Text extracted via OCR from the original document. May contain errors from the scanning process.
SDNYGM02771863
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258671
EFTA01338175
LAW aerate! Or
A •ROFeSSIONAL CORPORATION
ISO EAST 70Th STREET
NEW YORK, NEW YORK 10021
GERA' n
R
I crrettarr
TELEPHONE
FACSIMILE
e. REICH
A. Marie Villafana, Esq.
Assistant United States Attorney
Office of the United States Attorney
Southern District of Florida
500 South Australian Avenue, Suite 400
West Palm Beach, Florida 33401
June 12, 2007
Subpoenas dated May 31, 2007, to J. Epstein Virgin Islands Foundation, Inc., J. Epstein & Co.,
Inc.; Epstein Interests; and Financial Thust Company Inc.
Dear Ms. Villafana:
I write to respond to the subpoenas served on the above entities all dated May 31, 2007.
Each of the subpoenas has a substantively identical Attachment to Subpoena describing the
documents requested.
Be advised that J. Epstein & Co., Inc., executed a certificate of dissolution in December
2000 and therefore could not have any documents responsive to the subpoena. Please be further
advised that no entity has any documents responsive to Request Nos. 1, 3, 4 and 5. We are still in
the process of ascertaining whether documents responsive to Request No. 2 exist, and will
provide them to you, assuming they do exist, as soon as we are able to do so. Finally, we have
enclosed for your review all documents we believe to be responsive to Request No. 6, including a
schedule of the corporate directors, board members and shareholders of each entity, to the extent
the question is applicable to each entity.
The documents provided bear the following production numbers, which we note were
placed on said documents for control purposes only and do not appear on the documents in the
normal course:
Schedule of Corporate Directors, Board Members, Shareholders
J. Epstein Virgin Islands Foundation, Inc.
JEVIF 0001
SDNY_GM_02771864
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258672
EFTA01338176
taw 0,'
Icrs of
CiIRAL.13 B. LF:FIGOUltr, P.C.
A. Marie Villafrula, Esq.
Assistant United States Attorney
Office of the United States Attorney
Southern District of Florida
June 12, 2007
Page 2
IRS Form 1096 J. Epstein Virgin Islands Foundation, Inc. 2004
IRS Form 1099 J. Epstein Virgin Islands Foundation, Inc. 2004
IRS Form 1096 J. Epstein Virgin Islands Foundation, Inc. 2003
IRS Form 1099 J. Epstein Virgin Islands Foundation, Inc. 2003
Schedule of Corporate Directors, Board Members, Shareholders
Epstein Interests
IRS Forms W2 Epstein Interests 2006
IRS Form W2 Epstein Interests 2005
IRS Form 10% Epstein Interests 2005
IRS Form 1099 Epstein Interests 2005
Schedule of Corporate Directors, Board Members, Shareholders
Financial Trust Co., Inc.
IRS Form W3 Financial Trust Co., Inc. 2006
IRS Forms W2 Financial Trust Co., Inc. 2006
IRS Form W3 Financial Trust Co., Inc. 2005
IRS Forms W2 Financial Trust Co., Inc. 2005
IRS Form W3 Financial Trust Co., Inc. 2004
IRS Forms W2 Financial Trust Co., Inc. 2004
IRS Form W3 Financial Trust Co., Inc. 2003
IRS Forms W2 Financial Trust Co., Inc. 2003
IRS Form 1096 Financial Trust Co., Inc. 2006
IRS Forms 1099 Financial Trust Co., Inc. 2006
IRS Form 1096 Financial Trust Co., Inc. 2005
IRS Forms 1099 Financial Trust Co., Inc. 2005
IRS Form 1096 Financial Trust Co., Inc. 2004
IRS Forms 1099 Financial Trust Co., Inc. 2004
IRS Form 1096 Financial Trust Co., Inc. 2003
IRS Forms 1099 Financial Trust Co., Inc. 2003
JEVIF 0002
JEVIF 0003
JEVIF 0004
JEVIF 0005
El 0001
El 0002-0003
El 0004
El 0005
El 0006
FTC 0001
FTC 0002
FTC 0003-0008
FTC 0009
FTC 0010-0015
FTC 0016
FTC 0017-0022
FTC 0023
FTC 0024-0030
FTC 0031
FTC 0032-0033
FTC 0034
FTC 0035-0036
FTC 0037
FTC 0038-0041
FTC 0042
FTC 0043.0045
SDNYGM 02771865
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258673
EFTA01338177
LAW orrice., or
Gmtuan B. LEFGOLTIZT,
A. Marie Villaftula, Esq.
Assistant United States Attorney
Office of the United States Attorney
Southern District of Florida
June 12, 2007
Page 3
If you have any questions, please do not hesitate to call.
Lilly Ann Sanchez, Esq.
SDNY_G M_027 71866
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258674
EFTA01338178
Lad States District edurt
TO: J. Epstein Virgin Islands Foundation, Inc.
FGJ 07-103(WPB)-Tues./No. OLY-51
SUBPOENA FOR:
PERSON
DOCUMENTS OR OBJECT'S'
YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury of the United States District
Court at the place, datc and time specified below.
PLACE:
United States District Courthouse
701 Clematis Street
West Palm Beach, Florida 33401
ROOM:
Grand Jury Room
DATE AND TIME:
June 12, 2007
1:00 pm*
YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s):
See attachments for the production of required documents.
*Please coordinate your compliance with this subpoena and confirm the date and time , and location of
your appearance with Special Agent Nesbitt Kuyrkendall, Federal Bureau of Investigation, Telephone:
(56!)822-5946.
This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer acting
on bchalf of the court.
CLERK
(BY) DEPUTY CLERK
This subpoena is issued upon application
of the United States ofAmerica
if not awlieabk, enter 'none'
To be red Ifs of µ1110
DATE:
May 31, 2007
Name, Address and Phone Number of Assistant U.S. Attorney
Ann Marie C. Villafana, Assistant U.S. Attorney
500 So. Australian Avenue, Suite 400
West Palm Beach, FL 33401-6235
Tel:
Fax
FORM ORD-227
JAN.E6
SDNY_GM_02771867
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258675
EFTA01338179
1.
For the period of January 1, 2003 to the present, all calendars, agendas, daily diaries, or
other records of a
intments, travel, meetings and the like, kept by or on behalf of
Jeffrey Epstein,
Lesley Groff, and/or
This request includes information that is kept in physical "hard copy" and/or electronic
form, whether stored on a personal computer, database server, cellular telephone,
"Blackberry" unit, personal digital assistant ("FDA") or other handheld electronic device,
or in any other electronic form, and all metadata included within the electronic/physical
files.
2.
For the period of January 1, 2003 to the present, all address books, contact lists, or other
records of names, telephone numbers, addresses, and/or e-mail addresses kearaor on
behalf of Jeffrey Epstein,
Lesley Groff, and/or
This request includes information that is kept in physical "hard copy"
and/or electronic form, whether stored on a personal computer, database server, cellular
telephone, "Blackberry" unit, personal digital assistant ("PDA") or other handheld
electronic device, or in any other electronic form, and all metadata included within the
electronic/physical files.
3.
For the period of January 1, 2003 to the present, all e-mails, instant messages, text
messages, meeting invitations, and any other electronic communication sent by Jeffrey
Epstein,
Lesley Groff, and/or
Jeffrey
Epstein,
Lesley Groff, and/or
This
request includes information that is kept in physical "hard copy" and/or electronic form,
whether stored on a personal computer, database server, cellular telephone, "Blackberry"
unit, personal digital assistant ("PDA") or other handheld electronic device, or in any
other electronic form, and all metadata included within the electronic/physical files.
4.
For the period of January 1, 2003 to the present, all documents and information referring
or relating to the transfer of funds from any account owned by J. Epstein Virgin Islands
Foundation, Inc. to any bank account used for the maintenance of the property located at
358 El Brillo Way, Palm Beach, Florida, or for the payment of any person working at 358
El Brillo Way, Palm Beach, Florida.
5.
For the period of January 1, 2003 to the present, all documents and information referring
or relating to the transfer of funds from any account owned by J. Epstein Virgin Islands
Foundation, Inc. to any bank account on which Janusz Banasiak and/or Alfredo
Rodriguez had check-writing authority and/or access to via debit/ATM card.
6.
For the period of January 1, 2003 to the present, the names of all employees, copies of all
W-2s and/or I 099s for all employees, and the names of all corporate directors, board
members, and shareholders.
SDNY_GM_02771868
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258676
EFTA01338180
•
Response to Request No. 6 to
Subpoena dated May 31, 2007, to J. Epstein Virgin Islands Foundation, Inc.
J. Epstein Virgin Islands Foundation, Inc.
Corporate Directors/Board Members: Jeffrey Epstein, Cecile De Jongh, Darren Indyke
No Shareholders
EVIFD0I
SDNY_GM_02771869
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258677
EFTA01338181
•
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Instructions
Purpose ol form. Use this form to transmit paper Forma 1099,
1099, 5498, and W-2,3 to the Internal Revenue Servho. Do not
use Fenn 1096 to transmit eiectronicoily or magnetically. For
magnetic media. see Form 4804, Trerernleskn of Information
Returns Reported Magnetically; for electronic submisMorm
Pub. 1220, Spactoortions for Filing Forms 1096. 1009, 54
and W-213 Electrockslly or Magnetically,
thattIlOn its
Who must Me. The name, address, and Tata the flier
loft area of Forma 1099, 1038, 5498, or W-20. A Igor
this form must be the same as those you enter in th
points) or student loan
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One-Wing a Medleannache MSA); certain corporations; end a
lender who acquires an Interact in secured property or vAlo has
reason to imow that the property has bean abandoned.
Presdchessed Form 1098. If you received a preaddressed Form
1096 tarn the IRS with Package 1099, use it to transmit paper
Paean 1099, 1098, 5498, and W-2G to the Internal Revenue
Seivice. 11 any of the preprinted rformetion Inconect make
corrections on the form.
If you are not using a preeddreesed tam, enter the filers
name, address gnarling room, suite, or other unit number), and
TIN in the spaces provided on the tone.
• •23).f.-•
When to Mt Fee Form 1096 with Forrns 1099, 1098, or W-23
by February 28, 2006. Flo Form 1098 with Forms 5498.
8498-ESA, and 6498-MSA by May 31, 2006.
Where To File
Sand at Information attain filed
paper With Form 1096 to the
" eithirr
ea,-
yew principal business,
office or agency, or legal
air
ingreptdonoe In the case of an
udesan 0.--ineRvklual, h hooted in
B138CS•1% vt -qr.
litsus •il- Arkgrirliii•Ariuns, Florida, Georgia,
ISGS
Louisiana, Mississippi, New Mexis0,
North Caroline, Texas, Virginia
Arkeratn, Connecticut, Oahe/are,
Kentucky. Mahe, Massachusetts,
New Hur•Pelhira, New Jersey,
New Vont, Ohba, Pennsylvania.
Rhode bland, Vermont Woe viTtlia
lances, Indiana, Iowa Kamm,
.Vii.c.higan, Minnesota, Missouri,
Nebraska North Dakota, Oklahoma.
South CaroOna, South Dakota,
Tennessee, Wisconsin
Use the following
Internal Revenue
Service Center
address
Austin, 1X 73301
Cincinnati, OH 46999
Kansas Clly, MO 64999
Foe more Information and the Privacy Act and Paperwork Reduction Act Rollos,
coo we 2004 Galena Motructions for Come 1090. 109e, 6496. and W-20.
EVIF0D2
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SDNY_GM_02771870
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00258678
EFTA01338182
1JD
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CORRECTED
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SDNY_GM_0277 1871
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EPTA_00258679
EFTA01338183
mamma
plbr
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US. Information Returns
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FILER'S name
1
B14CHANCED EDUCATION
(J. EPSTEIN VIRGIN ISLANDS FOUNDATION INC.)
Street address (Includtng room or suite number)
61 00 RED HOOK MRS, B3
Ctty, mate, and ZIP coda
00802-1348
Nome of pawn to carted
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number
For Official Use Only
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W-20 Elootroncally or Magnctkolly.
Who must Me. The name, address, and TIN of the filer on
thisform mug be the Same as those you enter hi the upper
left area of Forms 1099, 1098, 64N, or W-2G. A her Includes
a payer, a redolent of mortgage Interest payments rogueing
points) or student loan Interest; an educational institution; a
broker; a barter rsichergo; a emitter; a person reporting reel
estate trereactent; a trustee or Issuer of any Indiviitial
retirement ansrgement a Cemented ESA, an Archer MSA
tinoluding a Medicare+Choice MSA); certain corporettons: and
lender amp aoquires an Interest In secured property or who has
reason to know that the property has teen abandoned.
Preecldroseed Form 1096.5 you received a 2/readdressed Form
1096 from the IRS with Package 1099, talc It to transmit paper
Forms 1090, 1098. 6498, end W-20 to the Interned Revenue
Sonic.. If wy of the preprinted information le incorrect, make
consolone en the toms
If you we not ustng a preaddressed lam, enter the flier's
mew. Memo (including room, suit a other wet number), one
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Title ► lAtetite.,1
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When to Me. File Form 1098 with Forms 1099, 1098, or W-251
by March 1, 2004. F1e Farm 1095 with Foam 5498, 5498-ESA,
and 8498-USA by May 31. 2004.
Where To File
Send all Infecrustion retina filed on paper with Form 1C96 to the
following:
If your prhIcipoi business,
office or agency, or legal
residence In the cam at on
indNidual, is located in
Use the followInt
Internal Revenue
Service Center
address
Alabama, Adzone, Florida. Nolte
Louisiana, MissIset49. New Mexico.
North Carolina. Texas, UV:girls
Adamsro, Connecticut. Delaware
Kentucky, Maine, Maseachusetts,
New Hampshire, New Jersey,
Now York, Ohlo, PonnsyWria.
Rhode Wand, Vermont West Veginla
Rinds, Indiana, boa,
Michigan. Minnesota, Mistroud,
Nebraska, North Dakota. Oklahoma.
South Carolina, South Dakota,
Tennessee, Wisconsin
Austin, TX 7330
Cincinnati, 011 459e
Kansist. City, MO 6491
Par mere inforinglon and the PriViley Act and Pepenvork Reduction Act Notice,
eat the RohnGomm, Instruction, for roams 1099
, 1098
, 5496
,
and W40.
