E 1040 U.S. Individual Income Tax Return'99 1201

E 1040 U.S. Individual Income Tax Return'99 1201 4 1Oa48 No. 1545.0074 nti use Only -Do nd ‘Wite 0, SUPIO in fhb space For me0 I-IN00 31. 2014, d otM. la. year bQonnno 2014. ending 20 See separate Instructions. Your first name and initial ANASTASIYA Last name pIROOCHENKO If a joint return, spouse's first name and initial Last name Sliders social security invent Nome address number and street . It ou have a P.O. ox, see instructions. t. no. agee sure me ss, m) e A and on In. 6c are correct . • - P . treign Meas. also corrairewros below. Chalk e en hwao d you.°n or younr sixwe 111010 jointly. wanl $3 lo go to mist nd Chiadil g a box below Foreign country name Foreign province/state/county Foreign postal code win not change your tax ct rotund. You C Spouse Filing Status Check only one box. Exemptions 6a LX.I Yourself. If someone can claim you as a dependent, do not check box 6a b I LX.I Single 2 Q Married filing jointly (even if onl one had income) 3 Q 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 [Ti Qualifying widow(er) with dependent child If more than four dependents, see instructions and Q check here Ils• d Total number of exemptions claimed Income 7 Wages, salaries, bps, etc. Attach Form(s) W-2 7 8a 8a Taxable interest Attach Schedule B if required b Tax-exempt interest. Do not include on line 8a 8 Attach Form(s) W-2 here. Also attach Forms 9a b Ordinary dividends. Attach Schedule Bid required Qualified dividends I 9a gb W-2G and 10 Taxable refunds, credits, or offsets of slate and local income taxes 10 1099-R if tax was withheld. 11 Alimony received 11 12 Business income or (loss). Attach Schedule C or C-E 12 If you did not get a W-2, see instructions. 13 14 15a Capital gain or (loss). Attach Schedule D if Other gains or (losses). Attach Form 4797 IRA distnbutions equired If not required, check here b Taxable ► 13 amount 14 15b 16a b Taxable amount 16a Pensions and annuities r 5a I 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17 18 Farm income or (loss). Attach Schedule F 18 19 Unemployment compensation 19 20a Social security benefits p 20a j P b Taxable amount 20b 21 Other income. List type and amount 21 22 Combine the amounts in the tar right column for lines 7 through 21. This is your total Income ► 22 23 Educator expenses 23 Caron business expenses of reservist. patterning artists. and hae.baSis Slovene:int 24 Adjusted 24 officials Attach Form 2106 or 2106-62 Gross 25 Health savings account deduction. Attach Form 8889 25 Income 26 Moving expenses. Attach Form 3903 26 27 Deductible part of self-employment tax. Attach Schedule SE 27 10,264. 28 Self-employed SEP, SIMPLE, and qualified plans 28 29 Self-employed health insurance deduction 29 1,828. 30 Penalty on early withdrawal of savings 30 31a Alimony paid b Recipient's SSN 31a 32 IRA deduction 32 33 Student loan interest deduction 33 34 Tuition and fees. Attach Form 8917 34 35 Domestic production activities deduction. Attach Form 8903 35 36 Add lines 23 through 35 36 410301 37 17.31.14 37 Subtract line 36 from line 22. This is your adjusted gross income Dependents: MSremm Last name (2)O4pandenrs stc.:-. welly numbs: (3) Occendenrs relationship to YOu pa , Mi ttding er trnse bi chi Moult Boxes crotched on Ed and Eh No of celdren 6c no. iwed with you *did not Ins with yo d to cli Or Separation Ism intAlEtiltaiSi Dependents on 6c net emend above Add numbers Ones._ above r 23. 720. 224,790. 225,533. 12,092. 213,441. LHA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions. Fern 1040(2014) EFTA00791942 m 104042014j ANASTAS IYA SIROOCHENKO pag‘ 2 Tax and Credits 38 Amount from 39a Check fr 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) Iji You were born before January 2 1950, 0 Blind. margin) line enter Total boxes checked llo. 39a here ili. 39b 6d. Otherwise, see inst -0- 38 213,441. 40 17,600. an on la Dorkicti • • People who check any box on line 3Sia Or 39b IMO° can bode/reed ass dependent. see InSfrucbonS • hi °Minh' Single or Married Mod sooaraieit 15.200 Married Midi jointly a Clualllyhg wIdOwIal. SI2.400 ',nom housalad. Ss. f00 0 Spouse was born before January 2, 1950, Blind.J 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 $152,525 or less, multiply $3,950 by the number on Subtract line 42 from line 41.11 line 42 is more than line 41_,_ Ills. 41 195,841. 42 3,950. 43 191,891. if any from: a Form(s)8814 b Form 4972 c LJ 44 47,182. 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, if required energy credits. Attach Form 5695 48 45 15. 46 47 47,197. 55 49 50 51 52 53 from Form' a 3800 b Q 8801 c CI 54 through 54. These are your total credits 55 from line 47. If line 55 is more than line 47, enter -0- ► 56 47,197. 57 Self-employment Other 58 Unreported Taxes 59 Additional 60a Household b First-time 61 Health care: 62 Taxes from: 63 Add lines 56 tax. Attach Schedule SE 8919 2 57 20,528. social security and Medicare tax from Form: a 0 4137 b 0 58 tax on IRAs, other qualified retirement plans, et. Attach Form 5329 employment taxes from Schedule H homebuyer credit repayment Attach Form 5405 if required Individual responsibility (see instructions) Full-year coverage if required 59 60a 60b El 61 a Fl Form 8959 b FA Form 8960 c Q Inst.* enter code(s) STATEMENT 62 69. through 62. This is your total tax Illio 63 67,794. Payments 64 Federal income 65 2014 estimated tax withheld from Forms W-2 and 1099 tax payments and amount applied from 2013 return credit (EIC) combat pay election 166b I 64 74 4,128. 65 4,128. If you havo a gualtyhg chick Mach Schedule PIC. a Earned income 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 security and tier 1 RRTA tax withheld tax on fuels. Attach Form 4136 68 69 70 71 72 Farm: a02439 b geiry$49 Oaasnbld0 73 65, 66a, and 67 through 73. These are your total payments Pio Refund mcodep isi sea r'''''"`"" 75 If 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 75 78a la. 5:1g Ill" c iao Mll MON Shag, Illih d rit I 78 63,976. 77 Amount of line 75 you want applied to your 2015 estimated tax hi, In I Amount 78 Amount you owe. Subtract line 74 from tine 63. For details on how to pay, see instructions You Owe 79 Estimated tax penalty (see instructions) I 79 I Its. 310. Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)? I X I Yes Complete below. LJ No Designee urslo.MICHAEL B. STEIN ►(212) 868-7200 2Z(ltr wl0.1100181 Sign Unbar penalties of perpry. I cleckve that I ham examine this halm and accompanying sonorities end statements. and to me best of my knowledge end MINT tray are true. correct. and complete peciecation of prepare Minot the faxpeyeg IS based o all information 01 which prepare, has any knowledge. Here You Ognetwe Date You occupation Daytime phone horde ohtmlivn? Soh instruetioch. BART DEALER/MODEL Keep a copy Spouses strata.. If a punt rotten. both most sky. Date Pouf. • °Came on for you' records. PrinuTypa Properer's name tl Me PS spit you an Ids PrOteCtIcri PIC on It hem Date Check it PTIN salt odpkqed LLP Firm's Eel 14 SOUTH ph... (212) 868-7200 PrepamnawiMm Paid Preparer MICHAEL B. STEIN Use Only Fnwsnam. lii.GOLDGLIT & COMPANY, 499 SEVENTH AVENUE 10 V.31 Da) ►N 14 FIM'S AMIN'S NEW YORK, NY 10 018 SEE STATEMENT FOR INTEREST AND PENALTIES NOT INCLUDED EFTA00791943 Font 2210 DOPSIIMOM MOW UMW/ Internal Royal.. Service Underpayment of Estimated Tax by Individuals, Estates, and Trusts ► Information about Form 2210 and its separate instructions is at wwwirs.gov/form2210 • ► Attach to Form 1040, 1040A, 1040NR, 1040NR-EZ or 1041. OWN0.1545-0074 2014 MIACNTION UnuenooNot* Names) shown on tax r turn ANASTASIYA SIROOCHENKO Identifying number Do You Have To File Form 2210? Complete Ines 1 through 7 below. Is line 7 less than $1.000? Yes IF No Complete lines 8 and 9 below. Is line 6 equal to or more than line 9? Yes No You may owe a penalty. Does any box in Part II below apply? Yes Do not file Form 2210. You are not required to figure your penalty because the IRS will figure it and send you a bill for any unpaid amount. If you want to figure it, you may use Part III or Part IV as a worksheet and enter your penalty amount on your tax return, but do not Me Form 2210. Do not file Form 2210. You do not owe a penalty. You do not owe a penalty. Do not Me Form 2210 (but if box E in Part II applies, you must file page 1 of Form 2210). You must file Form 2210. Does box ES, C, or D in Part II apply? 