b'1099 PRE-PRINTED & BLANK FORMSPressure Seal 1099|1098|5498 Forms1A VOID CORRECTED (if checked) OMB No. 1545-0112 S2020 APEX PS351 1A PAYERS name, stret adres VOID CORRECTED OMB No. 1545-0110S2020 APEX PS352 1A S201 APEX PS28419238 8510 19239 8510PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.Payers RTN (optional)$ $ 2Early withdrawal penalty Form1099-INT Copy 2 , city or town, state or province, country, ZIP or foreign postal code, and telephone no. $ $ 1a $ Total ordinary dividends $ Form1099-DIVDividends and A Form 1099-R $ CORRECTED (if checked) $ T OMB Distributions22 $ Form 1099-R CORRECTED (if checked) $ T OMB Distributions221Interest income (Rev. January 2022) IInntceoremset 1bQualified dividends (Rev. January 2022) Distributions 1 Gross distribution 2a Taxable amount No. 1545-0119From Pensions, 1 Gross distribution 2a Taxable amount No. 1545-0119From Pensions,For calendar year TFP 5115 2aTotal capital gain distr. 2b For calendar year Copy 2 2b Taxabledo isttarilbution 12FATCAProfit-Sharing2b Taxabledo isttarilbution 12 requirelingment Annuities, Contracts, Retirement Plans, IRAs,etc.or TFP 51771099-INT 1099-DIV20 20 Profit-Sharing Unrecap. Sec. 1250 gain Annuities, Contracts, Retirement Plans, IRAs,etc.or InsuranceMW284Insurance MW351 MW352not determinedamount requirelingment 13 Date of payment not determinedamount FATCA13 Date of paymentPAYERS TIN RECIPIENTS TIN 1 3 8 6 $ Interest on U.S. Savings Bonds and Treas. obligations $ 7 9 $ esion To bewith PAYERS TIN RECIPIENTS TIN $ 5 2c 3 7 $ 9 $ $ Section 1202 gain $ 4 6 8 $ $ $ 2d 2 $ f Collectibles (28%) gain To be filed with PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. 5PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. 5S2001 85102744Federal income tax withheld 5Investment expenses 2eSection 897 ordinary dividends Section 897 capital gain recipientstaxstateRECIPIENTS name, Street address (including apt. no.), City or town, state or province, country, and ZIP or foreign postal code $ $ filed Section 199A dividends Investment expenses whenreturn,Foreign tax paid Foreign country or U.S. pos incomeRECIPIENTS name, Street address (including apt. no.), City or town, state or province, country, and ZIP or foreign postal code $ $ Nondividend distributions Federal income tax withheld incomerequired. 1AA $ Tax-exempt interest Specified private activity bond interest recipientstax required.return,state Foreign tax paid Foreign country or U.S. possession PAYERS TIN RECIPIENTS TIN PAYERS TIN RECIPIENTS TINwhen PRINTED IN USA PRINTED IN USA$0Market discount 11Bond premium Cash liquidation distributions 10Noncash liquidation distributions 3 Capital4 Federal income tax withheld Employee3 Capital4 Federal income tax withheld Employee in box 2a)gain (included or insurance contributionsRoth premiumscontributions in box 2a)gain (included or insurance contributionsRoth premiumscontributions AO Account number (see instructions) FATCA filing 1 1 $2Bond premium on Treasury obligations 15 1 $ 3Bond premium on tax-exempt bond 17 $ $ State tax withheld O O Account number (see instructions) 11FATCA filing requirement $ 12Exempt-interest dividends $ $ $ 13Specified private activity bond interest dividends O $ $6 Net unrealized appreciation $7 Distribution code(s) SISIRA/ $ /Designated% $6 Net unrealized appreciation $ 7 Distribution code(s) SS IIRA/ $ $ /Designated%requirement $4Tax-exempt and tax credit State16State identification no. 13State 15State identification no. 16State tax withheld in employers securities MEPPL/E 8 Other in employers securities MEPPL/E 8 Otherbond CUSIP no. AG Form 1099-INT www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service G G Form1099-DIV www.irs.gov/Form1099DIV Department of the Treasury - Internal Revenue Service G 9a Your percentage of total distribution $ 9b Total employee $ contributions $9a Your percentage of total distribution %$9b Total employee contributions MW1159% RECIPIENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal codeCORRECTED (if checked) OMB No. 1545-0112 PAYERS name, stret adres CORRECTED (if checked) OMB No. 1545-0110RECIPIENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal codePAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.Payers RTN (optional) (Rev. January 2022) , city or town, state or province, country, ZIP or foreign postal code, and telephone no.1a $ Total ordinary dividends Form1099-DIVDividends and Account number (see instruc.) 11 1st year of desig. Roth contrib. $ 10 Amount allocable to IRR within 5 yearsAccount number (see instruc.) 