFT/BIC
CLICKINGSWIFT/BIC
CONTENTSSWIFT/BIC
CUSTOMERSWIFT/BIC
MESSAGESTail #
N40Forum Discussions
This document was digitized, indexed, and cross-referenced with 1,400+ persons in the Epstein files. 100% free, ad-free, and independent.
Annotations powered by Hypothesis. Select any text on this page to annotate or highlight it.