4No Yes ► You must figure your penalty. You are not required to figure your penalty because the IRS will figure it and send you a bit for any unpaid amount. If you want to figure it. you may use Part III or Part W as a worksheet and enter your penalty amount on your tax retum, but file only page 1 of Form 2210. equired Annual Paymen I Part I I R t 1 Enter your 2014 tax alter credits from Form 1040, line 56 (see instructions if not filing Form 1040) 2 Other taxes, including self-employment tax and, if applicable, Additional Medicare Tax and/or Net Investment Income Tax (see instructions) 3 Refundable credits, including the premium tax credit (see instructions) 4 Current year tax. Combine tines 1, 2, and 3. If less than $1,000, stop; you do not owe a penalty. Do not file Form 2210 5 Multiply line 4 by 90%(.90) I 5 I 61,015. 6 Withholding taxes. Do not include estimated tax payments (see instructions) 7 Subtract line 6 from line 4. If less than $1,000, stop; you do not owe a penalty. Do notfik Form 2210 8 Maximum required annual payment based on prior years tax (see instructions) 9 Required annual payment. Enter the smaller of line 5 or line 8 Next Is line 9 more than line 6? No. You do not owe a penalty. Do not file Form 2210 unless box E below applies. M Yes You may owe a penalty, but do not file Form 2210 unless one or more boxes in Part II below applies. • If box B.C. or D applies, you must figure your penalty and file Form 2210. • If box A or E applies (but not B.C. or D) file only page 1 of Form 2210. You are not required to figure your penalty; the IRS will figure it and send you a bill for any unpaid amount. If you want to figure your penalty, you may use Part III or IV as a worksheet and enter your penalty on your tax return, but file only page 1 of Form 2210. 1 47,197. 2 3 4 20,597. 67,794. 6 7 8 9 67,794. 21,748. 21,748. I Part I Rea8ons for Filing. Check applicable boxes. If none apply, do not file Form 2210. A Li You request a waiver(see instructions) of your entire penalty. You must check this box and file page 1 of Form 2210, but you are not required to figure your penalty. B 0 You request a waiver(see instructions) of part of your penalty. You must figure your penalty and waiver amount and file Form 2210. C Your income varied during the year and your penalty is reduced or eliminated when figured using the annualized income installment method. You must figure the penalty using Schedule Al and file Form 2210. D Your penalty is lower when figured by treating the federal income tax withheld from your income as paid on the dates it was actually withheld, instead of in equal amounts on the payment due dates. You must figure your penalty and file Form 2210. E You filed or are filing a joint return for either 2013 or 2014, but not for both years, and line 8 above is smaller than fine 5 above. You must file page 1 of Form 2210. but you are not required to figure your penalty (unless box B.C. or D applies). LHA For Paperwork Reduction Act Notice, see separate Instructions. Form 2210 (2014) 412501 12-23-14 8.1 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791944 Form2210(2M4) ANASTASIYA SIROOCHENKO Regular Method (See the instructions if you aro filing Form 1040NR or 1040NR.EZ.) Section A - Figure Your Underpayment Payment Due Dates (a) 4/15/14 (b) 6/15/14 (e) W15/14 (d) 1/15/15 18 Required installments. If box C in Pal II applies, enter the amounts from Schedule Al, the 25. Otherwise, enter 25910 (.25) 01 line 9, Form 2210, in each column 19 Estimated lax paid and tax Willineld. Fa solaria (a)ertly. also Gnat the amount from line 19 al line 23. II Ikea 191s Saudi to a mOna than line IS tot all payment petiole Stop tee you do not owe a penally. Do not file Form 2210 unless you checked a box in Part II Complete lines 20 through 26 of one column before going to one 20 of the next column. 20 Enter the amount, if any, from line 26 in the previous column 21 Add lines 19 and 20 22 Add Ilie amotas on Ilan 29 end 25 In Itie prevlana Catena 23 Subtract line 22 from line 21. If zero or less, enter -0-. For column (a) only, enter the amount from line 19 24 If line 23 is zero, subtract line 21 from line 22. Otherwise, enter -0- 25 Underpayment. If line 18 is equal to or more than line 23, subtract line 23 from line 18. Then go to line 20 of the next column. Otherwise, go to line 26 ► 26 Overpayment. If line 23 is more than line 18, subtract line 18 from line 23. Then go to line 20 of the next column 18 5,437. 5,437. 5,437. 5,437. 19 4,128. 20 21 22 1,309. 6,746. 12,183. 23 4,128 . 0 . 0 . 0 . 24 1,309. 6,746. 25 1,309. 5,437. 5,437. 5,437. 26 Page 3 ec ion F3 - Figure tole Penalty (Use the Worksheet for Form 2210. Part IV. Section B • Figure the Penalty in the instructions.) 27 Penalty. Enter the total penalty from line 14 of the Worksh et for Form 2210, Part IV, Section B - Figure the Penalty. Also include this amount on Form 1040, line 79; Form 1040A, line 51; Form 1040NR, line 76; Form 1040NR-EZ, line 26; or Form 1041, line 26. Do not file Form 2210 unless you checked a box in Part II ► Form 2210(2014) SEE ATTACHED WORKSHEET 27 310. 412491 12.2344 EFTA00791945 UNDERPAYMENT OF ESTIMATED TAX WORKSHEET I ANASTASIYA SIROOCHENKO d :Itf • HH (81 Amount (C) khusted Balance Due iTh Number Days Balance Due fi [hi' Penah4Rate -0- 04/15/14 5,437. 5,437. 04/15/14 -4,128. 1,309. 61 .000082192 7. 06/15/14 5,437. 6,746. 92 .000082192 51. 09/15/14 5,437. 12,183. 122 .000082192 122. 01/15/15 5,437. 17,620. 90 .000082192 130. Penalty Due (Sum of Column F). 310. • Date of estimated tax payment. withholding credit date or installment due date. 4175 II 05-01.14 8.3 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791946 SCHEDULEA (Form 1040) Department ol Ito Ramify internal Revenue Service DR) Itemized Deductions 00. Information about Schedule A and its separate instructions is at winv.Irs.govischadulea • III0 Attach to Form 1040. sequoi a 0M8 No. '545-0074 2014 Atiataimant No. st., u r harmer Hawn on Fan 1040 ANASTASIYA SIROOCHENKO ow social security mutant Medical Caution. Do not include expenses reimbursed or paid by others. and 1 Medical and dental expenses (see instructions) SEE STATEMENT 7 1 9,335. Dental 2 Enter amount from Form 1040, line 38 121 213,441. Expense6 3 Multiply line 2 by 10% (.10). But if either you or your spouse was born before January 2. 1950. multiply line 2 by 7.5% (.075) Instead 3 21,344. 4 Subtract line 3 from line 1. If line 3 is more than line 1. enter 0. 1 4 0 . Taxes You 5 State Paid a and fl local (check only one Income taxes, or l box): SEE STATEMENT 6 5 15,800. b 0 General sales taxes 6 Real estate taxes (see instructions) 6 7 Personal property taxes 7 8 Other taxes. List type and amount Ill• 8 9 Add lines 5 through 8 9 15,800. 