11 1st year of desig. Roth contrib. $ 10 Amount allocable to IRR within 5 yearsForm1099-INT $ 1bQualified dividends (Rev. January 2022) DistributionsPAYERS TIN RECIPIENTS TIN 3 $ $ $ 1 $ Interest income For calendar year IInntceoremset PAYERS TIN RECIPIENTS TIN $ 5 7 3 $ $ 9 $ 2a $ Total capital gain distr. $ 4 6 $ 2 $ $ $ 2b $ 8 d For calendar year theCopy B O $ $ 14 State tax withheld $ 15 State/Payers state no. 12 $ $ 16 State distribution $ $17 Local tax withheld $ $ T 15 State/Payers state no. 12 $ $ 16 State distribution 22 O2020 Unrecap. Sec. 1250 gain 14 State tax withheld2Early withdrawal penalty Copy B 2cSection 1202 gain Collectibles (28%) gain For RecipientInterest on U.S. Savings Bonds and Treas. obligations For Recipient 2eSection 897 ordinary dividends2fSection 897 capital gain This informationG $17 Local tax withheld 18 Name of locality 19 Local distribution Copy 2 18 Name of locality 19 Local distribution G4 $ Federal income tax withheld $ 5Investment expenses ThisinformationRECIPIENTS name, Street address (including apt. no.), City or town, state or province, country, and ZIP or foreign postal code $ $ Nondividend distributions Federal income tax withheld is important and taxis Copy 2 www.irs.gov/Form1099R Internal Revenue of the ServiceTreasury File this income copy tax with return, your state, when required.city, or Internal Revenue of the ServiceTreasury is important and taxis Section 199A dividends Investment expenses beingIf youFile this income copy tax with return, your state, when required.city, or Departmentlocalwww.irs.gov/Form1099R Department IRS. to arethe to file aretoa Department of the Treasury - Internal Revenue ServiceIRS. furnished RECIPIENTS name, Street address (including apt. no.), City or town, state or province, country, and ZIP or foreign postal code 8 6Foreign tax paid 7 $ 9 Foreign country or U.S. posesion being furnishedyou return, Foreign tax paid 10 Foreign country or U.S. possession requiredlocalCORRECTED (if checked)OMB No. 1545-0119 22 Form 1099-R CORRECTED (if checked)OMB No. 1545-0119required to file If areturn, a negligenceotherbe Form 1099-R 2a Taxable amount Distributions From Pensions, 1 Gross distribution 2a Taxable amount Profit-Sharing negligencepenalty on or may you ifTax-exempt interest Specified private activity bond interest a otheror Cash liquidation distributions Noncash liquidation distributions sanction1 Gross distribution Annuities, Contracts, Retirement Plans, IRAs,etc.or Distributions From Retirement Plans, Pensions,IRAs,etc.orsanctionpenaltymay be imposedProfit-SharingAnnuities, Contracts, 1 $0 $ Market discount 11 $ Bond premium imposedis ontaxable you if andthis 11FATCA filing requirement $ 12Exempt-interest dividends $ 13Specified private activity bond interest dividends this income that is the taxableit hasIRS 2b Taxabledistribution FATCAInsurance2b Taxable amount diosttarilbution FATCAInsurance the IRS determines that not been and reported. not determinedamountincomedeterminesTotal requirelingment 13 Date of payment not determined requirelingment 13 Date of paymentit has not been reported.FATCA 12Bond premium on Treasury obligations13 $ Bond premium on tax-exempt bond 17State tax withheld Account number (see instructions) 14State 15State identification no. $ $ 16State tax withheld PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.PRINTED IN USAAccount number (see instructions) requirem filingent 1 $4Tax-exempttax credit 15State16State identification no. $ $ Form1099-DIV (keep for your records) www.irs.gov/Form1099DIV Department of the Treasury - Internal Revenue Servicebond CUSIP and no.Form 1099-INT (keep for your records) www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service PAYERS TIN G RECIPIENTS TIN PAYERS TIN RECIPIENTS TIN OO G3 Capital4 Federal income tax withheld 5 Employee3 Capital4 Federal income tax withheld5 Employee in box 2a)gain (included or insurance contributionsRoth premiumscontributions in box 2a)gain (included or insurance contributionsRoth premiumscontributionsSEE REVERSE SIDE FOR OPENING INSTRUCTIONS PRINTED IN U.S.A./Designated/Designated First-Class Mail First-Class Mail $6 Net unrealizedsecuritiesappreciation $7 Distribution code(s) SS IIRA/ $ 8 Other % $ 6 Net unrealizedsecuritiesappreciation $ 7 Distribution code(s) SISIRA/ $ $ 8 Other %ImportantReturn in employers MEPPL/E in employers MEPPL/EDocument Tax EnclosedSEE REVERSE SIDE FOR OPENING INSTRUCTIONS 8510027759Important Tax EnclosedReturn $9a Your percentage of total distribution $9b Total employee $ contributions $9a Your percentage of total distribution %$9b Total employee contributionsDocument % RECIPIENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal codeRECIPIENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal codeAccount number (see instruc.) 11 1st year of desig. Roth contrib. $ 10 Amount allocable to IRR within 5 yearsAccount number (see instruc.) 