Ost. No. 144000
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SDNY_Ghl_02771872
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258680
EFTA01338184
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SDNY_C4.4_02771873
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 1O, 15, and 17
EFTA_00258681
EFTA01338185
Ukted States District dun
TO: J. Epstein & Company, Inc.
FGJ 07-103(WPB)-Tucs./No. OLY-52
SUBPOENA FOR:
ri
PERSON
X
YOU ARE II EREBY COMMANDED to appear and testify before the Grand Jury of the United States District
Court at the place, date and time specified below.
PLACE:
United States District Courthouse
701 Clematis Street
West Palm Beach, Florida 33401
ROOM:
Grand Jury Room
DATE AND TIME:
June 12, 2007
1:00 pm*
YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s):
See attachments for the production of required documents.
*Please coordinate your compliance with this subpoena and confirm the date and time, and location of
your appearance with Special Agent Nesbitt Kuyrkendall, Federal Bureau of Investigation, Telephone:
(561) 822-5946.
This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer acting
on behalf of the court.
CLERK
(BY) DEPUTY CLERK
DATE
May 31, 2007
This subpoena is issued upon application
of the United States of America
Name, Address and Phone Number of Assistant U.S. Attorney
Ann Marie C. Villafana, Assistant U.S. Attorney
500 So. Australian Avenue, Suite 400
W t Palm Reach Ft 13401-6235
Tel
Fax
•If not applKab • <ma "now--
To to rash' lam Cl A0130
FORM ORD-227
(AN%
SDNY_GM_02771874
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258682
EFTA01338186
For the period of January 1, 2003 to the present, all calendars, agendas, daily diaries, or
other records of a ointments, travel, meetings and the like, kept b or on behalf of
Jeffrey Epstein,
Lesley Groff, and/or
This request includes information that is kept in physical "hard copy" and/or electronic
form, whether stored on a personal computer, database server, cellular telephone,
"Blackberry" unit, personal digital assistant ("PDA") or other handheld electronic device,
or in any other electronic form, and all metadata included within the electronic/physical
files.
2.
For the period of January I, 2003 to the present, all address books, contact lists, or other
records of names, telephone numbers, addresses, and/or e-mail addresses k
tl
esir
on
behalf ofleffrey Epstein,
Lesley Groff, and/or
This request includes information that is kept in physical "hard copy"
and/or electronic form, whether stored on a personal computer, database server, cellular
telephone, "Blackberry" unit, personal digital assistant ("PDA") or other handheld
electronic device, or in any other electronic form, and all metadata included within the
electronic/physical files.
3.
For the period of January 1, 2003 to the present, all c-mails, instant messages, text
messages, meeting invitations, and any other electronic communication sent by Jeffrey
Epstein,
Lesley Groff, and/oil
to Jeffrey
Epstein,
Lesley Groff, and/oi
This
request includes information that is kept in physical "hard copy" and/or electronic form,
whether stored on a personal computer, database server, cellular telephone, "Blackberry"
unit, personal digital assistant ("PDA") or other handheld electronic device, or in any
other electronic form, and all metadata included within the electronic/physical files.
4.
For the period of January 1, 2003 to the present, all documents and information referring
or relating to the transfer of funds from any account owned by J. Epstein & Company,
Inc. to any bank account used for the maintenance of the property located at 358 El Brillo
Way, Palm Beach, Florida, or for the payment of any person working at 358 El Brillo
Way, Palm Beach, Florida.
For the period of January I, 2003 to the present, all documents and information referring
or relating to the transfer of funds from any account owned by J. Epstein & Company,
Inc. to any bank account on which Janusz Banasiak and/or Alfredo Rodriguez had check-
writing authority and/or access to via debit/ATM card.
6.
For the period of January I, 2003 to the present, the names of all employees, copies of all
W-2s and/or 1099s for all employees, and the names of all corporate directors, board
members, and shareholders.
SDNY_GM_02771875
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258683
EFTA01338187
U,ded States District court
TO: Epstein Interests
EGI 07-103(WPB)-Tues./No. OLY-53
SUBPOENA FOR:
ri
PERSON
YOU ARE HEREBY COMMANDED to appear and testify before the Grand Juryof the United States District
Court at the place, date and time specified below.
PLACE:
United States District Courthouse
701 Clematis Street
West Palm Beach, Florida 33401
ROOM:
Grand Jury Room
DATE AND TIME:
June 12, 2007
1:00 pm•
YOU ARE ALSO COMMANDED to bring with you the following document(s) or object(s):
See attachments for the production of required documents.
•Please coordinate your compliance with this subpoena and confirm the date and time , and location of
your appearance with Special Agent Nesbitt Kuyrkendall, Federal Bureau of Investigation, Telephone:
(561) 822-5946.
This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer acting
on behalf of the court.
This subpoena is issued upon application
•
of the United States of America
•a not applicable. enter "none
To towed is IS e(A01110
FORM ORD.227
JAN.86
DATE:
May 31, 2007
Name, Address and Phone Number of Assistant U.S. Attorney
Ann Marie C. Villafarla, Assistant U.S. Attorney
500 So. Australian Avenue, Suite 400
West
33d01.6235
Tel:
Fax:
SDNY_GM_02771876
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258684
EFTA01338188
1.
For the period of January I, 2003 to the present, all calendars, agendas, daily diaries, or
other records of appointments, travel, meetings and the like, kept by or on behalf of
Jeffrey Epstein, Sarah Kellen, Adriana Ross, Lesley Groff, and/or Nadia Marcinkova.
This request includes information that is kept in physical "hard copy" and/or electronic
form, whether stored on a personal computer, database server, cellular telephone,
"Blackberry" unit, personal digital assistant ("PDA") or other handheld electronic device,
or in any other electronic form, and all metadata included within the electronic/physical
files.
2.
For the period of January 1, 2003 to the present, all address books, contact lists, or other
records of names, telephone numbers, addresses, and/or c-mail addresses kept by or on
behalf of Jeffrey Epstein,
Lesley Groff, and/or
This request includes information that is kept in physical "hard copy"
and/or electronic form, whether stored on a personal computer, database server, cellular
telephone, "Blackberry" unit, personal digital assistant ("PDA") or other handheld
electronic device, or in any other electronic form, and all metadata included within the
electronic/physical files.
3.
For the period of January 1, 2003 to the present, all e-mails, instant messages, text
messages, mccting invitations, and any other electronic communication sent by Jeffrey
Epstei
Lesley Groff, andThrj
to Jeffrey
Epstei
Lesley Groff, and/o
This
request includes information that is kept in physical "hard copy" and/or electronic form,
whether stored on a personal computer, database server, cellular telephone, "Blackberry"
unit, personal digital assistant ("PDA") or other handheld electronic device, or in any
other electronic form, and all metadata included within the electronic/physical files.
4.
For the period of January I, 2003 to the present, all documents and information referring
or relating to the transfer of funds from any account owned by Epstein Interests to any
bank account used for the maintenance of the property located at 358 El Brillo Way, Palm
Beach, Florida, or for the payment of any person working at 358 El Brillo Way, Palm
Beach, Florida.
S.
For the period of January I, 2003 to the present, all documents and information referring
or relating to the transfer of funds from any account owned by Epstein Interests to any
bank account on which Janusz Banasiak and/or Alfredo Rodriguez had check-writing
authority and/or access to via debit/ATM card.
6.
For the period of January 1, 2003 to the present, the names of all employees, copies of all
W-2s and/or 1099s for all employees, and the names of all corporate directors, board
members, and shareholders.
SDNY_GM_02771877
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258685
EFTA01338189
Response to Request No. 6 to
Subpoena dated May 31, 2007. to Epstein Interests
Epstein Interests
No Shareholders, Board Members or Corporate Directors
1001
SDNY_GM_02771878
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258686
EFTA01338190
ICEmpoyeraentioalkorarnberf/A0
• 13-3643429
1 001444marommomOm
60000.00
a Feclealammebtaeletalta
6065.04
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457 MADISON ANIMUS
NEW YORK, NY 10022
a 11001 almallYeMie•
60000.00
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3720.00
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Copy D--For Employer.
10112
2006
*************************** *******
For: Batch No. 2006/4/00859
Fors Company
66/143
1 FORMS
TOTALS
DepaMmot of Ote Tematry—alwrel FWM110 &SO
For Freamy Act mat Paperwork IkeuctIon
Aet Notice. 444 back el Copy D.
**************
*******
*** ******
1 TOTAL EMPLOYEES
31.20 NYDO
(Box 14)
60,000.00 State Wages (Box 16)
3,063.96 State Income Tax (Box 17)
SDNY_GM_02771879
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00258687
EFTA01338191
I . VW/
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mimic. 1646-0003221D
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13-3643429.
1 wars emoted ompsneelon
60000.00
a Federal Mae to allhal
6065.04
at Empleyies rains amis. and DP Code
3 Sad leafy sow
60000.00
4 Bede Misty In vet ea
3720.00
457 MADISON AVENUE
NEW YORK, NY 10022
0 Matte wean end 001
60000.00
0 DO
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870.00
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Wage and Tax
Form W
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Copy D—For Employer,
2006
a Centro: flambee
OMB 163.12464303
Meant of ire Trasest—Inaimal Rau* Sella
for prbtcy Act aid Papery/cot Peala
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2006
Dopeenent al the Treasery—Pitanal Rattans Seeste
Per Privacy Act and Peewee* fieductIon
Act Note, SO Ant ef COOED
SDNY_Ghl_02771880
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258688
EFTA01338192
, • Cored mate
.0001
66/121B
❑C9/13
Na 15454006 LH&
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b Empoyar klanalicadon numbet (DM
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1 Paps. lip, ate conessIos
60000.00
2 Fail ircorma In bailed
6834.27
a 0110019es mob seta and ZIP coda
--'457 MADISON AVENUE
NEW YORK, NY 10022
3 Social sacueY 49904
60000.00
4 Social woolly fax amts
3720.00
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60000,00
0 Madan tIX abbe
870.00
7 Social security Spa
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4
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Statement
Copy D—For Employer.
2005
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For Privacy Act and Paperer% Reduction
Act Non re, se tack of Copy 0.
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b &pow Icicobbobon number (EIN)
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Copy D—For Emoloycr.
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2005
Depernom of the Tritik•Wly-111140111 novena Sonic
For Nancy Act and Pepe:work Reduction
Act Nobs, sea beck of Copy 0.
SONYWk02771881
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258689
EFTA01338193
D.. Di
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Annual Summary and Transmittal of
U.S. Information Returns
2©0506
— rFILFRS name
,
Street address (Including room or suite number)
457 MADISON AVENUE
City, Mete. end ZIP code
Ltsmw YORE
NY 1 n n 22
I
Name of perm) tO COMM
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For Official Use Only
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correct. and complete.
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instructions
Purpose of form. Use this form to transmit paper Forms 1099,
1088, 5498, and W-20 to the Internal Revenue Service. Do not
use Form 1098 to transmit oloctronicarly or magnetically. For
magnetic media. see Form 4804, Transmission of Information
Regime Reported MagnetINally, for electronic submissions, see
Pub. 1220. Specifications for Filing Forms 1098.1099, 5498 and
W-26 Electronically or Magnetically.
Who must file. The name, address, and TIN of the flier on this
form must bo the same as those you enter in tho upper left area
of Forms 1099. 1098, 5498, or W-2G. A filer int:keine a payer; a
recipient of mortgage Interest payments (InctudIng points) or
student loan interest; an educational Institution; a broker; a
barter exchange; a creditor; a person reporting real estate
transactions; a trustee or issuer of any individual retirement
arrangement, a Goverdell ESA, an HSA, an Archer MSA
(including a Medicare Advantage MSA); certain corporations;
certain donees of motor vehicles, boats, and airplanes; and a
lender who acquires en interest in seared property or who has
reason to know that the property has been abandoned.
Proaddrossed Form 1096. If you received a proaddressed Form
1098 from the IRS with Package 1099. use It to transmit paper
Forms 1099. 1098. 5498, and W-26 to the Internal Revenue
Service. If any of the preprinted information Is Incorrect, make
corrections on the form.
If you are not using a creaddressed form, enter the filers
name, address (including room, suite, or other unit number), and
TIN In the spaces provded on the form.
When to ale. Flo Forrn1058e4h Forms ma 1098. or W-20
by February 28, 2008. Re Form 10913 with FORM 5498. 5498-
ESA. and 5498-SA by May 31. 2008.
Where To File
Send at Information returns reed en paper vith Farm 1098 to the
following:
If your principal business,
office or agency, or legal
residence In the case of an
Individual, is located In
Alabama. Adzona. ROOM GEONCI.
Louisiana. Mbalseppt. New Marco.
North Camino, Sins, Vora
Arkansas, COnnectioA Odaware.
Rantobey, Mann. kbasecholotts.
New Harnpebte, New Jersey.
NwiYork, Olio, Po.o/wario.
Rhode Island, Vermont, West Walrus
Use the following
Internal Revenue
Service Center
address
Matin,IX 73301
android, OH 4508O
tsinois, indent., lovo, Kansas,
Matson, Minnesota MaSOure
Nebraska. North DSCO, (Malan&
South Cardin& South Dakcca.
Tomes-see, Vasa:ton
Kansas City. MO 64999
For more information and the Privacy Act and Paperwork Reduction Act Notice,
see the 2005 General Instnicttons for Forms 1099,1098, 5498, and W-2G.
ID05
4043771737
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4
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SDNY_GNt_02771882
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00258690
EFTA01338194
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common)
•
1, •
9595
PAS
meta Ind faltfrosersaYr teen 2/P t
and moms
EPSTEIN
INTERESTS
457 MADISON AVENUE
NEW YORK, NY 10022
PAYER:herd
kem011ostbn
tarty SYVIW213615s.‘7.:A.
13-3693429
RECIPIEWS none
Street isidmaa inokrdrg apt awl
110 EAST 59TH STREET
Ira Section 409A Incase
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$
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an attorney
$
17 340a/Payere Sato no,
Copy A
For
Internal Revenue
Service Center
with Form 1090.
For Privacy Act
and Paws-hulk
Reduction Act
Notice, see tho
2005 General
Instructions for
Forms 1099,
1098, 5498,
and W-2G.
113 31Se Income
Form 1099-MISC
Cett No. 1442111
04partment of the Unary • Went Ilstiraue Santee
Do Not Cut or Separate Forms on This Page
—
Do Not Cut or Separate Forms on This Page
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PATEFIS Fo3eral IdentlIkz.4
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2005 General
Instructions for
Forms 1099,
1098, 5498,
and W-2G.