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 hpme. see instructions and show that person's name. Identifying no., and address P Note. 11 Your mortgage 12 Points not reported to you on Form 1098. See instructions for special rules interest 12 deduction may 13 Mortgage Insurance premiums (see instructions) 13 be limited (see 14 Investment interest. Attach Form 4952 if required. (See instructions.) 14 instructions). 15 Add lines 10 through 14 115 Gifts to 16 Gifts by cash or check If you made any gift of 5250 or more, see instructions 16 1,800. Charity 17 Other than by cash or check. If any gift of $250 or more, see Instructions. If you made a You must attach Form 8283 if over $500 17 gift and got a benefit for it, 18 Carryover from prior year 18 see instructions. 19 Add lines 16 through 18 . .. 19 1,800. 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.) I. Miscellaneous Deductions 21 22 Tax preparation fees 22 23 Other expenses • investment, safe deposit box, etc. List type and amount P 23 24 Add lines 21 through 23 24 25 Enter amount from Form 1040, line 38 1261 26 Multiply line 25 by 2% (.02) 26 27 Subtract line 26 from line 24. If line 26 Is more than line 24, enter -0. 27 Other 28 Other • from list in instructions. Ust type and amount P. Miscellaneous Deductions 28 29 Is Total Form In 1040. line 38. over $152.525? No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 28. Also. enter this amount on Form 1040, line 40. 29 17,600. Itemized 0 Yes. Your deduction may be limited. See the Itemized Deductions 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 deduction. check here ... P. 0 LHA 4,9501 01-70.15 For Paperwork Reduction Act Notice, see Form 1040 instructions. 9 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 Schedule A (Form 1040) 2014 EFTA00791947 SCHEDULE B (Form 1040A or 1040) Dopattmeni 01 Ow Treawy internal Remits Senate (99) harms) shown on Mu Interest and Ordinary Dividends ► Attach to Form 1040A or 1040. ► Information about Schedule B and its instructions is at „,„,„, ANASTASIYA SIROOCHENKO Part I Interest On lerha,at,fah MAR Be 1545037 2014 AttilauMn: SOlii.MCG No 08 ov Wsecurnymftur 052 02 9816 Note. If you received a Form 10991NT, 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 form. 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 ► JPMORGAN CHASE BANK NA 2 Add the amounts on line 1 3 Excludable Interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 4 Subtract !Vie 3 from line 2. Enter the result here and on Form 1040A. or Form 1040, line 8a ► Amount 23. 23. 3 4 23. Note. If line 4 is over $1,500, you must complete Part Ill. Amount Part II Ordinary Dividends Note. If you received a Form 1099DIV or substitute statement from a brokerage firm. list the firm's name as the payer and enter the ordinary dividends shown on that form. 5 List name of payer ► 6 Add the amounts on line 5. Enter the total here and on Form 1040A. or Form 1040. line 9a Note. If line 6 is over $1,500, you must complete Part Ill. You must complete this par if you (a) had over $1,500 of taxable interest or ordinary dividends: (b) had a foreign Part III account: or (c) received a distribution from. or were a grantor of. or a transferor to. a foreign trust. Foreign 7a At any time during 2014, did you have a financial interest in or signature authority over a financial account (such Accounts as a bank account, securities account, or brokerage account) located n a foreign country? See instructions and If -Yes,' are you required to file FinCEN Fomi 114, Report of Foreign Bank and Financial Accounts (FBAR). Trusts to report that financial interest or signature authority? See FinCEN 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 ► AUSTRIA 8 During 2014, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? 427501 11.07. la If -Yes.' you may have to file Form 3520. See instructions Yes X No X X LHA For Paperwork Reduction Act Notice, see your tax return instructions. 10 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 Schedule B (Form 1040A or 1040) 2014 EFTA00791948 SCHEDULE C (Form 1040) Department of IN 11(10£11y 1111QMOI Revenue Smite 1991 mmOMWWW Profit or Loss From Business (Sole Proprietorship) Iti• Information about Schedule C and its separate instructions is at www.irs.govischedulec. ►Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. O/AR No 1545.0374 2014 Altachfrpnt ReQuemco NO 09 ANASTASIYA SIROOCHENKO A Principal business or profession, including product or service (see instructions) ART DEALER C Business name. If no separate business name, leave blank. SUBLIME ART LLC E Business address (including suite or room no.)► 244 FIFTH AVENUE #1590 City, town or post office, state, and ZIP code NEW YORK, NY 10001 B rnio, cocetrominstructbns F Accounting method: (1) L_I Cash (2) Lyi Accrual (3) Lj Other (specify) go. 0 Did you 'Materially participate' in the operation of this business during 2014? If 'No; see instructions for limit on losses M Yes ILI No H ff you started or acquired this business during 2014, check here Iti• 0 I Did you make any payments in 2014 that would require you to file Form(s) 1099? (see instructions) M Yes 0 No J If 'Yes; did you or will you file required Forms 1099? M Yes 0 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 100 2 Returns and allowances 3 Subtract line 2 from line 1 4 Cost of goods sold (from line 42) 5 Gross profit. Subtract line 4 from line 3 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) SEE STATEMENT ..8 7 Gross income. Add lines 5 and 6 ► Part III Expenses. Enter expenses for business use of your home only on line 30. 8 Advertising 8 10,170. 18 Office expense 9 Car and truck expenses 19 Pension and profit-sharing plans (see instructions) 9 20 Rent or lease (see instructions): 10 Commissions and fees 10 a Vehicles, machinery, and equipment 11 Contract labor (see instructions) , 11 8,588. b Other business property 12 Depletion 12 21 Repairs and maintenance 13 Depreciation and section 179 expense deduction (not included in 22 Supplies (not included in Part III) 23 Taxes and licenses Part III) (see instructions) 13 90,106. 24 Travel, meals, and entertainment 14 Employee benefit programs (other a Travel than on line 19) 14 b Deductible meals and 15 Insurance (other than health) 15 5,768. entertainment (see instructions) 16 Interest: 25 Utilities a Mortgage (paid to banks, etc.) 16a 1,687. 26 Wages (less employment credits) b Other 16b 27 a Other expenses (from tine 48) 17 Legal and professional services 17 26,687. b Reserved for future use 28 Total expenses before expenses for business use of home. Add fines 8 through 27a ► 29 Tentative profit or (loss). Subtract line 28 from line 7 30 Expenses for business use of your home. Do no report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a loss, you must go to line 32. 32 If you have a loss, check the box that describes your investment in this activity (see instructions). • If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. • If you checked 32b, you mustattach Form 6198. Your loss may be limited. LHA For Paperwork Reduction Act Notice, see the separate instructions. 1 2 3 4 5 6 7 962,848. 962,848. 410,977. 551,871. 1,200. 553,071. 18 19 19,333. 20a 20b 21 22 23 132. 6,759. 24a 43,495. 24b 25 26 27a 27b 28 29 20,632. 65,418. 30,773. 329,548. 223,523. 30 31 223,523. 