b'1099 PRE-PRINTED & BLANK FORMSPressure Seal 1099|1098|5498 Forms1A This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reflect paper or ink match. Please review your proof carefully. 851018906 S2020 APEX PS353 1A S20358210140232 APEX PS80650CORRECTED (if checked) 1 OMB1545-0115 AA PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. $ $ 2 3 Rents Form No.$ 4 6 Miscelaneous TFP 51131099-MISCRoyalties (Rev. January 2024)year InformationFor calendar 1099-MISCOther income Federal income tax withheldL4PSBCPAYERS TIN RECIPIENTS TIN $ 5Fishing boat proceeds Medical and health care payments Copy 2To be filed withrecipients stateMW353when tax required.return,RECIPIENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code $ 7 totaling$ 8Substitutein lieu of income Payer made $5,000 direct products or moresalesto $ dividends or payments interestof consumer 9 recipient for resaleproceeds 10Grossy paid to anCrop insuranceatorneproceeds PRINTED IN USA1 $ 1Fish purchased for resale 1 $ 2Section 409A deferrals13 requiremfilingent 14 $ paymengolden ts parachute 15 $ compensationdeferredFATCAExcessNonqualified Account number (see instructions) 1 $ $ 6State tax withheld 17 $ State/Payers state no. 18 $ State income$ $Form 1099-MISC (Rev. 1-2024) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue ServiceCORRECTED (if checked) 1 OMB No. 1545-0115PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Rents$ 2Royalties Form 1099-MISC Miscelaneous O OPAYERS TIN RECIPIENTS TIN $ 3 5 Other income (Rev. January 2024)year $ 4 6 Information G GFor calendar $ Fishing boat proceeds Federal income tax withheld Copy BMedical and health care payments For RecipientRECIPIENTS name $ 7Payer made $5,000 direct or moresales $ $ 8 dividends or payments interest in lieu of the IRS. furnishedtaxtotalingSubstituteThis is important and are of consumer products to beingIf youisinformationtoCrop insurance for resaleproceeds atorney penalty Street address (including apt. no.) 11 $ 9 recipient10 $ Gross proceeds paid to an return, required a negligenceor otherto file aCity or town, state or province, country, and ZIP or foreign postal code Fish purchased for resale 12Section 409A deferrals sanction may you isimposed onbeifthis O Account number (see instructions) 13 requiremfilingent 1 14 $ $ $ 6 Excessparachute 15 $ $ Nonqualified18 $ taxable and income the IRS OFATCApaymengolden ts compensationdeferred determinesGG State tax withheld 17State/Payers state no. has not repthat obeenrted.itState income$ $Form 1099-MISC (Rev. 1-2024) (keep for your records) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue ServicePROOF 1 SEE REVERSE SIDE FOR OPENING INSTRUCTIONS AFirst-Class MailImportant Tax Return1A Document Enclosed 851018920 S2020 APEX PSBMISCTFP 55018510018906 LMISCPSBPRINTED IN USAFACE; PERFS AS MARKED; SCREENS 20% & 50%O OG GZFoldSEE REVERSE SIDE FOR OPENING INSTRUCTIONSFirst-Class Mail1A Important S2020 TFP 5229Document Tax Enclosed ReturnN11Z8510018050 / 18056347 - 0221O OG GZFold SEE REVERSE INSTRUCTIONSSIDE FOR OPENINGOPENINGSEE REVERSE INSTRUCTIONSSIDE FORAPEX - Sheets per packTFP - Forms per pack500s500sFORM DESCRIPTIONPS353511311" Printed 1099-MISC Copy B, 2Z-Fold Simplex1 Page Equals 1 Form*N/A511911" Blank 1099 3-Up HorizontalZ-Fold1 Page Equals 1 FormPSBMISC550111" Blank 1099-MISC Copy B, 2 w/ BackerZ-Fold1 Page Equals 1 FormPSN11Z522911" Blank 1099 2-UpZ-Fold Simplex1 Page Equals 1 FormPSB80650N/A14" Blank Universal1 Page Equals 1 FormPSB99ZN/A11" Blank 1099 3-Up w/ Screened Back1 Page Equals 1 Form22'