.5
Department awn Treasury • Monet Revenue Service
Not Cut or Separate Forms on This Page
I
I
SDNY_GM_02771883
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_0025869I
EFTA01338195
U.S. Department of Justice
United States Attorney
Southern District of Florida
A. Marie Villafana
SOO S. Australian Ave, 4th Floor
West Palm Beach, Florida 33401
(561) 820-8711
Facsimile ($61) 820-8777
TO:
Gerald Lefcourt. Esa.
DATE:
June 19.2007
FAX NO.
# OF PAGES:
I /
PHONE NO.
RE:
Epstein Corporations
FROM:
A. MARIE VILLAFARA, Assistant U.S. Attorney
PHONE NO.
COMMENTS:
Dear Gerry: I apologize. I thought this letter had gone out last week. Can
you get back to me regarding the New York Strategy Group, Inc.? Thank
you.
SDNY_GM_02771884
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258692
EFTA01338196
U.S. Department of Justice
United States Attorney
Southern District of Florida
300 South kairalian AVOINt. Suite 400
a 334014253
Tel:
Fax
19
June T4, 2007
Gerald Lefcourt, Esq.
148 East 78th Street
Ncw York, NY 10021-0406
Re: Subpoenas to J. Epstein Virgin Islands Foundation, Inc., J. Epstein & Co., Inc.,
Epstein Interests; and Financial Trust Company, Inc.
Dear Mr. Lefcourt:
Thank you for your prompt response to the subpoenas issued to J. Epstein Virgin Islands
Foundation, Inc., J. Epstein & Co., Inc., Epstein Interests; and Financial Trust Company, Inc.
I understand that you are still searching for documents responsive to request number 2 for
each subpoena.
Either at this time or when you have finished your review, please ask the Custodian(s) of
Record for each corporation to prepare a certification under penalty of perjury authenticating the
documents produced and delimiting those items for which no documents exist.
Thank you again for your assistance.
Sincerely,
By: A. MARIE VILLAFARA
Assistant United States Attorney
SDNY_GM_02771885
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258693
EFTA01338197
OLY-51 ADDRESSED TO
L the undersigned,
declare that I am employed
by/associated with J. Epstein Virgin Islands Foundation, Inc., in the position of
, and, by reason of my position, am authorized and qualified
to make this declaration.
1.
Through my employment/association with J. Epstein Virgin Islands Foundation, Inc.,
I am familiar with the business records it maintains.
2.
I certify that the records attached to this certification:
(a)
were made at or near the time of the occurrence of the matters set forth
therein, by or from information transmitted by, a person with knowledge of
those matters;
(b)
were kept in the course of regularly conducted business activity; and
(c)
were made by the regularly conducted activity as a regular practice.
2.
Among the records so maintained arc the attached records itemized in Appendix A
(Document Inventory).
3.
I further certify that the documents attached hereto are responsive to the Grand Jury
Page 1 of 2
SDNY_GM_02771886
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258694
EFTA01338198
Subpoena served upon J. Epstein Virgin Islands Foundation, Inc.
4.
I further certify that J. Epstein Virgin Islands Foundations, Inc. has no documents
responsive to request number(s)
in Grand Jury Subpoena number OLY-51. [Fill in or strike
out as appropriate.]
Pursuant to 28 U.S.C. § 1746, 1 declare under penalty of perjury that the foregoing
information is true and correct.
Executed this
day of
, 2007.
Place of execution:
Signature
Page 2 of 2
SDNY_GM_02771887
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258695
EFTA01338199
APPENDIX A
The documents submitted are as follows:
Signature of Records Custodian:
SDNY GM_027 71888
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258696
EFTA01338200
OLY-53 ADDRESSED TO
I, the undersigned,
declare that I am employed
by/associated with Epstein Interests, in the position of
, and,
by reason of my position, am authorized and qualified to make this declaration.
I.
Through my employment/association with Epstein Interests, I am familiar with the
business records it maintains.
2.
I certify that the records attached to this certification:
(a)
were made at or near the time of the occurrence of the matters set forth
therein, by or from information transmitted by, a person with knowledge of
those matters;
(b)
were kept in the course of regularly conducted business activity; and
(c)
were made by the regularly conducted activity as a regular practice.
2.
Among the records so maintained are the attached records itemized in Appendix A
(Document Inventory).
3.
I further certify that the documents attached hereto are responsive to the Grand Jury
Subpoena served upon Epstein Interests.
Page I of 2
SDNY_GM_02771889
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258697
EFTA01338201
4.
I further certify that Epstein Interests has no documents responsive to request
number(s)
in Grand Jury Subpoena number OLY-53. [Fill in or strike out as appropriate.]
Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing
information is true and correct.
Executed this
day of
, 2007.
Place of execution:
Signature
Page 2 of 2
SDNY GM_02771890
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258698
EFTA01338202
APPENDIX A
The documents submitted are as follows:
Signature of Records Custodian:
SDNY_GM_02771891
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258699
EFTA01338203
OLY-54 ADDRESSED TO
I, the undersigned,
declare that I am employed
by/associated
with
Financial
Trust
Company, Inc.,
in
the
position of
, and, by reason of my position, am authorized and qualified
to make this declaration.
I.
Through my employment/association with Financial Trust Company, Inc., I am
familiar with the business records it maintains.
2.
1 certify that the records attached to this certification:
(a)
were made at or near the time of the occurrence of the matters set forth
therein, by or from information transmitted by, a person with knowledge of
those matters;
(b)
were kept in the course of regularly conducted business activity; and
(c)
were made by the regularly conducted activity as a regular practice.
2.
Among the records so maintained are the attached records itemized in Appendix A
(Document Inventory).
3.
I further certify that the documents attached hereto are responsive to the Grand Jury
Page I of 2
SDNY_GM_02771892
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258700
EFTA01338204
Subpoena served upon Financial Trust Company, Inc.
4.
1 further certify that Financial Trust Company, Inc., has no documents responsive to
request number(s) ___
in Grand Jury Subpoena number OLY-54. [Fill in or strike out as
appropriate.]
Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing
information is true and correct.
Executed this
day of
, 2007.
Place of execution:
Signature
Page 2 of 2
SDNY_GM_02771893
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258701
EFTA01338205
APPENDIX A
The documents submitted are as follows:
Signature of Records Custodian:
SDNY_GM_02771894
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258702
EFTA01338206
P. 1
• TRANSMISSION RESULT REPORT ( JUN.19.2007 3:23PM ) * ■ *
TTI USAO WPB FL
DYE
TIME
ADDRESS
MODE
TIME
PAGE RESULT
PERS. NAME
FILE
itri. 19. 3:21PM 12129886192
TES
2'15- P.11
OK
697
*
3ATCH
L : SEND LATER
: STANDARD
• ;SYNC MODE
: FORWARDING
D : DETAIL
1-: MIL-STD MODE
P
POLLING
M : MEMORY
E : ECM
> : REDUCTION
F : FINE
G-: RICOH-MG-9/COMPATIBLE MODE
SDNY_GM_027 71895
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258703
EFTA01338207
thged States District Lburt
TO: Financial Trust Company, Inc.
FGJ 07-103(WPB)-Tues./No. OLY-54
SUBPOENA FOR:
n
PERSON
YOU ARE HEREBY COMMANDED to appear and testify before the Grand Jury of the United States District
Court at the place, date and time specified below.
PLACE:
United States District Courthouse
701 Clematis Street
West Palm Beach, Florida 33401
ROOM:
Grand Jury Room
DATE AND TIME:
June 12, 2007
1:00 pmt
YOU ARE ALSO COMMANDED to bring with you the following docurnent(s) or object(s):
See attachments for the production of required documents.
*Please coordinate your compliance with this subpoena and confirm the date and time , and location of
your appearance with Special Agent Nesbitt Kuyrkendall, Federal Bureau of Investigation, Telephone:
(561) 822-5946.
This subpoena shall remain in effect until you are granted leave to depart by the court or by an officer acting
on behalf of the court.
CLERK
(BY) DEPUTY CLERK
This subpoena is issued upon application
of the United States of America
•If not applicable. emu 'none.
Mk anis.'
t4A0110
FORM ORD-227
DATE:
May 31, 2007
Name, Address and Phone Number of Assistant U.S. Attorney
Ann Marie C. Villafana, Assistant U.S. Attorney
500 So. Australian Avenue, Suite 400
Wes
-6235
Tel:
Fax:
JANA6
SDNY_GM_02771896
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258704
EFTA01338208
I.
For the period of January 1, 2003 to the present, all calendars, agendas, daily diaries, or
other records of a ointments travel meetings and the like, kept b or on behalf of
Jeffrey Epstein,
Lesley Groff, and/or
This request includes information that is kept in physical "hard copy" and/or electronic
form, whether stored on a personal computer, database server, cellular telephone,
"Blackberry" unit, personal digital assistant ("PDA") or other handheld electronic device,
or in any other electronic form, and all mctadata included within the electronic/physical
files.
2.
For the period of January I, 2003 to the present, all address books, contact lists, or other
records of names, telephone numbers, addresses, and/or c-mail addresses kept by or on
behalf of Jeffrey Epstein,
Lesley Groff, and/or
This request includes information that is kept in physical "hard copy"
and/or electronic form, whether stored on a personal computer, database server, cellular
telephone, "Blackberry" unit, personal digital assistant ("PDA") or other handheld
electronic device, or in any other electronic form, and all metadata included within the
electronic/physical files.
3.
For the period of January I, 2003 to the present, all e-mails, instant messages, text
messages, meeting invitations, and any other electronic communication sent by Jeffrey
Epsteinj
Lesley Groff, and/or
to Jeffrey
Epstein
Lesley Groff, and/or
This
request includes information that is kept in physical "hard copy" and/or electronic form,
whether stored on a personal computer, database server, cellular telephone, "Blackberry"
unit, personal digital assistant ("PDA") or other handheld electronic device, or in any
other electronic form, and all mctadata included within the electronic/physical files.
4.
For the period of January 1, 2003 to the present, all documents and information referring
or relating to the transfer of funds from any account owned by Financial Trust Company,
Inc. to any bank account used for the maintenance of the property located at 358 El Brillo
Way, Palm Beach, Florida, or for the payment of any person working at 358 El Brillo
Way, Palm Beach, Florida.
5.
For the period of January 1, 2003 to the present, all documents and information referring
or relating to the transfer of funds from any account owned by Financial Trust Company,
Inc. to any bank account on which Janusz Banasiak and/or Alfredo Rodriguez had check-
writing authority and/or access to via debit/ATM card.
6.
For the period of January I, 2003 to the present, the names of all employees, copies of all
W-2s and/or 1099s for all employees, and the names of all corporate directors, board
members, and shareholders.
SDNY_GM_02771897
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258705
EFTA01338209
Response to Request No. 6 to
Subpoena dated May_31 2007. to Financial Trust Company. Inc.
Financial Trust Company, Inc.
Corporate Directors/Board Members: Jeffrey Epstein, Cecile DeJongh, Ghislaine
Maxwell
Shareholders: Jeffrey Epstein
TC000I
SDNY_GM_02771898
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258706
EFTA01338210
a Conbcdpunteg
33333
For °Metal Weer* 10
ORS NoAM-COOS
b
941.33
WON
Ma
944.23
in
0
0
ire
,
19.
9 K
f
1 Weser, fps, otherearomsegte
770439.00
2 income be intton
128484.00
Kind
1.1
of
telltd.
hedianto
Payer
ria
991
3 Soon Munk wkles
587136.84
4 Social security erovItmerci
36402.49
c Total number ot Fern W.2
11
d Eakinikriont number
5 Medan Wages and Ws
810384.62
6 thallase Ws
bold 11750.58
o emplane idenliftakn rnintr(E94)
66-0567418
7 Sordid necudly We
s
1/
10 ,
12 Dorn corwrimellen
39945.62
I EroPeyeesname
.
6100 RED HOOK QUARTER
ST. THOMAS U.S.V.X, 00802
9 SMPleyWn sabers end ZIP code
•
INC.
8-3
0 Anew MC portend
11 Nompoleinciplord
13 Fortirdwarty on pry one Caty
14 income tax wtintwie by payer of gitepIllti
don fag
It Cann EN needn't/ter
I Ennwerslertiload Crumbs(
Cornet pawn
JEANNE BRENNAN
For CMOS Use 0 my
arms Sarre
Under pereitim of moiety. I
„they we true. cones. oljnowner
Wane le
cal Tint Department
"On document:Lk rd. to lie beat of my Inwertedror and bold,
T0v 'pl3gpinstm
Dam ►
Fon, W-3SS Transmittal of Wage and Tax Statements
2OO6
-,="Tban
Contact the Division of Revenue and Taxation. Commonwealth of the
Northam Mertens blonds, for the addrem to sand Copy 1 of
Font* W-2CM and W-33.5,
ShIpping and mailing. If you Ile note than one typo of ton. Pease
group forme of the same typo with a ooparate Form W.388 for each
typo. For example, eond FMmu W-20U nth one Form WOSS and
Forms W.20.8 with a second Form W-3SS. Fame W-2A8, %PAU,
W.2CM, or W-2VI era panted two forMS to a
a
Oren of Copes A and 1 oven II one of the to
Prepare and Re Forms W-2 onto( alphabet
names or nurnolcally by Crinpkyeed node)
Maple or tops gm Coma togethor arid do nnl to
lb a Sat mailing.
General Instructions for Forms W-
W-2GU, W-2CM, and W-2V1
Furnishing Conon II and C to employees. Fum0h Cop
Forms W-2A9,19.20U, W-2C14, and W-2VI to your erwl
January 71, 2007. If amcioyment ends before December 5
00. youmoy
knish Via copies any We site emdoyrnent erne OA no I
than
Jer.uary 31, 2007. 11 the onion* auks for the form, runtish t4A or her Vie
compieted corns Whin 30 any:tithe reboadt or wifln 55 de)s den
pet wage Wifitent, Mtichavcr Is kW. If an cinkroyori dxas s loom, 'do
'REISSUED STATEMENT' on the now oopy (unless It was furnished.
eleonnkeity), bra do not send Copy A of the reissued statemem to the .
SSA. Employer are not prchlbred (try the Worn& Flournoy Coda) km
churing aloe for won issuance of e mplicaw Form W-SAS,
it.52CM, or Wan.