322ba our so insa l onvrkiwes li niag isncotaidsk. Schedule C (Form 1040)2014 47O301 I O.17.14 11 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791949 ScheduleCgmm10402M4 ANASTASIYA SIROOCHENKO Page 2 Part III I Cost of Goods Sold (see instructions) 33 Method(s) used to value closing inventory: a Cost b El Lower of cost or market c Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If Yes," attach explanation Yes No 35 Inventory at beginning of year. If different from last years closing inventory, attach explanation 35 500. 36 Purchases less cost of items withdrawn for personal use 36 425,372. 37 Cost of labor. Do not include any amounts paid to yourself 37 38 Materials and supplies 38 39 Other costs SEE STATEMENT 9 39 11,825. 40 Add lines 35 through 39 40 437,697. 41 Inventory at end of year 41 26,720. 42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 42 410,977. Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file Form 4562. 43 44 When did you place your vehicle in service for business purposes? (month, day, year) ► / Of the total number of miles you drove your vehicle during 2014, enter the number of miles you used your vehicle for: a Business b Commuting c Other 45 Was your vehicle available for personal use during off-duty hours? Yes No 46 Do you (or your spouse) have another vehicle available for personal use? Yes No 47 a Do you have evidence to support your deduction? Yes No b If Yes: is the evidence written? Yes No Part V I Other Expenses. List below business expenses not included on lines 8-26 or line 30. BANK SERVICE CHARGES 446. DUES & SUBSCRIPTIONS 1,727. POSTAGE & SHIPPING 18,474. PRINTING & PRODUCTION 739. PHOTOGRAPHY 1,606. RESEARCH & DEVELOPMENT 4,197. TELEPHONE 3,284. STORAGE 300. 48 Total other expenses. Enter here and on line 27a 48 30,773. 420002 10-17.14 S hedule C (Form 1040) 2014 12 15311015 800967 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791950 SCHEDULE C (Form 1040) Department 0111•4 easkay 1111QMOi Revenue Rorvica 1551 mmOMWWW Profit or Loss From Business (Sole Proprietorship) OPP Information about Schedule C and its separate instructions is at www.irs.govischedulec. IP Attach to Form 1040, 1040NR, or 1041; partnerships generally must fife Form 1065. 0/AR No 1545.0374 2014 Allachl553: 5.4aino4ca NO 09 ANASTASIYA SIROOCHENKO A Principal business or profession, including product or service (see instructions) MODELING C Business name. If no separate business name, leave blank. ANASTASIYA SIROOCHENKO 0. 711510 D prole Be ID nurreen (FIN' Nee, inr.5. E Business address (including suite or room no.) go. 121 EAST 69TH STREET #2 City, town or post office, state, and ZIP code NEW YORK, NY 10021 F Accounting method: (1) LK_I Cash (2) LJ Accrual (3) LJ Other (specify) Iti. 0 Did you 'Materially participate' in the operation of this business during 2014? If 'No; see instructions for limit on losses M Yes 0 No H ff you started or acquired this business during 2014, check here Iti• 0 I Did you make any payments in 2014 that would require you to file Form(s) 1099? (see instructions) 0 Yes MI No J If 'Yes,' did you or will you file required Forms 1099? I=1 Yes 0 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 el. CI 2 Returns and allowances 3 Subtract line 2 from line 1 4 Cost of goods sold (from line 42) 5 Gross profit. Subtract line 4 from line 3 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) 7 Gross income. Add lines 5 and 6 Part III Expenses. Enter expenses for business use ofyour home only on line 30. 8 9 10 11 12 13 14 15 16 17 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 30 Expenses for business use of your home. Do no report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a loss, you must go to line 32. 32 If you have a loss, check the box that describes your investment it 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. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. • If you checked 32b, you mustattach Form 6198. Your loss may be limited. LHA For Paperwork Reduction Act Notice, see the separate instructions. 90 1 2 3 4 5 6 7 3,200. 3,200. 3,200. 3,200. Advertising 8 18 Office expense Car and truck expenses 19 Pension and profit-sharing plans (see instructions) 9 20 Rent or lease (see instructions): Commissions and fees 10 a Vehicles, machinery, and equipment Contract labor (see instructions) , 11 b Other business property Depletion 12 21 Repairs and maintenance Depreciation and section 179 22 Supplies (not included in Part III) expense deduction (not included in 23 Taxes and licenses Part III) (see instructions) 13 24 Travel, meals, and entertainment Employee benefit programs (other a Travel than on line 19) 14 b Deductible meals and Insurance (other than health) 15 entertainment (see instructions) Interest: 25 Utilities a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) b Other 16b 27 a Other expenses (from tine 48) Legal and professional services 17 b Reserved for future use 18 19 154. 20a 20b 21 22 23 24a 24b 25 26 27a 27b 28 29 982. 788. 1,924. 1,276. 30 31 1,276. 32a Al kwalmeni is al fISk. 32b 0 rg.rt al innS ilsicbmalt Schedule C (Form 1040)2014 470331 10.17.14 13 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791951 ScheduleCgmm10402M4 ANASTASIYA SIROOCHENKO Page 2 Part III I Cost of Goods Sold (see instructions) 33 Method(s) used to value closing inventory. a Cost b El Lower of cost or market c Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If Yes," attach explanation Yes No 35 Inventory at beginning of year. If different from last years closing inventory, attach explanation 35 36 Purchases less cost of items withdrawn for personal use 36 37 Cost of labor. Do not include any amounts paid to yourself 37 38 Materials and supplies 38 39 Other costs 39 40 Add lines 35 through 39 40 41 Inventory at end of year 41 42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 42 Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file Form 4562. 43 44 When did you place your vehicle in service tor business purposes? (month, day, year) ► / Of the total number of miles you drove your vehicle during 2014, enter the number of miles you used your vehicle for: a Business b Commuting c Other 45 Was your vehicle available for personal use during oft-duty hours? Yes No 46 Do you (or your spouse) have another vehicle available for personal use? Yes No 47 a Do you have evidence to support your deduction? Yes No b If Yes: is the evidence written? Yes No Part V Other Expenses. List below business expenses not included on lines 8-26 or line 30. RESEARCH & DEVELOPMENT 788. 48 Total other expenses. Enter here and on line 27a 48 788. 42C002 10.17.14 S hedule C (Form 1040) 2014 14 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791952 SCHEDULE C Profit or Loss From Business (Form 1040) (Sole Proprietorship) Department ot the TreaUtY ► Information about Schedule C and Its separate instructions is at www.irs.govischedulet. ► Attach to Form 1040, 1040NR, or 1041; partnerships generally must fife Form 1065. Interne/ Rota. Service (99) mmotP0WWW OW No. 1545.0074 2014 Attachment Sequence NO.09 ANASTASIYA SIROOCHENKO A Principal business or profession, including product or service (see instructions) RENTAL REAL ESTATE C Business name. It no separate business name, leave blank. LVIV ENTERPRISES LLC E Business address (including suite or room no.) ► SodalsocurityntertqW0S pErmloyventeriapiEftpoutfflott City, town or post office, state, and ZIP code F Accounting method: (1) Cash (2) Accrual (3) Other (specify)► O Did you 'Materially participate' in the operation of this business during 2014? If 'No; see instructions for limit on losses M Yes O No H ff you started or acquired this business during 2014, check here I Did you make any payments in 2014 that would require you to file Form(s) 1099? (see instructions) O Yes III No J If 'Yes; did you or will you file required Forms 1099? O Yes 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 Gross 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 10. moCI m.0 2 3 4 5 6 7 I Part III Expenses. Enter expenses for business use ofyour home only on line 30. 