EFTA Document EFTA01376605

DEUTSCHE BANK TRUST CO. AMERICAS 345 PARK AVENUE - NYC20-1409 NEW YORK NY 10154 2016 INTEREST INCOME FORM 1099-TNT COPY B, FOR RECIPIENT 0MB No. 1545-0112 FOR ASSISTANCE CALL: (800) 056-4162 PAYER'S FEDERAL IDENTIFICATION NUMBER PAGE THIS IS IMPORTANT TAX INFORMATION AND IS BEING FURNISHED 70 THE INTERNAL REVENUE SERVICE. IF YCC ARE REQUIRED TO FILE A RETURN, A NEGLIGENCE PENALTY OR OTHER SANCTION MAY BE IMPOSED ON YOU IF THIS INCOME IS TAXABLE AND THE IRS DETERMINES aV l REPORTED. D KARYNA SICTLIAK RECIPIENT'S IDENTIFICATION NIMDER 2016 FORK 1099-INN: INTEREST INCOME Account Type Account Nungur Deposit ID IRS Description IRS Bore Amount NOW Account Interest income 1 17.15 TOTALS: Interest income 1 17.15 Fairly withdrawal penalty 2 0.00 Interest on L.S. Savings Bonds and Treasury obligations 1 0.00 Federal income tax withheld 4 0.00 Investment expenses 5 0.00 Foreign tax paid 6 0.00 Tax-exempt interest 8 0.00 Specified private activity bond interest 9 0.00 Market discount 10 0.00 Bond premium 11 0.00 Bond premium on. Treasury obligations 12 0.00 Bond premium on tax-exempt bond 13 0.00 State tax withheld 17 0.00 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0072906 CONFIDENTIAL SDNY_GM_00219090 EFTA01376605