TCOOD2
Extesslon IC) fut/I/S/1 POMO W-2 to employees. You may request en
extortion d time to furnish Perms W-2 to orapioncs by vending a donor to:
923 Enterprise Computing Center—meter churn
Information Reporting Program
Attn: Extertinon of Tire Coordinator
MO ISurall Drive
ItcorneysytilreWY 2.3430
Mall your lotto( on or oilers cte Wu date for Winning Forms II/-2 to
erflp;Oy06a n must inctudo:
• Yds name and ebony.
• Your emptoyer idamirction umber (SiN).
• A etstemsen Nei you are requesting an extension to furnish 'Forms W-2'
to SMAii)Mr
• Ficawn der Nish and
• Year signature or that of sour authorized agent
llndeayanttalo km's. Kew tar 4 years any employer mem of Forms
VI.2GU. *PQM , or W-21/1thit you tried to ether but oo4d not.
Do hot send tmdeilwaroble Forms W-2 to the SSA.
Calemter year bests. Ease al entries on Fame W.PAS, W.2Gu,
W.2 vi, and Y1.3SS on a calendre year. Use the correct year form.
Electronic reporting. If pm are mowed to ilia 250 or Melt FORM. WCAS,
W-2GU, W.2011. or WIC!, you mum 3k them ektotrOnicaki, You am get
speolicosono for fang MI* informotkei olectrootally by useing Social
Socurity's Employer Reporting inetrucdons and intanntlan websto et
weersoclalseeunyagoviempbyer or by witacting an SSA &WNW
Sertioct Litton Men (I14.0) at 212.264-1117 for ,he U.S. Virgin Nord,
or ttio.0700S47 lot Guam one American Samoa. SSA WI no longer accept
any typo 01 physical media (magnetic tape, cartridge. Anne. mc..)
submissions of Fort W-2 repent
PABO 3
SDNY_Gf.1_02771 899
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 1O, 15, and 17
EFTA_00258707
EFTA01338211
• Soared Ptraber
22222
a O No. 1546.0023
O Blase IdeolloPko reibo•PH
66-O567418
• Imposes lett arlider. sod 3P co*
6100 RED HOOK QUARTER 8-3
ST. THOMAS U.S.V.I, 00802
Warm. OP. 4410 concomoco
957O1.O0
el Income WS/7M
1O92O.0O
lr
Form W-2111
2006
Deptilowl of Me Treenney--Imanitl finiteare Service
For PM•ticy Act and Pw.rwork Redootlen Act .(otier
and ;rattructlors. Ma Form vi.ass.
. Use nn
BRENNAN
Stiff
U.S. Virgin Islands
Wage and Tax Statement
Copy 1 -For vl Bureau of 'Memel Revenue or Copy D-Fot Empleger
0 Sacred Nally Moosoc
4 &ell semidry twain
O.
Medlars Vot
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66—O567418
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6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
d
's !odd facet
nearer
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Leet tee
LEONA
CASEY, SR.
f Fmmoyuule
•eM. ogri LP c064
Fpm
Copy 1•For V1 diverse of Internal Revenue or Cory D r or Employer
U.S. Virgin Islands
Wage and Tax Statement
TC0003
3 Soda smarty Was.
4 Soda murky hoc *Me
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49713.0.
3082.21
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49713.O
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2006
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For Privacy Aot and Pcoenveee Reduction Ass Notice
end instnielons, see Term W-33.S.
SD NY_GM_02 7 71900
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 1 5, and 17
EFTA_OO2587O8
EFTA01338212
Control number
22222
b &tipbye' kdrithootlen minx. OA
66-0567418
• Inipbyon. Arm iddrerss, and LP code
61OO RED HOOK QUARTER 8-3
ST. THOMAS U.S.V.I, OO8O2
Veld 0
• E
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fitrailrtlpivra
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Form
Copy 1-For VI Bureau of Interned Revenue or Copy D-For Errtp'oier
OM No. 1543-0030
Iftl-2V1
U.S. Virgin Islands
Wage and Tax Statement
2006
ciewetimt a ..0 Traasery--intenni Pommy See•Ine
For Moat Act nd Ripens/ea Reduction Act Notice
and Inotructlons, lee Fern W =S.
wews.ria. caw oaromodo
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b employer Arnacation nab.' IP4
66 - 0567418
• EmPloWer• MOS exidteR444 ZP Cole
6100 RED HOOK QUARTER B - 3
ST. THOMAS U.S.V.I, OO8O2
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CECILE R
W-21/1
2006
EmoleeWsWdreaseed
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Fenn
Copy 1-For VI Bantu of know, Revenue or Copy D-for Employer
tat ram
DE (TOUGH
US. Virgin Islands
Wage end Tax Statement
iC0004
I
wpm. fkp, aro compension
2 VIInca tar wets*
149125.46
28186.00
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and indouroord, we ion W433.
SDNY_Gli.4_02771901
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_OO2587O9
EFTA01338213
COMO POribOr
bErmftabmomftelmarea4
66-0567418
VO4
0M0 t051540ff/0GS
lifroplonn rer s. address, and ZP cods
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
d
•
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tbet Sees
JEFFREY E
EPSTEIN
6100 RED HOOK, SUITE 2
ST. THOMAS, VI, 00802
tr oks eactws• and ZIP eerie
W-2V1 U.S. Virgin Islands
Form
Wage and Tax Statement
Copy 1-For VI Bureau of Internal Revenue ce Copy IIRce Employer
22222
• So70104w *flaw
fl
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66-0567418
• Employers earns. Sates, aid Weeds
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
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Par Privacy Act and Paperwork firecluedon Act Hoppe
and inetnreticrua Dew Form W45S.
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20380.7
2 VI Income ate afield
2264.00
d E
'
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• EMISOVOes td lode and Int4r
T£QUASI 0
f
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HENDRICKS
U.S. Virgin Islands
Wage and Tax Statement
Copy I -For VI Bureau of InttOrd Hercouo or Copy 0 -For EmProrYtv
1C0005
Suff.
3 Secbl edcuty wan
20380.7
4 Speed natty lax erittidd
1263.61
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2006
13 MIX
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Deportment of too Trepsury—Infemor
Sado*
Foe Pdvny Ad and Pnernewarktolucbon Ace Notice
and ',stood:on% ow, Form W-sS2.
SDNY_Gt.1_02771902
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0025R7 ID
EFTA01338214
Cpncral number
0146 No, 1545-0000
b Empkwr icAntrfortfon number 104
66-0567418
o EmpNyces name, address Ind 0P rode
6100 RED HOOK QUARTER 8-3
ST. THOMAS U.S.V.I, 00802
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22766.01
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b Employer Identaloaren nearer (1299
66-0567418
a implayarta mob addiars. sad DP coda
6100 RED HOOK QUARTER 3-3
ST. THOMAS U .6 . V. I, 00802
r trr
10
S
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11
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U,S. Virgin Islands
Wage and Tax Statement
2006
Dearman% of t
Tawny -Internal ritmaar sarwco
For Panty Mt rid Peponvork Reduction Ant Notice
and hutnrallons, ma Form WilSa.
1 mgmizmethvoompream
45986.1C
2 Vi been. tax withhekl
1657.00
• F
es
,
e
i ssiiiiipar
• Fawn:laic Prat non and UAW
LW nom
UNA R
PASCAL
Form W-2VI ubv.asg.evattinT Statement
ax
Islands
2006
Copy 1-For N Bureau of :ntomal Flav011ue or Copy 0 -For Emeoye
3 Focal =cuing wage.
4'7613.9S
s
mnobera wawa and vos
47613.95
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2952.07
11 Noreuelf•dpbas
tkawnex
690.40
a
10
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!S
11627.89
I C
,k
140.82
14 CAN.
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Dcoortmwr e 010 TreatarywIntamal 4r-roma Sento,
Par Primacy Mt and Paperwork froduotten Act trotata
and watroctrans. was Pont. w-ns.
SDNY_GM_02771903
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002587II
EFTA01338215
• Convedetmber
22222
Id
OMB No. 1145470M '
sEmoywdmmossommtorPO
66-0567418
o Employers nom. ackbea ad ZIP code
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
7.7013.704 ti6 N COIrpineeko
32443.41
3 Board Met, mos
33689.3E
s mrnsmosmsyg0359.3E
VI beam lex MIMS
203.00
4 Social mosey tie wahlerd
2088.74
O MsearsisswW40
468.50
7 Soder madly spa
d
• limplares the one and MU
MO An
ANNN
RODRIGUEZ
9 &Watt BC Wein
•
/
attdrota and TO bode
U.S.VIrelnIMands
Wage and Tax Statement
Copy 1 -For VI therms of Intern& ReV041110 or Copy 0 -For EMPIrrYor
Suit 11 Nemquettel 03.91
13
14 Other
I Conterl melee
22222
CM/3 No. 1546-0000
Mc"
rryilWrgrbu
Fonn W-2111
2006
Dosertment of the Treeflay—.141••• nmoorroo towk.0
Pa Pitney Act PM PS”-WOlk Reduction Act Node,
end bratrucdorts got Form W-044.
12°
7.15
b empoyor lermallogbn number PM
66-0567418
• Employees rent @Wren. and BP Code
6100 RED HOOK QUARTER 6-3
ST. THOMAS U.S.V.I, 00802
msmes.sammememm
40174.72
3 Social Newts wesco
43275.92
•
Medan wen erd aW
43275. 92
7 SOCCIStaa270F4
2 VI Poona tat Wlehei
3502.00
4 Sod/ smelly Mx vrehheld
2683.11
d Pm
I MC
nwrt
O kMinmeOpyrnfl
10
o Ern:kr/eel PM name mei&kill
lilt Mims
JERMAINE A
ROAN
I Orr
e i OCICIF*St and rp t-,Js
Copy 1-For VI Eltsrcat. of Intomel litvOIVO or Copy O•For emp!oyer
TC0007
Suit 11 NOIQO$15.d pins
124 See FCfri W493 Inatbepool.
IS 13101.20
13 l=
128.34
4 other
0
r.„1111-2V1
U.S. Virgin Islands
Wage and Tax Statement
2006
Copeerrent of the Tromery—teerner Ilmenua Sonic"
ere Psivacy Act and Pacemork Reduction Am Node,
and Instructlant, Poe Fon, VoLISS.
SDNY_G A4_02771904
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFFA_00258712
EFTA01338216
a Oootd numbs
22222
OM No. 1045-5003
b EmPlayor MINfica5co numb:. IBM
66-0567418
1 %WM MA Sr tOrpcfradon
41567.93
2 VI bloom Stu vallthald
4448.00
o drape:Ices rms. oddrotes and 2W Ede
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
3 Good moray mom
46083.3
4 Social mat* t
IMMO
2857.17
3 mecea "Iltir3
.
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10
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Copy 1 -For VI Bureau of !Mom" Raven°. cc Copy D.For Employer
IN-2111
U.S. Virgin Islands
Wage end Tax Statement
2006
Far
Copattrert of 'lip TrezLer-evarrert Pegenuo Sevres
Pnvacy Act Om. Paperwork Roduellow Act ..ogee
and Inr.euctlatra, set Form er-385.
a carnal reuniter
2222E
mid 0
0146 No. 1145-0000
b Swloyr Idaralbston rumba tilfd
7 Wept. Mt, dm emparmdm
2 IA Immo bog wilMoid
o Froplayado nem. address. 47421P code
I
Social smutty wpm
4 SOSC motylty lax *111(4
5 lelotatoro Nam and dos
II Motors to vatted
7 Social soeurIN tps
d IFoldosouts sold misty sated
9 Advorm EC mown/
10
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17.a Sot roan
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I
I
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22°
I
I
161
rorm W.2v , U.S. VItgln Islands
I Wage and Tax Statement
Copy 1-For VI Bureau of Intemei Rotenue or Copy ID-For C, otAtryt.r 2006
Department of Ow Trettstay—Wanwd Ammo Scolroe
Per Massy Mt and Motonvoric Reduction Act Notice
sal InstmclarA to. form W-3S5•.
SDNY_GM_027 71905
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258713
EFTA01338217
,no Ode STAPLE OR FOLD
g Commt nurrinr
33333
Far WWI Use iank •
OMB No 1543410a
b
MI.S$
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1142
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I
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•
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1 Wooesa otos ecopersettn
717905.56
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116884.00
3 scald swung wages
583483.31
4 Seel" swa tot WN
y
36175.97
e Trial number or Forms W4
12
el Eelatalsnmere muster
s ibilosraffotrige and spa
751782.06
8 Madam ton Mahal
10900.85
• Employer Idetelleallon MAWS IWO
66-0567418
7 &XII WournY to
I
I 87444, 41.4 5. 8*
FINANCIAL TRUST COMPANYt INC.
6100 RED HOOK QUARTER 8-3
ST. THOMAS U.S.V.I, 00802
Is Employes addrem 444W0380
2 Advance IOC Won.
10
11 NOOMIMMW pin
IA Dialorrodtiorapersdon
33876.50
to For inineptuty dolt pity UPI OW
14 theme ma witted by prewrolltrnparlY Mak Fry
Is Other gm used thews
I Irrelowfslealladd ID twee
Contact parson
JEANNE; BRENNAN
Tdephorte ntentar
(us ) 735-2,375
der omelet the any
E-rnal sadmse
Rot flanker
(340 ) 715-2528
Under Demean or perky, I
May one boo, 0000c MO
tegneture ►
Copy 1-For Local Tax Department
I ea
nMi,ed app Won and weamponyeg thourneinq so& to the beat of my knatherige and bow.
awn, W -3SS Transmittal of Wage and Tax
General Instructions for FormallW2AS,
W-2GU, W-20M, and W-21/1
Furnishing colts is end C to employee'. NOWT Copica B "WIC of
Forms %RAS, Vi4GU, W-2CM, and W-WIta yaw employees by
January 31, 2006. II employment cods balm Dlownber 31, 2005, you may
runtish Ms copies any limo War employment "No out no later than
January 51. 200, It the employee aYrs fa to form, rurrlsh On or nor To
completed copies wITIn 3) days of the rogues' or worth 30 SW oi 00
laM wage payment Wteabeuer a him II an employee loses a kern wino
'REISSUED STATEMENT on the now copy fucker It was furnished
otoetrenkaly), but do not send Copy A of coq ernsuod Mean& the
SSA. renWWWII WO Mr pichbted thy the intones. MMRCREFRIIEE- NO. 2
chaining/dee to. the lisugnotni a duorotto For W-2AS. W.20CJ.
W.2CM, or W.21/1.