8 9 10 11 12 13 14 15 16 17 28 Total expenses before expenses for business use of home. Add fines 8 through 27a ► 29 Tentative profit or (loss). Subtract line 28 from line 7 30 Expenses for business use of your home. Do no report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 31 Net profit or (loss). Subtract line 30 from line 29. • If a profd, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a loss, you must go to line 32. 32 If you have a loss, check the box that describes your investment in this activity (see instructions). • If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. • If you checked 32b, you must attach Form 6198. Your loss may be limited. L.HA For Paperwork Reduction Act Notice, see the separate instructions. Advertising 8 18 Office expense Car and truck expenses 19 Pension and profit-sharing plans (see instructions) 9 20 Rent or lease (see instructions): Commissions and fees 10 a Vehicles, machinery, and equipment Contract labor (see instructions) 11 b Other business property Depletion 12 21 Repairs and maintenance Depreciation and section 179 22 Supplies (not included in Part III) expense deduction (not included in 23 Taxes and licenses Part III) (see instructions) 18 24 Travel, meals, and entertainment Employee benefit programs (other a Travel than on line 19) 14 b Deductible meals and Insurance (other than health) 15 entertainment (see instructions) Interest: 25 Utilities a Mortgage (paid to banks, etc.) lea 26 Wages (less employment credits) b Other 16b 27 a Other expenses (from tine 48) Legal and professional services 17 b Reserved for future use 18 19 9. 20a 20b 21 22 23 24a 24b 25 26 27a 27b 28 29 9. 9. 30 91 -9. 32a M Invalmeni is al nit 32b Q Some Invesbncol is MIA! FISk Schedule C (Form 1040) 2014 42001M 10-17-14 15 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791953 SCHEDULE SE (Form 1040) Department 0111.43 10(5125/2 InVarna/ Raven.. Sorvico Name of person with ANASTASIYA Self-Employment Tax ► Information about Schedule SE and its separate instructions is at wwwirs.govischedulese. Attach to Form 1040 or Form 1040NR self-employment income (as shown on Form 1040 or Form 1040NR) Social security number of person with self-employment SIROOCHENKO income ► 0503 No 1:545-0074 2014 At:act/rent Sogoonco No 1 / Before you begin: To determine if you must file Schedule SE. see the instructions. May I Use Short Schedule SE or Must I Use Long Schedule SE? Note. Use this flowchart only if you must file Schedule SE. If unsure, see Who Must File Schedule SEin the instructions. Did you receive wages or tips In 2014? No I Yes 4 Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval notto be taxed on earnings from these sources, but you owe self-employment tax on other earnings? ir No Are you using one of the optional methods to figure your net earnings (see instructions)? No Did you receive church employee i come (see instructions) reported on Form W-2 of $10828 r more? j, No You may use Short Schedule SE below Yes No Yes Was the total of your wages nd tips subject to social security or railroad retirement (tier 1) lax plus your net earnings from self-employment more than $117,000? Yes ► Yes t No Did you receive tips subject to social security or Medicare tax that you did not report to your employer? Yes' Yes t No Did you report any wages o Form 8919, Uncollected Social Security and Medicare Tax o Wages? -4 • You must use Long Schedule SE on page 2 Section A-Short Schedule SE. Caution. Read above to see if you can use Short Schedule SE. la Net farm profit or (loss) from Schedule F. line 34. and fami partnerships, Schedule (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b. or listed on Schedule K.1 (Form 1065), box 20. code Z 2 Net profit or (loss) from Schedule C. line 31: Schedule C•EZ, line 3: Schedule K.1 (Form 1065), box 14, code A (other than farming): and Schedule (Form 106543), box 9. code J1. Ministers and members of religious orders. see instructions for types of income to report on this line. See instructions for other income to report STMT 10 3 Combine lines la, 1 b, and 2 4 Multiply line 3 by 92.35% (.9235). If less than $400, you do not owe self-employment tax:do not file this schedule unless you have an amount on line 1 b ► Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line lb, see instructions 5 Self-employment tax. If the amount on line 4 is: • $117.000 or less, multiply line 4 by 15.3% (.153). Enter the result here and on Form 1040, line 57, or Form 1040NR, line 55 • More than $117.000. multiply line 4 by 2.9% (.029). Then, add $14,508 to the result. Enter the total here and on Form 1040, line 57, or Form 1040NR, line 65 6 Deduction for one-half of self-employment tax. Multiply line 5 by 50% (.50). Enter the result here and on Form 1040 line 27, or Form 1040NR line 27 6 10,264. LHA For Paperwork Reduction Act Notice, see your tax return instructions. la lb 2 3 224,790. 224,790. 4 207,594. 5 20,528. Schedule SE (Form 1040) 2014 424501 10.7)-14 16 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791954 Fan, 6251 DepalniWOMUMMO WanalAwnwaSnMm W) Alternative Minimum Tax - Individuals ► Information about Form 6251 and its separate instructions is at www.Irs.gov/form6251. ► Attach to Form 1040 or Form 1040NR. Name(s) shown on Form 1040 or Form 1040NR ANASTASIYA SIROOCHENKO OMR No 1545.0374 2014 ArtacWalt aa $00010Co t10 4Z 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 41 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 $152.525 or less, enter 0.. 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 (7% of gain excluded under section 1202) 14 Exercise of incentive stock options (excess of MAT 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 K•1 (Form 106513). 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) 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 incomebased related adjustments 28 Alternative minimum taxable Income. Combine lines 1 through 27. (If married fling separately and line 28 is more than $242.450. see instructions.) 1 195,841. 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 15,800. 0. -720. 28 210,921. part it I Alternative Minimum Tax (AMT) 29 Exemption. (If you were under age 24 at the end of 2014. see instructions.) IF your filing status is... AND line 28 is not over... THEN enter on line 29... Single or head of household $117,300 $52,800 Married filing jointly or qualifying widow(er) 156,500 82.100 Married filing separately 78250 41.050 STMT 1 If line 28 is over the amount shown above for your filing status, see Instructions. 30 Subtract lino 29 trom lino 28. It man) than zero. go lo line 31.2 zoo of less. Wet .0. WO and on lines 31.33. and 35. and 00 To 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 $182,500 or less ($91,250 or less if maMed filing separately), multiply line 30 by 26% (.26). Otherwise, multiply line 30 by 28% (.28) and subtract $3,650 ($1,825 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 29 29,395. 30 181,526. 31 47,197. 32 33 47,197. 34 35 47,182. 15. 