b'PRE-PRINTED & BLANK 1099 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 OMB No. 1545-0115 AA PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number RentsPAYERS TIN RECIPIENTS TIN $ $ 2 3 5 Royalties Form $ 6 4 21 MisIncfeolramnaetoiouns TFP 51131099-MISCOther income 1099-MISC Copy 2$ Fishing boat proceeds Federal income tax withheld To be led withMedical and health care payments L4PSBCrecipients stateMW353RECIPIENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code $ 7 totallingof $ 8 dividendsorpayments interest in lieu of income tax return,when required.Payer made $5,000 direct ormoresalesto $ Substituteconsumer products 9 recipient for resale proceeds 10Gross proceeds paid to anCrop insurance atorneyPRINTED IN USA11 $ 12 $ Section 409A deferralsAccount number (see instructions) requirem filingent 13 paymen goldentsparachute 14 $ compensatio ndeferred2022 image not availableFATCA Excess Nonqualified1 $ $ 5State tax withheld 16 $ State/Payers state no. 17 $ State income$ $Form1099-MISC www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Serviceat time of printing.CORRECTED (if checked) 1 OMB No. 1545-0115PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Rents$ 2Royalties 21 O OPAYERS TIN RECIPIENTS TIN $ 3 5 Fish purchased for resale Form $ 4 6 1099-MISC Copy B G G$ Other income Federal income tax withheldFishing boat proceeds Medical and health care payments For Recipient$ 7 totallingdirectsales of $ 8 dividends or interest This is important taxRECIPIENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code 9 Payer made $5,000 for resale to 10 $ Substitute payments in lieu of y being furnished anda ormoretoconsumer products paid to an informationto file is recipientIRS. If you areCrop insurance proceeds Gross therequired11 $ Fish purchased for resale 12 $ Section 409A deferrals return,penalty a negligence or otheratorne proceedssanctionon you beisifimposedmaytaxable this incomeG requirem filingent 1 $ $ 5 paymen goldents 16 $ compensatio ndeferred 17 $and notrep that obeenrte d. Ghasthe IRSitAccount number (see instructions) FATCA 13 $ Excessparachute 14 $ Nonqualified determines OOState tax withheld State/Payers state no. State income$ $Form1099-MISC (keep for your records) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service1A S2032B APEX PSN14EZSEE REVERSE SIDE FOR OPENING INSTRUCTIONS AFirst-Class Mail1A ImportantTax Return 851018920 S2020 APEX PSBMISCDocumentEnclosedTFP 5501PROOF 1 8510018906LMISCPSBPRINTED IN USAFACE; PERFS AS MARKED; SCREENS 20% & 50% N14EZO OG GO O 86101207 APEX PB814MBG G 1A S2032B8510021331 / 18035116 2018 - 0221SEE REVERSE SIDE FOR OPENING INSTRUCTIONSFirst-Class Mail1A ImportantS2020 TFP 5229Document Tax EnclosedReturnN11ZOPENINGSEE REVERSE INSTRUCTIONSSIDE FOR8510018050 / 18056347 - 0221 SEE REVERSE INSTRUCTIONSSIDE FOR OPENING O OG GITEM NUMBER LMISCPSB14O OG GZFold OPENINGSEE REVERSE INSTRUCTIONSSIDE FOR ZFold OPENING SEE REVERSE INSTRUCTIONSSIDE FOR OPENINGSEE REVERSE INSTRUCTIONSSIDE FOR OPENINGImportant Tax Document Enclosed SEE REVERSE INSTRUCTIONSSIDE FORFirst-Class MailAPEX - Sheets per packTFP - Forms per pack500s500sFORM DESCRIPTIONPS353511311" Printed 1099-MISC Copy B, 2Z-Fold Simplex1 Page Equals 1 Form*NECPS353NEC511311" Printed 1099-NEC 2-Up Horizontal 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 FormNECPSBMISCNEC550111" Blank 1099-NEC w/ Backer InstructionsZ-Fold 1 Page Equals 1 FormPSN11Z522911" Blank 1099 2-UpZ-Fold Simplex1 Page Equals 1 FormPS814MBN/A14" Blank 1099-MISC w/ BackerZ-Fold1 Page Equals 1 FormPSN14EZN/A14" Blank 1099 Multi-Purpose 2-Up w/ Screened BackEccentric Z-Fold1 Page Equals 1 FormPSB80650N/A14" Blank Universal1 Page Equals 1 FormPSB99ZN/A11" Blank 1099 3-Up w/ Screened Back1 Page Equals 1 Form44'