Extension to runts?, form W-2 to employee. York reipat
06
axtennon of time to provide Foane W-2
IC
wriceyees by sending a
to:
VIRGIN ISLANO8 BIMOAU OF
IRS Enterprise Computing sAiaRtifaittlia4MVE ST. THOMAS
Incametal Floponlw Program
Amu Extension of limo Coordinator
240 Murall Drive
KeameyevIllo, WV 25424
Mal your letter on or telt the due dela xi tomato Forms W-2 to
employato. It trust Wade:
• Your name MC address,
• Your somloyer kleigtortion nurrbor (OK
• A etatoment that you are rommeting en wangan to furnish Foam W-2
to en00)e0
• Ramon for ddey. and
• Your algnelt/rtt or that of your attortzed agent.
arts=*arrr
Statements 2005
ow a eg.bAa
oupartgars alto Timall
mast MilefloglArdol
Undeliverable nand. Keep kr 4 years *mg ankle' copies of Rams
W-2/1S, WCGU, W.2CM, or W.2•1 eve yeti nee so deafer bra weld not.
Do not send underverible forma to the BOA.
calendar year barn- Base MI 434514-3 co POWs
W4GU, W-2CM,
W.2Vt, and W4SS on a calardar yen. Liao the ant year form.
Wanda modb.fokothante reporting. 11 you Ma 250 or moro Forms
W.2AS, W.20U, weCµ or W'M, you must Na them on =rode media
• etaabontally. You can got spodkattocs for tog Inio Information on
magnetic media or etectsokoty by Waning 601.1(locurays Dna:ye,
Reporting Instruct,* Ed Ireannelan Wade/ al
nendaeraadnnetawfarredOW/ or by contacting on SSA Employer
Services Liaison 0ffeer (ESLO) at 787-788.5574 for Me U.S. Veen Islands
or .510-970-047 for Gann and ArP2400.SeroOd- SSA 0016 not 5=0
magnetic tape one cartridge oubrobtsbne oeginnIng •rnh the 236 For
W.2 report, that ore due to SSA In calendar yeas PM.
It you file en magnet deketto or olootronloafry, Oo not fila de same
forums on paper.
Nolo: Yo., am ancourned to Na on tinned° Cikkatta or eiacfronic107
VIvam if you tie Irmo than 280 ROW w4.
You may request a **Ivor on For 8508, Request tar Walter From FlIng
Intormetkin Raturill Magnalkatly, Saint NMI 0508 to ma ins si lain 45
days Cetus the due date of Form WIZ est Fenn 8508 Icr flog
Inthrmadan.
Taxpayer idenettr—Ition mnbors. En:toyer' use an Oreployor
Idenubothon number (FIN) (00-00000301. Empbyoet use n motel stiounty
nurneer (SSW) (0004:0-00a0). when you ist a number, seponto the nine
digits properly to shoo fM fdnd of number.
Social soounly numbers ail used to mooed employee earrros 101 Mune
yodel soeurty end Medicers bunt. You must nor the comet 'odd
nanny ra.mbor tn Outten No Form W-2/53, W.D3U, or W4V1.
Page 3
SDW_GM_02771906
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258714
EFTA01338218
• Cori nuoixt
rii5r
voi
m7
nD
OMB No. 1546-0006
b Entry, kbelecialon paw (EN)
66-0567418
• ErfeNyere COMO. °floss, end 2IE cede
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
•
nodal
motor
•
Mr
"
rem
aid
BASTIAN CORDON
eM6flowiciao=ft
Form
COPY 1•PCf 9I Bureau of Internal Rome° Or COPY D•Fcr Employer
2 VI beano tax MOMS
3837.00
I
Asper. IM. Ceinompoomio,
35487.81
3 3fr5-3-33nr. 92
odoelco so porno*.
W-2V1
U.S. Virgin Islands
Wage and Tax Statement
2005
DeporentYR of I AS Treavay—Infern31 Revenue Sarno.
For PeAvicy Act nd Paperwork Rixtuceon Act Notice
and ktstruatIone, see Peon W-395.
12.1 S00 rill3V6S.Sii rftWOOIS
r
15.82
a Coned rumble
22222
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Ondri No. 105.0009
b Endow klarelfeatko number (EN)
66-0567418
a Employee mem address. and ZIP code
6100 RED ROOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
85718.27
• VI Imam tax vetNeid
8549.00
4 aitial”CorlinV
I60
.
21640
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3 Said moi
5 Modknoo vows old Inn
9110.46
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WS OOP= weal
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Lop Nano
JEANNE
BRENNAN
tAftInf33 end 1P cod
Peon
Copy 1.Fer VI Burodu of Irtcrn P.ovonue or Copy D.For Etrptoyzr
TUMID
9 Advance It OnTra
o
W-2V1
U.S. Virgin Islands
Wage and Tax Statement
20 El 5
Deperrnonf of the 7,C222Y-0,0222 Thrvan."
For Privacy net rod Papoworrt Reektonon set None*
and h ane/ion; no Penn W.2ss
A
Form ve382 IneNebont
3462.19
145.04
SDNY_GM02771907
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFFA_00258715
EFTA01338219
e CoMM ..earner
22222
I
sick
b 20640/Or IdoLdS00000 natter OM
66-0567418
• 2ifflories new. Sena lee macs
6100 RED HOOK QUARTER 8-3
ST. THOMAS U.S.V.I, 00802
OMB No. 1645-0006
7 VIPS Wm 0610 ocerlefineen
2 VI Incomes it Dirtied
43574.16
4506.00
111.1.11111"-
• Eeptcervii• Om: ^amo rod Intlel
tat name
LEON A
CASEY, SR.
E
Form
Copy 1-For VI Bureau CA Internal Rev01051 or Copy D-For
1111-2V1
U.S. Virgin Islands
Wage and Tax Statement
2005
3 6441413336113364 940.99 4 6446446343630606041 6
. 4
6 Iwibmnrg56r. 99
7 Sock! seemly the
6 Moen lex
Menem HC payment
10
1 1.67
Ito Soo Form VA3SS emeocteme
1816..83
22.21
Dimerenunt of the Treenury emend Ftimemen Service
For Prerecy Act and ecoannerie liocuctlee Act Finite
and instructhenn, nee Form W4Sa
• Carted matt
22222
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OMB No. /6660006
b ensitoot kliAltheetton nurnblf 2311)
66-0567418
I VIM Start 001,11180201
41913.27
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5754.00'
c Empkryorl nem. oddria ow 7. DOS
6100 RED HOOK QUARTER 8-3
ST. THOMAS U.S.V.I, 00802
3 sear tautly woe
8
44630.4
.09
4
So
2767
sectrity tee rithhold
s miaare wegesate to
44630.48
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647.14
7 Semite nounty Mu
t
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.. .. . .
9 Actincoo EC peryrrort
100
/ A
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trot runts
JAMIE I
CORNELIUS
11 Nonqualll•d pkvil
12
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4717.21
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18.10
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Copy 1..For VI bureau of Internal Harems or Copy C•For Employer
W-2V1
US.‘nrgInlWamts
Wage and Tax Statement
TUE
2005
Dinnecerrent of tM Thliosenr-InteirreI Roverruc emrvico
For Privacy Mt And P.perwotk Reduction Act Notice
and inirbeetionn ••• Form Vi4&$.
SDNY_GM_02771908
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258716
EFTA01338220
• Cain foram
22222
b Skye klemIlkaatIco canna gm
66-0567418
a Employee nfl
oderrecs. NO VP coia
FINANCIAL
6100 RED HOOX QUARTER 8-3
ST. THOMAS U.S.V.I, 00802
OW No 1845-0006
W390 .
law carneenten
99216.23
Soda, &FPI
2 VI income tax veThald
18661.00
4 Soto' .amity tax Watteld
5580.00
d
,'ecenly ewe.:
•
CemploILy:ANE
MN R
on old CAW
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5E JONGH
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• Central nurrow
_I 22222
b Emploor Mentlicellm numbs PM)
66-0567418
o Employee@ ram; seldom. end a
cads
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
Na. 1Stti-0008
060.00
Soda' waft tbs
Badicerc
4
1
9 Advance en payment
W-2V
i
U.S. Virgin Islands
I
Wage and Tax Statement
2005
1m Set
P rreve s, rucAni
reaverent 0 The Trariey---Intenvil Pawnee 3delea
For Privacy Act rna neretwork ReOaction Act Notica
pnd totruceccue, me Penn W-3S3.
Ws" IbA raw cerporarlon
241021.30
2 VI laccoN hoc volvapld
65631.00
4 &del secuelty tee wIftwe
5580.00
3 @nal searlty wages
0000.00
T Bola amity tips
ter
LW
*Net no
SPIEVEY E
EPSTEIN
n and WINI
w on
6100 RED HOOK, SUITE 2
ST. THOMAS, VI, 00802
U.S. Virgin Islands
Wage and Tax Statement
Copy 1-Foe Vl Bureau of Intee^41 flerscrue or COpy 13-Fcr En-pfoya-
FCBOI2
Aclanco BO DOWITFX
.
W-2V1
2005
a
NloPtantivxwAN*0
3494 . 81
Department 0 Bfs Treemiy—lreamal Awerue %Men
Poe Prboacy Act and peprwork ileaucSon Act Notice
and Inentleilanor See Form W-3SS.
SDNY_GM_02771909
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00258717
EFTA01338221
a comma rumba,
22222
I vole Q
b Ws* rdendlicidan nurrbe Pr0
66-0567418
o Emplejets rem Sins, and EP code
6100.RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
OMB No.1516.0006
1 '49
For.abrr carocroatan
650.00
3 Soot sway wages
650.00
Vt roomy as wmv,ld
68.00
Mal
• Itnployfril Ian oars and Mal
IS Rana
TEQUASI O
HENDRICKS
7 Froclal flosky Cps
I U.S. Virgin Islands
ram wen, Wage
and Tax Statement
Copy 1-For VI Rureou of Intren3; ROVeMie Of Copy 0-For Employer
9 Adorn. 00 mama'
magnified On
4 Soell murky In raihileld
40.30
10
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Mr
125
•
120
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22222
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IS454•004
b InPleYerldenecallen M.O. (Em)
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1 FM" ix, Oran cOananelIOR
21670.14
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1815.00
a enpoyers as. addna and VP cod.
3 $cetal downy gage
22396.74
•
Seem pecan In WEISS
1388.60
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
6 Fredar• nye cod Up
22396.74
0 Minoan trx ward
324.75
7 Soder dearly Spa
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Fpm W-2V1
Copy 1•For VI Bureau of Internal Revenue or Copy D-For Employer
U.S. Virgin Islands
Wage and Tax Statement
TC0013
2005
ceponrecat o1 Ole Troccury—avanail Rano Sarvlx
For Nom" Act rind Popawrita Reduction. Mt Nonce
and Inatrotliao1. We Form %243S-
SDNY_GA402771910
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFFA_00258718
EFTA01338222
▪ Contrta rumba
F-2
1 743;15 1
OMS/10.134&0001
b Eirploya Idendbaellan
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66-0567418
•
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6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
o UNA R
enlaces& s Ara novo end Intel
el ekPea end ZIP code
ro.IN-2V1
U.S. Virgin Islands
Wage and Tax Statement
Copy 1-f-or VI Bumpy of Integra: Revenue or Copy Of-For Employer
1 NYg.a. ',mottle contrenonfm
41893.44
3
34431 Plcul% in
6 . 06
I Wacenar3r2t2.06
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2 Ahearn to sitreteld
1052.00
2005
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22222
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OMB No. 1445-0003
beivorwmmsmaft,~4,wpws
66-0567418
• iMplOyefte nifne. edema. end DP Dods
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
I Wars. I. cinertmpenensn
29819.87
S SoPol sewn,. pops
30695.54
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4.00
4 3033 Marty lax MINIS
1933.12
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445.09
d
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Last urns
ANN M
RODRIGUEZ
U.S. Virgin Islands
Wage and Tax Statement
Copy 1-For VI Butou of Intern,' Rovenuo or Copy D-For Employer
IGDDl4
1.03
„,,,n1h1-211i
2005
• &Mood Ile pegment
tf Noncnorneed pan
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and inetrootfons, set Form W•CISS.
SDNY_GM_02771911
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258719
EFTA01338223
. _ .
• Cooing main
b mono( kroodricalion Man
, COM
66-0567418
o Employer, name. ociRoss. cad DP coca
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.V.I, 00802
Void 0
2 V1 Storrs tax wOrwial
3250.00
1Meislieralacermernoton
38196.15
4
or
's award , a-airy writer
• timplaym's ant mama aro Mai
UM name
JERMAINE A
ROAN
Oopy 1-For VI Bureau of Ireland Revenuo or Copy D-For Employar
3 Mott pm* wrap=
41069.29
ltitr. 29
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9 Mance CIO payment
4 Mold securnytonnonwid
2546.30
twin W-2V1
U.S. Virgin Islands
Wage and Tax Statement
2005
Dripartment ol trIO Tr036UPf --Wenn) Rif:00W Sci*
For Macy Mt end Paperwork Reduction Mt MM.
and Imanictem sea Fan WCISS
• 0
12. Soloreitiri
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14.03
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66-0567418
I
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38744.92
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3757.00
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6100 RED HOOK QUARTER 8-3
ST. THOMAS U.S.V.I, 00802
3 9cciod sows* wages
43097.29
4 Scoter roctOry two withheld
2672.03
6 MWam°1109/729
• Modkore
Mc
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7 Smidammilyelm
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9 &Vanes OD wort
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DAPHNE L
WALLACE
11 IfentRartIati plt
13 Mow
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-6
129
F
1I0.29
14 Other
r °
1
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22d
i
Fe. W-2111
U.S. Virgin Islands
Wage and Tax Statement
Copy 1-For VI Bureou
r mortal PaY0rA. e a Copy 0 -For Err-arr
TC0015
2005
OnwrIant of n nearly—Kerr& R, mitito Sank.7
roe Pilrescy Aol end Paperwork Reduction Act Note
fro inaructons, roc Fawn W-352.
SD NY_ M _02771912
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00258720
EFTA01338224
' 0 -NOT STAzLE OR FOLD
a Corned caber
333331
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W- SS 'fransmittal of Wage and Tax Statements
200 14
Cute se
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Pent ammo am*
end this entire page with the entire Copy A page of Forms W-2AS, W-2131.1, W-2CM, or W-2VI
) the Social Security Administration (SSA). Photocoplos are not acceptable.
o not send any remittance (cash, checks, Way
ceders, etc.) with Forms W-2e4S, W-2GU, W-20M, W-2V1, and W-3S5.
istructions for Forms W-2AS, W-2GU, W-
e fil,
However. 3 WO nit electronic:4Y. you may Ma by March 31, 2005. Soo the ESA
nd W-3SS
firp,_
wohate et woW.tocistsecurIty.goviemployeel tor decamp ling options.