41,34141 11-74-I4 LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 6251 (2014) 17 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791955 Form 6251i2014) ANASTASIYA SIROOCHENKO Part Ill 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. Page 2 36 Enter the amount from Form 6251, line 30. If you are filing Form 2555 or 2555•EZ, enter the amount from line 3 of the worksheet in the instructions for line 31 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 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 Ina 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 255.5•EZ. see instructions for the amount to enter 40 Enter the smaller of line 36 or Ina 39 41 Subtract line 40 from line 36 42 If line 41 is $182,500 or less ($91,250 or less if married filing separately), multiply line 41 by 26% (.26). Otherwise. multiply line 41 by 28% (.28) and subtract $3,650 ($1.825 if maMed filing separately) from the result ► 43 Enter: • $73.800 if manled filing jointly or qualifying widow(er). • $36.900 if single or married filing separately, or • $49.400 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 -0. If you are filing Form 2555 or 255.5•EZ, see instructions for the amount to enter 45 Subtract line 44 from line 43. If zero or less, enter 0 46 Enter the smaller of line 36 or line 37 47 Enter the smaller of line 45 or line 46. This amount is taxed at 0% 48 Subtract !km 47 from line 46 49 Enter: • $406,750 if single • $228,800 if manled filing separately • $457,600 if manled filing jointly or qualifying widow(en • $432,200 if head of household 50 Enter the amount from line 45 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 .0. If you are fling Form 2555 or Form 2555•EZ, see instructions for the amount to enter 62 Add lie 50 and line 51 63 Subtract line 52 from line 49. If zero or less, enter .0- 54 Enter the smaller of line 48 or line 53 55 Multiply line 54 by 15% (.15) ► 56 Add Ines 47 and 54 If lines 56 and 36 ere the same, skip lines 67 through 61 and go to line 62. Otherwise, go to line 57. 57 Subtract line 56 from line 46 58 Multiply line 57 by 20% (.20) ► If line 38 is zero or blank, skip lines 59 through 61 and go to line 82.0therwise, go to line 69. 59 Add Ines 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 63 If line 36 is $182,500 or less ($91,250 or less if married fling separately), multiply line 36 by 26% (.26). Othenvise• multiply line 36 by 28% (28) and subtract $3,650 ($1.825 if married filing separately) from the result. 64 Enter the smaller of line 62 or line 63 here and on line 31. If you are filing Form 2555 or 2555EZ, do not enter this amount on line 31. Instead, enter it on line 4 of the worksheet in the instructions for line 31 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 419591 11.24.14 farm 6251 $20111 18 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791956 For. 8959 Deportment of fro Tmoswy intorno/ Revenue Sondeo Name(s) shown on return ANASTASIYA SIROOCHENKO Part I Additional Medicare Tax on Medicare Wa Additional Medicare Tax IP. If any line does not apply to you, leave it blank. See separate instructions. IIIri. Attach to Form 1040, 1040NR, 1040-PR, or 1040-SS. Il10. Information about Form 8959 and its instructions is at win, irt grwignomfiggl 9 es cue No, 1505.00T0 2014 Ana:Omani g0000noo No, 71 Your slinS 1 Medicare wages and tips from Form W2. box 5. If you have more than one Form W2, enter the total of the amounts from box 5 1 2 Unreported tips from Form 4137, line 6 2 3 Wages from Form 8919, line 6 3 4 Add lines 1 through 3 4 6 Enter the following amount for your filing status: Married filing jointly $250,000 Married filing separately $125,000 Single, Head of household, or Qualifying widow(er) $200,000 6 Subtract line 5 from line 4. If zero or less. enter O- 6 7 Additional Medicare Tax on Medicare wages. Multiply line 6 by 0.9% (.009). Enter here and go to Part II 7 Part II Additional Medicare Tax on Self-Employment Income 8 Seltemployment income from Schedule SE (Form 1040), Section A, line 4, or Section B, line 6. If you had a loss, enter 0 (Form 1040PR and Form 104OSS filers, see instructions.) 9 Enter the following amount for your filing status: Married filing jointly $250,000 Married filing separately $125,000 Single, Head of household, or Qualifying widow(er) $200,000 10 Enter the amount from line 4 11 Subtract line 10 from line 9. If zero or less, enter .0- 12 Subtract line 11 from line 8. If zero or less, enter O - 13 Additional Medicare Tax on seltemployment income. Multiply line 12 by 0.9% (.009). here and go to Part Ill 8 207,594. 12 7,594. 9 200,000. 10 11 200,000. Enter 13 68. Part III Additional Medicare Tax on Railroad Retirement Tax Act (RRTA) Compensation 14 Railroad retirement (ARTA) compensation and tips from Form(s) W2, box 14 (see Instructions) 15 Enter the following amount for your filing status: Married filing jointly $250,000 Married filing separately $125,000 Single, Head of household, or Qualifying wIdow(er) $200,000 16 Subtract line 15 from line 14. If zero or less, enter O- 17 Additional Medicare Tax on railroad retirement (RRTA) compensation. Multiply line 16 (.009) 0.9% . Enter here and to Part IV go 14 16 15 by 17 Part IV Total Additional Medicare Tax 18 Add lines 7, 13. and 17. Also include this amount on Form 1040, line 62. (Form 1040NR. 1040.PR. and 1040SS filers. see instructions) and go to Part V 18 68. Part V Withholding Reconciliation 19 Medicare tax withheld from Form W2, box 6. If you have more than one Form W2. enter the total of the amounts from box 6 20 Enter the amount from line 1 21 Multiply line 20 by 1.45% (.0145). This is your regular Medicare tax withholding on Medicare wages 22 Subtract line 21 from line 19. If zero or less, enter -0% This is yourAdditional Medicare Tax withholding on Medicare wages 23 Additional Medicare Tax withholding on railroad retirement (RRTA) compensation from Form W2, box 14 (see instructions) 24 Total Additional Medicare Tax withholding. Add lines 22 and 23. Also Include this amount with federal income tax withholding on Form 1040, line 64 Form 1040NR. 1040.PR. 3111and 1040.SS filers. see instructions) 12-10-N LHA For Paperwork Reduction Act Notice, see your tax return Instructions. 19 SIROOCHENKO 2014.03000 SIROOCHENKO, 19 20 21 22 23 24 Form 8959 (2014) ANASTASIYA SIROOCH1 EFTA00791957 Form 8960 Net Investment Income Tax - Individuals, Estates, and Trusts me No, 1545.2227 2014 Doconmeni IN. Treasisy internal Revenue Service MN O. Attach to your tax return. ► Information about Form 8960 and its separate Instructions Is at Ira gn Artachmeni SequiacCA No. 72 Name(s) shown on your tax return ImAIMO Your social sew, number or EIN ANASTASIYA SIROOCHENKO Part I Investment Income U Section 6013(g) election (see instructions) 0 Section 6013(h) election (see instructions) 0 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) or E4a4b b Adjustment for net income loss derived in the ordinary course of a nonsection 1411 trade or business (see instructions) e Combine lines 4a and 4b 5a Net gain or loss from disposition of property (see instructions) b Net gain or loss from disposition of property that is not subject to net investment income tax (see instructions) c Adjustment from disposition of partnership interest or S corporation stock (see instructions) 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) 1 213,441. 5a 1 2 3 23. 4c 613 Bo 5d 6 7 8 23. 9a St. ge 1. 9d 10 11 1. 1. 12 22. 4 16 Subtract line 14 from line 13. If zero or less, enter 16 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 (line 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 200,000. 13,441. 181) 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 your tax return (see instructions) LHA For Paperwork Reduction Act Notice, see your tax return Instructions. 16 22. 17 1. 