2c..Exterrakin to tile. You troy rowed en extension of erre to No Poles W-2A3.
rate, Memnon en to the Intend Paine Coda realm cal
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WY•21:21, W4CIA, or V/414
sandng Form
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moment th • extension try the due date ot the forme for your request to be
Wivlin. and W-323 wow relonratted to eenkrrn wta
dotollo.
rd mot** ad in the substitute black and while Kew Forms W.2 e
• Art: OP Conlon: &en If you nosh* ea extensint of time to No Poona 114243,
Oval In &Met* E and F of the May 2003 reamer of Pub. 1141, Orrierd Fkalnif40 ,,,w.204 or W-203, yob mat roo fumbhetc
bm, tos ,„,,,,wkom by %bow,
SpocUleaSons for Skbe2ture Forms W.2 end W-3, THe change shows
" 31. 200s Put see Extension to furnish Feints W-2 to empkona on pogo 3.
*grammes to twee Lettered cede for data may on both the POOP and *a
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fens*.Make cortnin that Copy A of your paper
Whine To File Copy A
wins W.7.A.S. W-GLI, W-291, and VW3SS refickno these Manus..
amoval of dollar *pa and Medina The Plat dr, aid Medina have tom
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gym W-2AS, W-2Gth
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hen To File
Copy .A 01 Fenn W-324 WM OPY A of PPM Weak% *Zed, VA2CM, or
r2
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February 24, 2033.
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TCOGI6
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nal:j
Send the antes Wet age oil this tam Paw
with the dim Copy A page
Fenn Yt-MS, W-2301, W-2C3A. a W-2VI to;
sods) security Artmlnletretion
Data Operations Ow**
Mikes-Dan* PA 157694001
Note: it you use 'VeM)ed PAW to to, enehoe ne DP code to mi87.59.0002.-
you use an ARS.epprovee peyote dolisery service, add 'ATM W-2 *room
7150 E. Manta, De to the otters and Menge Na 27P coob to "f87•2•7297."
See antler E (Pub. 15) Employers Ta Oubo, W.:Cat of IRS cpproved
pthecest Sotivay senesces
Area Ma WPM to tila C opy 1 end Shipping end irmiang en pope 2.
CM. No.101173
SONY_GM_02771913
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258721
EFTA01338225
. Canted numb*,
bEinpoyerklmft4OmmIrIm
66-0567418
es Employe& arm. oddniat and VP oath
6100 RED HOOK QUARTER S-3
ST. THOMAS U.S.VIRGIN , 00802
I E
add•coa and ZIP coda
• Coned numbs(
U.S.VngnIMands
r 0rm "
Wage and Tax Statement
Corn, D -1 rr ETr!VOr
2004
Darcronant nr the tot)
raomat Revcrwo Sonde
For PrInacy Act and Panctwork Reduction Act /lotto
and Inttructiorra. see Rom VI-33f
Vddifl 1
OMB No.19454099
• momktdWomprimm
59341.18
e?Ws41.18
S NWCOMPITMIT
18
SOUS scanty IM
9 Masao, EIC manta
OThor
B m'IP`wnx.n.g4.70
2 IA &tomato PRIME!
6418.00
MIS M•13454408
aR
s
ga:ot A
bevenflemenmillefte
66-0567418
o E•csksyens map. address. and zer,
6100 RED HOOK QUARTER D-3
ST. THOMAS U.S.VIRGIN , 00802
I
Wag's,tps,otaa tempt:canon
81917.11
3 Sotlal Worrywart
87137.22
2 VI ittC0119 tux irtheld
8022.00
4 Social semidry Imr•Vtalld
5402.51
• moalotirtuntoideold
1263.49
II•obanwinse gni bps
87137.22
d
saki
number
o Emden/Ws gal nun and NM
JEANNE
Lodium
BRENNAN
reeW.Efl U.S. Vird/n Mande
Wage and Tax Statement
ColayU.ForEMployer
7 Geed Maly tp•
9 Ad•an?. EC Foymr4
11 Noroucifpd ;era
13M
ilothaniii rivW•40•Al
14 Other
10
tza Sac :cm W 3S.7 0o/ructions
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'5220.11
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FmPdvacyAalandPoramodcRodoctkmAdNoli
andInsinKdons,eftFamW45.
SDNY_GM_02771914
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258722
EFTA01338226
a Comoi number
• EmployeIdaItalian sent
63m0537213
a Drapbmies sant a S
and VP trade
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.VIRGIN , 00802
CH01111o.1543-0909
1 Mete.W. dber ceenpn.021
2 Mamma tax mteraid
42312.73
4328.00
3 '
anitlo. 63
s mennaorm
.63
St
-
▪ 5
3116iffesirst name drid bad
IXIET, SR.
t ell
aldn,95 ordar cock
Copy D • For Employer
4 Scale nasty
7 vestal amok Ips
9 Advane• EIC
11 Renepabled pant
13
la T411 1 36
Fenn111/- 211
I
U
S
.
Virgin Islands
Wage and Tax Statement
200 4
' 211.63
14 °Ow
120
12d
Department of the Treasury - Internal Revenue Seiv
For Privacy Act and Papenvork Racbctlon AM Noll
and InstrimAtom ma Form W.3!
a Contra, matrix(
vas 0
0Ma Na 45464001
b Employe" lactellotion numbs
66-0567418
o EnWoyahmawad.ua. and ZIP cad.
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.VIRGIN , 00802
mom es.dhsesedess
47313.38
2 Vilna:me In Weald
6911.00
4 Seekl saculty Ma wasiald
3177.49
II Medicare lait %Mamas
743.12
3 SedsimerittY1M9S1
51249.78
Redeem mess endive
51249.78
7 Social mashy Ups
d E
'. soalIseatita stater
• Erisloyta Sisk rams end knel
last rim
JAMIE I
CORNELIUS
9 AdVaKOMPIYment
errpbyeet addrIMA id OP ocrilt
TED0I8
11 Nonmataad Meru
13
14 OPE
W-2111
U.S. Virgin Islands
Form
W73g0 and Tax Statennemt
Copy 0- Fot Employer
200 4
°apartment of Ilve Treasury • ittemat Ravens. Senile.
For Privacy Pet and Popenrorb Reduction Act Notice
and inibuctians, tea Fccm111332
Sta Fenn VOSS Inteructiona
S
j3936.40
1311
`C
J44.70
12a
124
SDNY_Ca4_0277 1915
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
BF/A_00258723
EFTA01338227
n CanVal manner
void
OMB No.15434300
b Enelayar Mantificellan mambos
66-0567418
• Emobecto remp addiess. and ZIP cols
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.VIRG/N , 00802
1 IMmei. 6340beramBennerca
97012.89
2 VI IrcemetaMtneld
13099.00
4 ScoM 4004167 449.
IMIT/442433 80
stad°"""irffoo.00
s 'key—rum. BO
1 Sodd new* lfm
Adn0nOt [IC paymonl
• trent R -dime
LrooNGH
er.0
MOM and 2IP cods
Copy 0 • For 5npfoyer
II Nonepd6446/nns
13 P*44402
;barna rinmmt.
Ar
14 OM?
6 Ihrdknra tux •t9A‘AO
140..51
10
SL5 1.)0
. 1.
12It
120
124
Ii
1172.78
PaanW-2Vi
U.S. Virgin Islands
I
Wage and Tax Statement
2004
oemennf of !ha Thl:,:•U`f • :r hrir. Rcver.No Scr4
Fcr P rioxy Act. nd P.iporoork Re ducton Act Pi nth
and Instructloos, Soo Form W.3S
• Control runts
valtl
OMB No. 15434005
b Enroloyor IMnIk1aMon Parte
66-0567418
1 PM" M4. caw caiseuMm
241021.28
2 VI bcome Mx MANN
65884.00
a tmployces room. oddrum, end Wood /
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.VIRGIN , 00802
3 Social toady wipe
87900.00
4 Sould mostylm w0Mald
5449.80
6 Madam wpm erd Me
241021.28
S MSS* tot *Mai
3494.81
T Sock/ mourty ma
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maw
9 Minna LC toonont
la
a Employecin •:t nano
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JEFFREY E
EPSTEIN
6100 RED HOOK, SUITE 2
ST. THOMAS, VI, 00802
I EreatooAr. enema aid ZIP coda
P
j
W..2111
US Virgin Islands
Form WE
Wrensillibli TAY C•a•abass•
11 Nanqutded Ocre
12n re) Coen W4-53 an.W.O EEra
;C ;1021.26
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5
120
I
.
2004
CepihncrA of t o Tomry -Intend Revtate Sew
e-- s-.--- . .
. -
Copy D • For Employer
EOM
and Inatructimm, see Form 1N4t
SDNY_GM_02771916
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258724
EFTA01338228
• awn* mai.
Vod
OMB No 1543-0050
• eimbyes i•cetikele• number
66-0567418
• Ur playa% farm atm end ZIP code
6100 RED HOOK QUARTER 8-3
ST. THOMAS U.S.VIRGIN , 00802
1 %mkt eteroonyerlaWn
2074.00
3 Seddso401, 14•0,4
2074.00
2 VI income tee atts,S1
175.00
Ste
Traurit
nines era INCA
114bsIcss
f treplonen'a 0-66't
Copy D • For Employ*,
ZIP code
vg-21p u.s.
Virgin Islands
•
Wage and Tax Statement
2004
LW/oar:mart onto irearty - Internal Rare-to SW.
For Privacy Mt and Paperwork Redeetkm Act Moth
and ;nstnntlons. *co FOIM W-38
• Conlmi runbor
• Invabyor Idankeemkn rawer
66-0567418
• Ernoloyees nemesddrene. and DP cad
6100 RED HOOK QUARTER H-3
ST. THOMAS U.S.VIRGIN , 00802
d Gee
SOWN
rumba
a Caployetle Chet it,,. end rid
Lett ewe
run
v Dr
1 P.M:Waynet rOcre2e and ZIP cone
U.S.VIrgin Islands
•
Wage and Tax Statement
Copy 0 - PO, 7mpleyt*
14 Oiler
Asualsoovmwmwase
128.59
12d
or
OM Pew 1540-0605
D MORRELL
TCD020
5 Modemwore mid Rim
22108.99
11 N0Intailltd Please
2004
lax welteli
1005.00
4 Sodel maarity lr witilvdd
1370.76
mecum, ,,,soimed
320.58
12, Sec Fown
'n,..ructor
1 S
648.18
12c
ton
Department of M Troz.‘my • Internal Revenue Sem,'
For Privacy Act and Pepornork Redact:, Act Mod
and InstrutenOne, eee Form 1V-35.
SDNY_GA4_02771917
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258725
EFTA01338229
• C.onuol number
• Errpbyer Identlkellon number
66-0567418
o Empbyoes romeorldrea. eM Moods
.
6100 RED HOOK QUARTER E-3
ST. THOMAS U.S.VIRGIN , 00802
VW CI
OMB No. 1545-0308
1 %Wpm apl,oNrmmtactoi
40047.86
3 Social saardriftle
41285.35
6 110:400/01/099fIlgt 35
2 VI Feces baraltleield
1586.00
4 340.1 mud* 2559.69
7 la secuezy 1pt
9 muenco I C relemenf
• swam.. znowne sta nut
UNA R
lig4CAL
oroWn2ini U.S. Virgin Islands
Wage and Tax Statement
2004
Costeenere of Oro Remy - Inferno! Revenue Synth
Tor Privacy Act end Papetwnty Reduction Act Roth
ire! Instructlemb, LOS Form 131.28
Copy 0. rcr FmRtycf
Modkore tax w CIF,
598.64
11 learenleffied plan
in See roan 'MSS'S hstenzens
S
1237.49
13
.
Illt •-.n:
rmir
In c
I
'35.38
u ovicr
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I
I
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1
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VtiC O 1 OMB No.1143•0208
Is Employar kleMkedcm weber
66-0567418
1 Vecte, fps, ether onager%
27935.72
2 16 income axxiliel(40
9.00
a ItaiplOyefe earn. addnr-s. and ZIP cod.
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.VIRGIN , 00802
3 Serail Rooky wages
28753.16
413oolalosourity In vAlltalkl
1782.70
I
Wawa vow an! to
28753.16
I feedlcare tax Wilhheid
416.92
i
Secbl mlty**
3
v
Lap
ri
.cv make
9 Adeline, DC priest
10
• rinabne's beton and ISM
lapin
ANN M
RODRIGUEZ
11 Nonty.a46el Owl,
12e Soo Rem W-355 Milmoll
i S 1817.44
13ffa ren
aridie
12b
! C 13.21
a
Other
'2c
1
A___
f Efrotamee ecelmar aM 7P cola
Form
v_.... .
-211/ !?....v!!1?„:sth:Ids. ......
2004
rtnent al the
__ --
.12d
a
?'
Treasury • Intorno! Revenue SON
—..____ . . - . ..
... ..
Copy P. For Employer
TC0NI
C
AC
and Instructions, tee Pam W-31
SDNY_Gm02771918
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258726
EFTA01338230
• COMM mentor
• &Sea iderawilon rumb0f
66-0567418
• Emdeyses ron. nit*. rd W 0340
6100 RED HOOK QUARTER B-3
ST. THOMAS U.S.VIRGIN , 00802
7F 17151 mismomews
reacemosszerompaconta
35326.30
2 Vi tows teedi101140
2832.00
4 Social eipaidd 354.98
I Emplorods omens and ZiP coin
Copy D - Fut Ernoicver
"'Mu.
56
""afON1Q
. s 6 6 medic.'"
Linithrli 0.76
Form Y'
U.S. Virgin Islands
Wage and Tax Statement
2004
Dtp3ISTIM31( o11ne TfCaWly - Inomol Revenue Sento.
For Privacy Act and Repenter* Reduction Act No6c.
and instructions. woe Form W-14.1
121
3 Surto! rung:vet
---FdlEfrOtOU Na. 1515,0038
b Striptease kstraticolion Mete.