20 21 Form 8960 (2014) 423121 12.11.14 20 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791958 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) (b) 2. Enter the total of all items listed in line 1 2. 3. Enter the amount of all Miscellaneous Itemized Deductions after the application of the section 67 limitation (Schedule A (Form 1040), line 27) 3. 4. Enter the lesser of the total reported on line 2 or line 3 4. Part II - Application of Section 67 Limitation to Specific Deductions (B) IF line 3 is less than line 2. THEN divide line 3 by line 2 AND enter the amount in column (B). (C) IF amounts reported Multiply the on Part I. lines 2 and individual amounts 4 are equal, THEN in column (A) by the (A) enter 1.00 in column amount in column Reenter the amounts and descriptions from Part I, line 1. B (6). Description Line Amount (a) X = (b) X = i Individuals - Use the amounts in column (C) on Part III, line 1, to determine the amount of these deductions that are T I Ft asowab alter the me ter of the section 68 limitation. MIAVOIAY' wo:rkshet.the amounts in column (C) in the appropriate location on lines 9 and 10. Do not complete Parts Keep for Your Records 423251 01.05.15 20.1 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791959 Lines 9 and 10 - Application of Itemized Deduction Limitations on Deductions Properly Allocable to Investment Income Worksheet - hmrM Part Ill - Application of Section 68 to deductions properly allocable to investment income (Individuals Only) Keep for Your Records 1. Enter the amount of Miscellaneous Itemized Deductions properly allocable to investment income from column (C) of Part II: Description Line Amount (a) (b) 2. Enter the amount of state, local, and foreign Income taxes that are properly allocable to investment income 2. 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 minter): 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 5. 17,600. 6. Enter all other itemized deductions allowed but not subject to the section 68 deduction limitation: (a) Investment Interest Expense (b) Casualty Losses (other than losses described In section 16.5(cX1)) (c) Medical Expenses (d) Gambling Losses (e) Total of lines 6(a) through 6(d) 8e. 7. Subtract line 6e from line 5 7. 8. Enter the lesser of line 7 or line 4 8. 1. TIP 1. 17,600. 1. 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 10. Part IV - Reconciliation of Schedule A Deductions to Form 8960, lines 9 and 10 (Individuals Only) (A) Reenter the amounts and descriptions from Part III, lines 1 3. Miscellaneous Itemized Deductions properly allocable to investment income: Description Line 1. (a) (b) 2. State, local, and foreign income taxes Itemized Deductions Subject to Section 68 included on Line 3 of Part III: 3. (a) (b) Amount (B) IF Part III, line 8 is less than Part III. Ine 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. 1. 42325201-1345 20.2 15311015 800967 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791960 Form 8960 Net Investment Income Tax - Individuals, Estates, and Trusts 2014 NEW YORK Name(s) Your social securi number or EIN ANASTASIYA SIROOCHENKO 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) 1 23. 2 Ordinary dividends (Form 1040. line 9a; or Form 1041. line 2a) 2 0. 3 Annuities from nongualified plans 3 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 nonsection 1411 trade or business c Combine Ines 4a and 4b [Ss 0. 4c 0. 6a Net gain or loss from disposition of property from Form 1040, combine lines 13 and 14; or from Form 1041. combine lines 4 and 7 b Net gain or loss from disposition of property that is not subject to net investment income tax c Adjustment from disposition of partnership interest or S corporation stock Bo 0. Bo d Combine lines 5a through 5c 5d 0. 6 Changes in investment income for certain CFCs and PFICs 6 7 Other modifications to investment income 7 8 Total investment Income. Combine lines 1. 2. 3. 4c. 5d. 6. and 7 8 23. Part II State Income Tax Pro-ration for 2014 Income Tax Payments 9 State total income 9 212,721. 10 State income tax payments for 2014 10 6,200. 11 2014 state income tax payments attributable to investment income. line 8 divided by line 9 times line 10 11 1. Part III State Income Tax Pro-ration for 2013 Estimate Payments Made in 2014 12 State estimate payments for 2013 12 13 Percent of state income taxes attributable to investment income for 2013 13 14 2013 state estimate payments attributable to investment income. Line 12 times line 13 14 Part W State Income Tax Pro-ration for Balance of Prior Years Tax Plus Extension Pa y ments Paid in 2014 15 Balance of prior years tax plus extension payments paid in 2014 15 9,600. 16 Percent of state income taxes attributable to investment income for 2013 16 17 Balance of prior years tax and extension payments attributable to investment income. Line 15 times line 16 17 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 2013 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 III, line 2 21 1. Form 8960 (2014) 423161 1 1-76- hi 20.3 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791961 Form 4562 Department 0 IM TraanNY Inane/ Fievintsa Service 1901 Minutia/ Nunn on Mum Depreciation and Amortization (Including Information on Listed Property) le Attach to your tax return. SCHEDULE C- 1 Ile Information about Form 4562 and Its separate nstruetions is at „,„,„, ke gowlinnmaw, Husluns Cr aCtivCy to which this torm Males ANASTASIYA SIROOCHENKO SUBLIME ART LLC Part I I Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Pan I. 1 Maximum amount (see instructions) 1 500,000. 2 Total cost of section 179 property placed in service (see instructions) 3 Threshold cost of section 179 property before reduction in limitation 4 Reduction in limitation. Subtract Erne 3 from line 2. If zero or less, enter 4} 5 004n Imitation toe tea year. Subtract lino 4 tom line I. N taro a IUSS. enter -0- It mental tang SONYStOY. Sea InStruCtbin 6 MNINnalpbon or twoparty COMPUTER FURNITURE Ode No. 1545.0172 2014 AltaChrtiOnt &Koonce No 179 rovvvynowme 2 3 4 5 86,646. 2,000,000. 0. 500,000. NI GOSIMISIOSEi use only) (C) Elected Call 6,516. 6,516. 80,130. 80,130. 7 Listed property. Enter the amount from line 29 8 9 10 11 12 13 Note: Do not use Pan II or Part Ill below for listed property. Instead. use Part V. I Part II I Special Depreciation Allowance and Other Depreciation (Do not include listed property.) 14 Special depreciation allowance for qualified property (other than [Wed property) placed in service during the tax year 15 Property subject to section 168(f)(1) election 16 Other depreciation (including ACRS) I Part III I MACRS Depreciation (Do not include listed property.) (See instructions.) 7 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 Tentative deduction. Enter the smaller of line 5 or line 8 Carryover of disallowed deduction from line 13 of your 2013 Form 4562 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 Carryover of disallowed deduction to 2015. Add lines 9 and 10. less line 12 ,,, , 13 8 9 10 11 12 86,646. 86,646. 311,436. 86,646. 14 15 18 Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2014 17 I 18 It you we electing to yew any assets placed n sancta Wong tat tax nix nto one or mom general moat accounts, check herg n Section B - Assets Placed In Service During 2014 Tax Year Using the Gene al Depreciation System InClassidicabon oe peoperty MI Monti and IMP/ OnCed in wit. IN Bans ICI deprecation Musinassinuostmant use only • sae instructions) Kik RONIturn Nene let Convention rr,Itutind Jul DattycorMal deduction 19a Syear property b 5-year property c 7-year property d 10.year property e 15.year property f 20year property g 25.year property 25 yrs. S/L h Residential rental property / 27.5 yrs. MM St / 27.5 yrs. MM St I Nonresidential real property / 39 yrs. MM St / MM St Section C - Assets Placed in Service During 2014 Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12.year 12 yrs. S/L c 40-year / 40 yrs. MM S/L Part IV I Summary (See instructions.) 