66-0567418
c Empkyo's ramp address. all ZIP and •
6100 RED HOOK QUARTER 5-3
ST. THOMAS U.S.VIRGIN , 00802
d I
1 add
number
e len0leyeeis &Amara Mid at
Lastram
DAPHNE L
WALLACE
Emctoyea's address and ZIP ore
CoseD.ForEmptinor
TC0022
yap% cps, an cowman,
36964.83
8 mmuftwion
41190.09
2 to 010,110 lax *Wad
3091.00
4 Sada security Ina.atwld
2553.79
6 W72mmwegestiMtips
41190.09
7 Sad &Rudy has
0 Aldose EIC paynato1
11 hencsotilloctPlart
14 Oast
6 14•4ae tax villhhola
597.26
12s See ham W-SSS metre Opp
I
S
14225.26
j C 129.12
120
12d
Perm W-2VI U.S. Viten Islands
Wage and Tax Statement
2004
D0p3$71101$ of he Treasury -111101111 Revenue iSt$VIC
For Nino/ Act and Paporwed; Reduction Act Retie
and inctiuctlens. see Form W3S1
SDNY_GM_02771919
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFIA_00258727
EFTA01338231
po NOT STAPLE OR FOLD
I
•
06morrenber
33333 - I.ce Mali Use Only p
ONSINo. 1 SM3-0e0s
0
541-113
iRemy
ell
1
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a
Wisps. ape, otter ecapammeen
0 0
$ 710836.58
$ 116848.0
cl_
2 roam exigeheld
or
Payer
O .
171
taietT
p.
W
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3 Wei smutty mem
$ 574878.61
0 fledg mosey waggly
$
35642.47
• . IOW MOW el POInteW•2
l di estblehmatrsrmter
14
ti Airdlern wages snd Ips
$ 743059.78
e Weise terwiltheld
3
10774.36
ensonriarateenrynta.
r swig moults lips
•
66-0567418
$
1 firroleyali awns
I
Sams SO fl
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%
$
'
/
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It Nonmed plans
$
12 Oclerreci camensation
$
32771 20
6100 RED MOOR QUARTER B-3
13 For Otter/ le* PsY meal/
00802
g Iltratiegiesexthmsane 21P code
14 Income lex siNihuld by payer rillenspeity
Fey
h Me MN used WO you
10 Otteek IR appropriate box
Try,
W.2AS
WON
vr-crei
elMil
I
Employes serlicelel ID number
k
Fenn r
El
El
•
•
4
pen person
Jeanne Brennan
For (Sew ties only
I. 77.6-74.•,.__
•••
... . ,,, .,..
/
Copy A—For Social Security Administration
Under omega of palmy. I declare Mat I hem imunlned Ilia Mtn fed ectoomparyIng docomorm, and. la the bat ol my knot/edge end Witt
they em
end earertem
Menalora
4,1"-dic a-aike--.
norm W-3SS Transmittal of Wage and Tax Statements
2003
Send this entire page with the entire Copy A page of Forms W-2AS, W-2GU, W-2CM, or W-2VI
to the Social Security Administration (SSA). Photocopies are not acceptable.
Do not send any remittance (cash, checks, money orders, etc) with Forms W-2AS, W-20U, W-2CM, W-2VI, and W-3SS.
nos ►
onevenwitel P. vs
newel Femmes
Instructions for Forms W-2AS, W-2GU, W.2V1, and
Where To File Copy A
W-385
Send the entire kst pogo of thistom (Copy A) with the entire Copy A pay
a
of Penn W-2AS. YA2GU, W-204, or W.21/1 lo:
Section referenCOS ace to Um Internal Revenue Coda unloss othormatoCI
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Sod& Socuray edmtnistralion
Items to Note
Ore Operedone Cella
Wilices-Spern, PA 187694001
Reporting Code 0 fec box 12
BE
FEBEPT2:
°21: 1111/2Ame: F you two *Go 67 ed Mar to file, ClelinPe the ZIP code to
18769.0002.' II yOll use an IRS approved private delkety senrkm, add
Regent legislation has
the use 01 Coda 0 En box 12.
tIR
W2 Proems; 1150 E. Movnadn Dr.• to the address end change the
'18702-7297. See Circular P. Employees Tax Guide (Pub. 1S)
When To File
•
of IRS approved pave(' deny's). eeMotts.
Mk Copy A of Form W-aSS with Copy A of Form WaeS,W.V2GU
IC16,1:1-120
551.41484
A.
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file Copy 1 and Shipping and mailing on page 2.
INTERNAL R
or W-2VI by Match 1, 2004. Howevor, tf you file elostronkally, you may
1110 by March 31, 2004, See the SSA Web Site or
www.sse.goviemployer/I4SeST. T
Notice to Employers In the Commonwealth of the Northern
for etectronk trrng options.
Martens Island*
Extension to Ole. You may request en exterolon of time to tie Fans
You ate an crept:ger In Ito Commamma& of the Northern Mariana
W-2AS, W-20t.l, W4Ckl, or W-2Vt by sending Form 9809, Requeet for
bends; you meet contact the Division of Revenue at Texer'on, Capital
Extension of Tone To Fbe Infonnedon Ileums. to the address shown on
Htl, Wpm MP 96950, to get Form W-2C44 and Me Ineructiors for
met form, You mus4 menet the Mansion by the due thee et Me Toms for
completing sod Wing that form
your request to be considered. II approved, you will have on addltknal 30
days tone. See Form 8809 for more deters.
General Instructions for Form W-3SS
Caudell: Even if you moots,* an erosion 01 lee lo alle Forms W-2.4.5,
Pumas* of forms. Use Copy A of Form MSS to transmit Copy Ad
W-2GU, W2CM. or WM. you must CM &ash the forms to yott
Form W-2A,5,11420U, W4CM, or W-201 to the Social Socuilly
enpkyoes by February 2 2004. CM see Extension to Immesh Forms W.2
ArtertintstrAcm. Fie Caprice Form W-33.9 and Copyist? Form Vi12AS.
to employees on pegs a
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EFTA_00258735
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•
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Cooron dee Trefelilly
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Annual Summary and Transmittal of
U.S. Infomation Returns
OMB No 16414K4
2606 . •
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1
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FILE COPY
instructions
Purpose of form. Use this form to transmit paper Forms 1099,
1098 5196. and W-26 to the Internal Revenue Service, Do Trot
Use Ocrrn 1098 to trauma electronically of magnetically. For
Where To File
•
fletUnts Reported Magnadcallzior electronic
too
Except br Form 1098-0, send ay Infomuttbn
Rt. 1220, Speollioabonefor RIn Forms 1098, 1099, 5498, and
paper wilt Form 1096 to the brewing;
W-20 DeCtronbally or Magralloa
11 your principal business,
Who mat me. The name, address, end 11N of the alet on tit
;Wm. 441° 0 or 'Vinci, or legal
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"°?'°_,.eircin the coin of an
0( Fat.. 1099, 1D98, 5498 or W-213. ri.11(w inoludee a met a 1'4 ,
InV.Vitt lei, is located In
recipient of mortgage Interest pal/rents
hg points)
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PRESIDENT
Date b•
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When to fib- File Penn 1098 as follows,
• •
• With Forms 1099, 1998, or W-2G, lila by February 28, 2007. .
• WW1 Forma 6496, 5499-86A, or 5498-9A,
by May 31 2007. F. *.
magnetic media, see Form 4804 Transmittal of Information
vlis°6
student ban Interest an educodoral In tution; a broker, a
si
barter exchange: a creditor, a person reporting One °State
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(noluding a Medicare Advantage MS.A);.certaii corP0M9
certain dorm's of motor vehicles, boats, and ulVanes; en
lender who acquires an Interest In scrod property or wh
reason to know that the property has been abandoned. ce
Readdressed Fenn 1098. It you received a praDeffrower Fomi
1696 hem the IRS with Package 1009, one It to transmit paper
Forms 1099, 1098 6498, end W-20 tO the Internal Revenue
Service. n any of the ',emirate thfunnagon le Incorroct make
conacticns an the form.
If you to not using a preaddrasoci foes ester the Weds
rams, address (including room, sate, or other unit number), and
11N In the spaces provided on the km
returns Sled on
•
Use the following t'
Internal Revenue .
Service Conter : •
address
• .
"tar
barrTr.4rtzona, Arkansas, Connecticut,
team
cede, Georgia. Kentucky,
04.0u1
Mato, Moseachtsetts,
atts.
New lieregatta, room Jan",
co, Nsw . York. North Carat,
Pennsylvania. Rhode island, Texas,
• tont. Virginia, west Virglree
vii tin, TX 73301.
Alaska. Celeo
COnonn, Marla of
Columbia. Hawse, Idaho. Meth Indiana, lown,
Kansa, Magyars', Peohigan, Minnesota,
Mbaourl, Morten& Nebraska, Nevada, North
Dakota. °Walleye, Or09:41. South Cartilna,
South Dakota, Tennessee, Utah, WoOilngton.
Wiworsin. Wyoming
Kansas City, MO
84999,
Far mem On/arterial, end the Privacy Act and PoperVion Reduction hot 11060e,
coo the 2006 General instructions for Farms 1099, 1096, 8496.end W-20.
T[0031
41-1=001
Form 1096 saw. 7-toon
SDNYCM02771928
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00258736
EFTA01338240
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number
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1545.0115
2006
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258737
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2©06
Form 1099-IAISC
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EFTA_00258738
EFTA01338242
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Rom 1098
lielologrter Peiteigiv
arms lama *Ws
FILERS name
Annual Summary and Transmittal of
U.S. information Returns
1
3:N7114(11AT: TRUST COMPA NT,
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Street address 0noNding room or suits number)
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1 ST. .SOMAS, USV.T.
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creel. and cormelee.
•
Instnictiorts
Purpose of knit Use this forts to transmit paper Fame 1099.
1098, 6498, end W-2G to the internal Revenue SenAos. Do not
we Form 1098 to transmit electronically or magneto*. For
071911000 main, sec Pict 4804, Transmission of Information
Returns Reperted.Magrietlealy, for electronic submissions. see
Pub, 1220, Specifgeitsbni fdr Harp Forms 1098, 1099, 6498. and
W-20 Electronicafty or Magnetically.
Who melt 1do. The muse, address, end TIN of the Tier on this
tom, newt be the attne as those you enter in the upper tell anal
of Forms 1099; 10915, 6498, or W-20. A fIM inoludes a payer, a
recipient of remtgage Merest payments (ncluang points) or
student loan Merest an educational Mt tution; a broker, a
barter exchange; a creditor; a person repotting real estate
tronsactone: a WON or Issuer of any individual retirement
enangement, a Coverdea ESA, an HSA, an Archer MSA
Ones dam a Medicare AcNentags MSA); oertaJn oorperagone;
certain donee* of motor vehlolos. boats, and lakplamer, and a
lender who esquire* on Interest in secured property or who has
reason to know that the properly has been abandonofl.
Pro:addressed ream 1098.11 you receNed a proaddressed Form
1096 froM the IRS With Package 1099, um it to transmit paper
Forms 1099, 1098, 6498, and W-2O to the Internal Revenue
&Moe. If any of the preprinted information is income, make
correctom an the form.
if you ore not using a pre/addressed form, enter the Hers
SW, address (including roan, sato, or other unit number), and
TIN In the spao” provided on the fonn.
FILE COPY
ma pi. 1P 76. SS,. b 0 rs r
DM p•a,d7 /0‘
/
•
When to Se. Fle Fenn 1098 with Forms 1099.104 or W-2G
by February 28, 2003. File Pam 1098 vela Farr* 5498,
6498-Fa and 6498-SA by May St 2008.
Where To File
Send at Information returns Mail:11th
Form 1098 to the
folosilmo
COLIETIORS ES DEPOSIT NO. 9
II your principed business,
Um the following
onto or agency, or 1 egf
EF3 21 2006 Itt
it Revenue
residence In the ease
den
S MMS
, OF
Survido Cantor
Individual, Is lr oad%
address
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tiTEWelikt REVENUE.sSr,TH0MAS, yr.-
is I
0 MEM
Aatheina, Arizona, Florida Georgia,
Louisiana. Matelhappl, New 1.1eXto.
Austin, IX 73301
North Carolina, Texas, Virginia
Manses, Gonnececut. Delaware,
Kentucky, Maine, Messachtdetts,
Now Hampshire, New Jersey,
New Yak, Ohio, Perinsyhanie,
Fthode Said, Vermont, West Virginia
Cirt:nnatl, OH 45999
Illinois, IS
RIVAL lrAnsea,
Preerygen. Minnesota. Mieseart.
Nebraska, North Dakota, Oklahoma,
South Carolina, South Dakota,
Tennessee, Wisconsin
Kansas City, MO 64999
For mon. Itilormallon and the Meaty Aot arid Paperwork Reduction Act Wolk*,
Dee the 2605 General Inatructions for Forms 1099, 100S, 5490, and W-20.
TC0034
41.1620331
Form 1096 rev. nom
•
SONY_GM_02771931
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 1O, 15, and 17
EFTA_00258739
EFTA01338243
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2005
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Income
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root.
66-0 5 67418
RECIPIENTS IdinflostIon
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For Flivacy
and Paperwo
Reduction A
Notice, see
2005 Genet
Instructions
Forms 109
1098, 549
and W-2
isn Section 4COA rot
15b Semen 400A Incono
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17 01.16021294 thee
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PAWS'S rows rot 410:444Sc re. DP Dads. and talaPhana na.
6100 RSO HOOK QTRS, 83
ST. THOMAS, VI 00602
PAYERS Fere IcIateenatfon
numbs
RECIPIENTS bontleauce
,umber
AA riga-fl irt
An (1271.123
BEIAPENTS wra, sew. and ZIP cols
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CHARLOTTE ANAL'S. VI
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8
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Notice, see
2006 Gene
Instructions
Forms 10
1098, 54
and
138 Sectbn 4004 dohlorno •
S
orr, 1099-MISC
1134 50C101 *CM intorr
Is
18 sfttte lex Method
3
17 StateePreete One no
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SDNY_GM_02771932
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258740
EFTA01338244
0 VOID
K 9011RECTED
TC0036
PAYERS Awl* EWA WM'S.
Ctl. tea EP War End OREPSn W.
C/NANCIAG T8OST COMPANY, INC.
61 flu x*D HOOK ta.88,.195
ST. THOMAS, VI 00802
1 Rents
Porales
Oar hams
PAYER'S Forlitil Identacelion
RECtRearre Conga:am
number
number
66-S56741s
=NM
RECIPIENTS name, Schee, en! ZIP code
7 NmerreIffea aorepaillial
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d
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•
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Reduction A
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2005 (tenor
instructions 15
Fenno 109
1098, 549
end W-2'
IT Slaterlorpine elMe no.