21 Listed property. Enter amount from line 28 22 Total. Add amounts from line 12. lines 14 through 17, lines 19 and 20 in column (g). and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations • see instr. 23 For assets shown above and placed in service during the current year. enter the portion of the basis attributable to section 263A costs 23 21 3,460. 22 90,106. 416268.1 01.0 15 LHA For Paperwork Reduction Act Notice, see separate instructions. 21 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 Form 4562 (2014) EFTA00791962 Form 4562 J2014) ANASTASIYA SIROOCHENKO =an Part V I Listed Property (Include automobiles, certain other vehicles, certain aircraft, certain computers, and property used for entertainment. recreation. or amusement.) Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, completes, 24a, 24b, columns (a) through (c) of Section A. all of Section B, and Section Cif applicable. Section A - Depreciation and Other Information (Caution: See the Instructions for limits for passenger automobiles.) 24a Do you have evidence to s pport the business/investment use claimed? W Yes LJ No 24b If 'Yes: is the evidence written? I X I Yes LJ No (a) Type of property (b) Date placed in (c) Business/ investment (d) Cost or (e) Bs Ic"“l" clat" tbusinossnnvostmont (1) Recovery (9) Method/ (h) Depreciation deduction (i) Elected section 179 (list vehicles first) service use percentage other basis 1AB only/ period Convention cost 25 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use 25 26 Property used more than 50% in a qualified business use: 27 Property used 50% or less in a qualified business use: VEHICLE 071514 100.6077 106,208. 106,208. rs 5.00 at. -HY S/L • 3,460. 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 29 Add amounts in column 0). line 26. Enter here and on line 7. page 1 Section B Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner. or other "more than 5% owner," or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. I 28 3,460. 1 29 30 Total business/Investment miles driven during the year (do not include commuting miles) 31 Total commuting miles driven during the year 32 Total other personal (noncommuting) miles driven 33 Total miles driven during the year. Add lines 30 through 32 (a) Vehicle (b) Vehicle (e) Vehicle (d) Vehicle 1 (e) Vehicle (f) Vehicle 34 Was the vehicle available for personal use during offcluty hours? Yes No Yes No Yes No Yes No Yes No Yes No X 35 Was the vehicle used primarily by a more than 5% owner or related person? 36 Is another vehicle available for personal use? X X Section C Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons. 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your employees? 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners 39 Do you treat all use of vehicles by employees as personal use? 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? 41 Do you meet the requirements concerning qualified automobile demonstration use? Note: If youranswer to 37, 38, 39, 40, or 411s 'Yes,' do not complete Section B for the covered vehicles. OS Part VI I Amortization (a) (b) (c) (d) (e) (f) Doscomion of cosoi, Datmortiraton begin Mtortaablo snow,! Code Section Anow0 miodoimmtme ATOrttlatiOn tOr !NS yOrY 42 Amortization of costs that begins during your 2014 tax year 43 Amortization of costs that began before your 2014 tax year 44 Total. Add amounts in column (f). See the instructions for where to report 41W5201-08.15 Form 4562 (2014) 22 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791963 ANASTASIYA SIROOCHENKO FORM 1040 SELF-EMPLOYED HEALTH INSURANCE DEDUCTION WORKSHEET STATEMENT 1 ANASTASIYA SIROOCHENKO SUBLIME ART LLC 1 2 HEALTH INSURANCE PAYMENTS LESS PREMIUM TAX CREDIT NET PROFIT FROM TRADE OR BUSINESS UNDER WHICH INSURANCE PLAN IS ESTABLISHED 1,828. 223,523. 3 TOTAL OF ALL NET PROFITS AND EARNED INCOME 224,799. 4 DIVIDE LINE 2 BY LINE 3 .9943 5 DEDUCTIBLE PORTION OF SELF-EMPLOYMENT TAX 10,264. 6 LINE 4 TIMES LINE 5 10,206. 7 LINE 2 MINUS LINE 6 213,317. 8 SELF-EMPLOYED SEP, SIMPLE, AND QUALIFIED PLANS ATTRIBUTABLE TO TRADE OR BUSINESS NAMED ABOVE 0. 9 LINE 7 MINUS LINE 8 213,317. 10 FORM 2555, LINE 45 ATTRIBUTABLE TO THE TRADE OR BUSINESS NAMED ABOVE 11 LINE 9 MINUS LINE 10 213,317. 12 SELF-EMPLOYED HEALTH INSURANCE DEDUCTION. LESSER OF LINE 1 OR LINE 11 1,828. FORM 1040 OTHER TAXES STATEMENT 2 DESCRIPTION AMOUNT FROM FORM 8959 FROM FORM 8960 68. 1. TOTAL TO FORM 1040, LINE 62 69. 23 STATEMENT(S) 1, 2 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791964 ANASTASIYA SIROOCHENKO FORM 1040 TOTAL DUE WITH INTEREST AND PENALTIES STATEMENT 3 AMOUNT DUE INTEREST NOT INCLUDED PENALTY NOT INCLUDED 63,976. 965. 1,910. TOTAL DUE 66,851. FORM 1040 LATE PAYMENT INTEREST STATEMENT 4 DESCRIPTION TAX DUE DATE FILED DATE AMOUNT BALANCE RATE DAYS INTEREST 04/15/15 63,666. 63,666. .0300 183 965. 10/15/15 64,631. TOTAL LATE PAYMENT INTEREST 965. FORM 1040 LATE PAYMENT PENALTY STATEMENT 5 DESCRIPTION TAX DUE DATE FILED DATE AMOUNT BALANCE MONTHS PENALTY 04/15/15 63,666. 63,666. 6 1,910. 10/15/15 TOTAL LATE PAYMENT PENALTY 1,910. SCHEDULE A STATE AND LOCAL INCOME TAXES STATEMENT 6 DESCRIPTION AMOUNT NEW YORK 4TH QTR ESTIMATE PAYMENTS NEW YORK PRIOR YEAR OVERPAYMENT APPLIED NEW YORK PRIOR YEAR BALANCE DUE AND EXTENSION PAYMENTS 2,577. 3,623. 9,600. TOTAL TO SCHEDULE A, LINE 5 15,800. 24 STATEMENT(S) 3, 4, 5, 6 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791965 ANASTASIYA SIROOCHENKO SCHEDULE A MEDICAL AND DENTAL EXPENSES STATEMENT 7 DESCRIPTION AMOUNT DOCTORS, DENTISTS, ETC. PRESCRIPTION MEDICINES AND DRUGS INSURANCE REIMBURSEMENT 9,574. 219. -458. TOTAL TO SCHEDULE A, LINE 1 9,335. SCHEDULE C OTHER INCOME STATEMENT 8 DESCRIPTION AMOUNT INSURANCE REIMBURSEMENT 1,200. TOTAL TO SCHEDULE C, LINE 6 1,200. SCHEDULE C OTHER COSTS OF GOODS SOLD STATEMENT 9 DESCRIPTION AMOUNT FRAMING COSTS 11,825. TOTAL TO SCHEDULE C, LINE 39 11,825. SCHEDULE SE NON-FARM INCOME STATEMENT 10 DESCRIPTION AMOUNT ART DEALER 223,523. MODELING 1,276. RENTAL REAL ESTATE -9. TOTAL TO SCHEDULE SE, LINE 2 224,790. 25 STATEMENT(S) 7, 8, 9, 10 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791966 ANASTASIYA SIROOCHENKO FORM 6251 EXEMPTION WORKSHEET STATEMENT 11 1 ENTER: $52,800 IF SINGLE OR HEAD OF HOUSEHOLD; $82,100 IF MARRIED FILING JOINTLY OR QUALIFYING WIDOW(ER); $41,050 IF MARRIED FILING SEPARATELY 2 ENTER YOUR ALTERNATIVE MINIMUM TAXABLE INCOME (AMTI) FORM 6251, LINE 28 210,921. 3 ENTER: $117,300 IF SINGLE OR HEAD OF HOUSEHOLD; $156,500 IF MARRIED FILING JOINTLY OR QUALIFYING WIDOW(ER); $78,250 IF MARRIED FILING SEPARATELY 117,300. 4 SUBTRACT LINE 3 FROM LINE 2. IF ZERO OR LESS ENTER -0- 93,621. 5 MULTIPLY LINE 4 BY 25% (.25) 6 SUBTRACT LINE 5 FROM LINE 1. IF ZERO OR LESS, ENTER -0-. IF ANY OF THE THREE CONDITIONS UNDER CERTAIN CHILDREN UNDER 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 52,800. 23,405. 29,395. FORM 4562 PART I - BUSINESS INCOME STATEMENT 12 INCOME TYPE AMOUNT SCHEDULE C 224,790. SECTION 179 EXPENSE 86,646. TOTAL BUSINESS INCOME USED IN FORM 4562, LINE 11 311,436. 26 STATEMENT(S) 11, 12 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791967