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
•
EFTA 00258741
EFTA01338245
Cia Ma 154-0105
yeah, 1096,
.. O
........
f thn lbaduiy
Annual Summary and Transmittal of
U.S. information Returns
2004
MIMS Aware. write
-rFILFR'S
name
FTNA:gr.:1AT, -1- (1T. CONE' ANY. ,
.1.‘1C:
Stoat address 0nVuding room or suite number)
684f;istiaTVEInckgr10, A3
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THOMAS, L141.FT
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Under omega of Ong. I cleave thet I hem exemeted db awn area necompewia gammen/a. al, to the beet. ot my kneeled-do and tad. FlafineUh
correct, and condea
Signature ie
Instructiogs
ty February 28, 2005. File Form 1096 TAM Farms 5496.
Purpose of form. Use the timi to transmit paper Forma 1099,
6498-ESA, and 5498-MBA by May 31, 2006,
1096. 5498, and YA2C) to the Internet Revenue Service. Do not
use Feint 1096 to transmit eloctronksily or magnetically. For
WI-tare To File
Magnetics mars& see Forrh 480a, Trorsin'akm of 'inn agtENS
Atrod al Information ratans flied on paper with Form 1006 to the
Returns Reported Magnebdaty, for cactern,
ipretaantegEpOSI1.63001- Nit
sag;
Pub. 1220, Spec-Natant lot Filing Fester 065_1699, 5498,
K yak. principal business,
and W-2G CleeroricaW or lAagnetfoany.
2605
Office a
on legal
Who moat fee. The name, address, and TIN efift261r2ah
residence in the case of an
this form mutt be the same as those you enter In the upper
individual, Is located In
left area of Panes 1099,109k:84s% or4,9g
LicittitialaREAll OF
a Para: a Redolent of mortgage Inherent,
•{1
WT. THOMAS IA
• •-
points) or student loan In rest; an adorn
tat on
broken a barbs exchange, a arediter, a person reporting reel
estate traneankente a testae or issuer of any tndrititu.F
retirement orrongemcM, a Coverdell ESA, an Archer MBA
(including a Medreannaaloioe ?USN: certain corporations; and a
lender who eocNires an interest In secured property or who nos
reason to now that the property ha been abandoned.
Preaddressed Porn 1000. if you received a preaddressed Form
1098 from the IRS with Package 1099, use It to trammn paper
Forme 1099, 1098, 5498, and W-291 to the Internal Revenue
Service. If any of the preprinted infon•nation a ltUOrroot, make
corrections on Me lam.
If you are not using a prenddreseed form, enter the Mega
name, addressColluding room, suite, or other unit number). rod
DR In the spaces provided on he fain
FILE COPY
When to file. F3a Fenn 1096 With FOM1:411
1099:1098,
2ArcirAI
Tele R
PW F•
rigePP
l7G
Alabama, Adzona, Florida. Georgia.
bateelttla, Mississippi, New Mexico,
North Carolina, Texas, Virginia
ArkanSa, Connecticut, Deiaware,
Kentucky, Maine, Meatiachtsettc,
New Nampa**, New Jersey.
New York, OS, Pennsylvania.
Rhode hand, Vement, West Virginia
Ninon. Indiana, Iowa. Kansas.
Mkligon, Minnesota, Missouri,
Nebraska. North Dakota, Oklahoma.
South Carden, South Daota,
Tennessee, Wisconsin
Use the following
Internal Revenue
Service Canter
address
'
`Cr
AS, TX 73301
Cinoinnin. OH 45999
Kansas City, MO 64999
For moro Information end the Privacy Act and Paperwork Reduction Act Nape,
see the 2004 Omer* Instructions for Forms 1099, 1098, 5496. and W-20,
1C0037
Fern 1090 nag
SONY_GM_02771934
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00258742
EFTA01338246
15
CJ
PAYOrsamsfta• mmrstscity.tateal..Wa.wWWwWileft
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00%PAN-i r INC.
6100:40c LOOK QTRS. 113
TOO9AS, Vs07 On002-1'10 .
PAYER'S Wooer krnellc4000
number
CC ISCA7A el 44
RECIPIENTS maw. edemas. 446 ZIP code
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2004
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7
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10 Coop IrentesCre 610448d7
14 Cross pry-nth polo to
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State Copy
or Extra
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:A..
17 Stato/Peryars no no.
II SUN tome
0496fUnert of rho Treats y • WOW RGWVA Sewlso
PAYERS mooted Wives dry. cetio. ZIP Co00. 440 felf4PWR m.
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nurnter
C4A.1.1.0 8. LUVCOUKT, S.C.
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19 SIMI bona
5
Form 1099-MISC
TC0038
Ceponment of Ow Ireepory • hem* Roverroo Ante
SDNY_GM_02771935
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258743
EFTA01338247
PAYER'S yin street •63•Es, dyn neer
end !epicora co.
1 Rents
0NG No. 1545.0115
oca-Aciabs. trawl! coilppon. tut.
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fl • THIMPC. .C6VS 0000;-IZ0e
-^03
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2004
Form 1009•MISC
Miscellaneous
Income
3 0SW become
PAYER'S Federal Wereirkxdon
number
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number
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—047]4A••
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LIODC$ R VRANV../IS
1360 T0S207NSCPC CAnu
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16 Crop Insasnce proceeds
S
12
14 Cross PfaiNods pad to
on attorney
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16
16 Sum we
17 Stete/Peyers staw no
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$
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PAYIRS risme. awe eddies*. My. eta 73P ea. end Idephone no.
1 Rags
PrZlittICTAXA TRUST COMPARV, INC.
6100 Kai
000K Q1'123, : 193
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008 03-1 3 48
$
2 Royalties
Department/1hr Treasury • Intend Rennet %MU.
ONO No. 184S-011S
2004
Form 1099•MISC
4 Feted bearer tire tettetS
Miscellaneous
Income
Once Vane
S
PAYER'S Frets' kerelcatkil
Pinta
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RECIPIENT'S name, eddreee, and LP oode
RECIPIENTS Idendlladon
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$
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$
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12
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4
14 GOSS pounds raid to
stt attorney
3
17 globe/Payers sten no.
State Copy
or Extra
Fero Copy
Is Styr hcome
Fain 1099-IVIISC
TC0039
Ontertment a the Treaty - Invynd Revenue Street
SDNY_GM_02771936
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258744
EFTA01338248
Of
)IDI
O CORRECTED
PATERS Ire. street ottlron dry. mote.
.4o4 aleteloplano no.
1 Porn
EINUCIAL TRUST Cegi.M.17,
6100 R20 ;40i7K Cants, -33
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aAnq2-048
Row
SIS No. 1545-0115
204
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Income
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PAYERS Fettnal nurranort
rimer
RECIPIENTS Iclomlf.catel
runner
S Fining boot proceed.
MAU WIN* an newts
State Copy
or Fxtra
File Copy
FMCS:IFNI-5 *mu. aides:. OM ZIP co*
Mit UOVPMAM, PC
ACcount number NOD*
7 tionnplaart conanoral 1 Anton rpm bind
reds a Inn
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11
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PAYER'S nave. strut Wren. city. Molt ZIP code. ltd ItheollOOD no.
PINASCIAL TRUST CO61PWW, INC.
6100 am) 000K QTRS,'£3
ST. THOMAS: OSVI 00802-1340
I Reno
2 RoN0505
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CAM NA 1545-0116
204
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4 rani Inn lea Mated
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nut"
S6-0567410
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ounIta
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ncooam nula,rt pinone0
15
6 Aran boor runs
7 inentnnor ototereatIn
48180.00
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17 Sr.56:04yees MC no.
14 Salo toe walmid
corn 1099-MISC
TC0040
State Copy
or Extra
File Copy
III Stole Ircom•
Deportment al the Treasury - land Remora Se nee
'
SDNY_GM_02771937
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00258745
EFTA01338249
K CORRECTED
PATER'S in.
.Boat mine,cy. table. 2P-ctdo. and tabophone
TIWAtiC4itid
Comvatu,
61110 RED tif.CX QTRS., E.3
ra. 740.0bS r DEVI ADO:M.1344
RECPIENTS ilbdricattC41
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7 61 rxrint 4VtNCE
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1 Rotes
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2004
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3 MIX hceew
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S
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0.11mails ft 1001d
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WM et mars in=surer
preduct3 b 3 birt
4MCIPIrit) Or ?Mk I.
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10 C1172 rsdrun0a ceccrdodn
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/
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Per11444
0 VOID
0 CORRECTED
pAyors Ism sin warn, city. etato, ZIP C040. and talaphcm no.
PAYER'S Federal benacadon
number
RECIPPPITS
number
1 AsYS
IN attorney
17 Statigroyeen Mb no.
RoyaiCCI
$
State Copy
or Extra
File Copy
Iftida bet.
Oepnivrient or tile Tommy • Imam. Reutrae Service
OPP No. 1349-0119
2004
Icon 1099-MISC
S Other lar-unta
4 fttor71 memo In ..01thall
RECIPIENTS norm; tedrest and ZIP code
Atom* number (cptletel
$ Fishing boot mooed*
NoiliaTilym comprealion
$
13
ono 1O99-MISC
IC004I
9 Pape 911C9 COM
of
460:0a an
C•
prCetabt
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porta
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Miscellaneous
Income
I
Wad is tedi on cord!
53001kto pities in alt of
SS& or Snit
$
10 Crop Insurrace proceeds
S
14 Cram ixootnds mu to
MOMOMOy
$
State Copy
or Extra
File Copy
4
7 Steie/Poyers sato no.
1B am. ', come
Cloportinont of the Tinny - Inland Ravenna Sante
SDNY_GM02771938
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258746
EFTA01338250
Do area*
- logilaI
Fain 1096
thowensetanamperay
Sea neva ewe»
Annual Summary and transmittal al
U.S. information Returns
I FILER'S name
Street address (ncluding room or sae number)
6100 RED HOOK QTRS • 83
LST. THOMAS. Own
00807 -
City, state. and DP code
Nome el person to contact
TPANT:17
addrasz
148
010
1.5.5410.
20i 3
For Official Use Only co
r Emmet kireicadm meter II fader waxer friaritr
a Tort Menet al
4 Faked Inman tea Method
torn
,_65.-056741H
Enter an X" In On one bat beam to indica, the typo et tart teinfalpd.
w.ers
et
IMO
K
tell4
t•r
Mier
es
105•0
5 Teri Mort molt ien the Fern ICU6
$ 303.053.33
■ this la your Orel return, erter en NC' hero • . .►0
Inc
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Return this entire page to the Internal Revenue Service. Photocopies are not acceptable.
Oita pereMe3 d litrenr. I
Where gementditis Nati art eocontairtrci decorer s. er4 to rho WM et err Inomedee ad e4 . 0w era an.
co
ant
c
010480,2
c a tet,
ma
ntr,
Signature
Instructi
BI
BUREAUOF
Purpveo of
l
late,
1098. 5498. a
20 to the Internal Raven.* Service. Do not
use Farm 1096 to transmit Nootronically or magnetically. For
insonefic media, see Form 4804,Tronsmicsion of Informaten
Returns Reported Magncicoily; for electronic sutrussions, see
Pub. 1220, Specifications for Fang Ferro 1098, 1099. 5498 and
W-26 Electronically or Magnctoely.
Who must file. The name, addreas, and TIN of the filer on
this form must be the same as those you enter In the upper
left area of Forms 1090, 1098;5408, or W-26. A filer includes
a payan a r
lent of mortgage interest payments (Including
poMs) or student bon etarect; an oducationat Instlinkm; a
broker; a baler exchange: a creator, a person reporting real
estate transactions; a trustee or issuer of any indlvicked
retirement anargernent. a Cmattacl V..NA an Anther USA
{including a ModiNue+Civaloo MSA.); certain Corporations; and a
/order WM) acquires en Intoned In seared property or who hos
reason to know Mat Ma property hes been abanckmed.
Preaddressed Form 1096, ft you received a voaddressed Fenn
1096 from the IRS with Package 1099, use It to transmit Pew
Forme 1009, 1008, 5498, and W-20 to the Informal Revenue
Bence, if any of the preprinted information Is Incorrect, make
correctors on the fem. •
.
8 year am not using a meaddreamet form, enter the fit's
name, address (Inc:Wing room, Mate. or 0Plor unit nurnDen. and
TN in the WOO; provided on the tam.
litha eft. Steas•s
Date 10
A/c
When to file. Re Form 1906 with Panne 1099, 1098, or W-20
by March 1. 2004. Re Form 1n99. with Forme 5498, 5498-ESA,
and 5498-MSA by May 81, 2004.
Where To File
Send all Informal:on returns Wad on paper
following:
It your principal businte.s,
office or agency, or legal
residence In the case of an
individual, Is located in
s
with Form 1096 to the
Use the following
Internal Revenue
Service Center
address
Alabama, Afton& Florida, Georgia,
leehtana. Miestalppl, New Mexico,
North Carolina, Taxes, Virginia
Arkansas, °avec-hat Delaware,
Kentucky, Mains, Massoohuootts,
New Hampshire, Now Jersey,
New York, Ohio, Pennsylvania,
Rhode Mand, Vermont, Wed Virginia
aiincjs. Indiana, Iowa, Kansas,
Michigan, Millnetata,
Nebraska, Ninth Dakota. Oktnernn.
South Carolina, South Dakota,
Tennessee. Wisconsin
Austin, TX 73301
Cincinnati, OH 45999
Koreas City. MO 64999
For more infonnodon and the Privacy Aot and Paperwork Reduction Act Notice,
zee the 2003 General Inetructlons for Forme 1009, 1098, 508, and W-26.
1C0042
Cat NO. 144000
Fwm 1096 (2033!
SDNY_GM02771939
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFFA_00258747
EFTA01338251
Ovtr; OCORRECTEO
Miscellaneous
Income .
PAYER'S matt
ream ay. stab. fp cob. and fl ans it
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04,102
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$
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2003
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$
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767 Fifty. Alrenee
:vow York, ely 10153
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2003
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rintoctal Trust Compenw, Inc.
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66-0567416
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Arent Tox Atotnec Plotkin A
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53-0214122
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13
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10 Crop Instrarce grata
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SDNYGM02771942
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00258750
EFTA01338254