11 1st year of desig. Roth contrib. $ 10 Amount allocable to IRR within 5 years$17 Local tax withheld 15 State/Payers state no. $ 16 State distribution $ 14 State tax withheld 15 State/Payers state no. $ 16 State distribution14 State tax withheld$ 18 Name of locality $ 19 Local distribution $17 Local tax withheld 18 Name of locality $ 19 Local distribution8510019239 (keep for your records) www.irs.gov/Form1099R DepartmentThis information Copy C For Recipients Records Internal Revenue of the ServiceTreasury Copy B income This information is being furnished to the IRS. www.irs.gov/Form1099R Report this tax withheld income is being on in your box furnished 4, federal attach to tax this the copy IRS.return. If to your return.this form shows federal1099 R - Copy CAPEX PS1159 1099 R - Copy BTFP 5178ZFold ZFoldVFold1A VOID CORRECTED (if checked) OMB No. 1545-0112 851019247 S2020 APEX PS361 1A PAYERS name, stret adres CORRECTED (if checked) 1 OMB No. 1545-0117 APEX PS350PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.Payers RTN (optional)A 1Interest income Form1099-INT , city or town, state or province, country, ZIP or foreign postal code, and telephone no. $ Original issue discount for Form$ (Rev. January 2022) IInntceoremset this year 1099-OID2 $ Early withdrawal penalty For calendar year Copy 2 TFP 5502 $ 2Other periodic interest (Rev. October 2019)year Original DiscountIssue201099-INTFor calendarMW350 1099-OID20 PAYERS TIN RECIPIENTS TIN 3 $ Interest on U.S. Savings Bonds and Treas. obligations PAYERS TIN RECIPIENTS TIN $ 3Early withdrawal penalty $ 4Federal income tax withheld Copy 24 6 Federal income tax withheld 7 5Investment expenses esion To beRECIPIENTS name, Stret adres (including apt. no.), City or town, state or province, country, and ZIP or foreign postal code$ 5 7 Market discount $ 6Acquisition premium To be filedstatewithMW361RECIPIENTS name, Street address (including apt. no.), City or town, state or province, country, and ZIP or foreign postal code $ Foreign tax paid $ Foreign country or U.S. pos incomeled statewith Description recipients8 $ Tax-exempt interest $ 9Speci\x1fed private activity bond interest recipients tax required.return, income tax$ return, whenired.whenrequPRINTED IN USA1 $0Market discount 1 $ 1Bond premium 8Original issue discount on 9Investment expensesO FATCA \x1fling 12 1 Bond premium on Treasury obligations 15 1 $ 3Bond premium on tax-exempt bond 1 $ $ 7State tax withheld O Account number (see instructions) FATCA$ 10 $ U.S. Treasury obligations no. $ $ 11Tax-exempt OID $ $bond CUSIP and tax credit requiremfilingent State13State identification Account number (see instructions) requirement $4Tax-exemptno. State16State identi\x1fcation no. 12 Bond premium 14State tax withheldG Form 1099-INT www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service GForm 1099-OID (Rev. 10-2019) www.irs.gov/Form1099OID Department of the Treasury - Internal Revenue ServiceCORRECTED (if checked)PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.Payers RTN (optional) OMB No. 1545-0112 PAYERS name, stret adres CORRECTED (if checked) 1 OMB No. 1545-0117Form1099-INT $ tothis year*issue discount for Form 1099-OID, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Original 1 2 $ $ $ Interest income (Rev. January 2022) IInntceoremset PAYERS TIN RECIPIENTS TIN 5 3 $ $ 2 * This may on not your be on income the the correct back.taxfigure $ 6 4 (Rev. October 2019)year Original DiscountIssueFor calendar year reportreturn.Early withdrawal penalty 20 See instructionsinterest For calendar Copy B Other periodic20income tax withheld Copy BPAYERS TIN RECIPIENTS TIN 3Interest on U.S. Savings Bonds and Treas. obligations For Recipient Early withdrawal penalty Federal RECIPIENTS name, Street address (including apt. no.), City or town, state or province, country, and ZIP or foreign postal code $ 6 4Federal income tax withheld $ 7 5Investment expenses esion This is important taxis RECIPIENTS name, Stret adres (including apt. no.), City or town, state or province, country, and ZIP or foreign postal code$ 7 Market discount $ Acquisition premium For Recipientinformation and theForeign tax paid Foreign country or U.S. pos being furnished you return, Description This is important taxIRS.to arerequired to \x1fle If a negligence sanction penalty may be information and isrequirem\x1flingent 1 8 $0 $ Tax-exempt interest 13 $ $ 9 $ Speci\x1fed private activity bond interest 1 $ $ a other7 or Account number (see instructions) requiremfilingent 8 $ 10 $ U.S. Treasury issue discount obligationson no. $ $ 11 9Investment expenses $ $ being furnished the IRS determines that return, a negligenceto file aretoa$ imposedOriginalthe required 1Market discount 11Bond premium income is on taxable you if andthis IRS. If you it has not been reported. FATCABond premium Tax-exempt OID imposedor FATCA12Bond premium on Treasury obligations 15 Bond premium on tax-exempt bond State tax withheld 12State13State identification14State tax withheld penalty on you isifotherbesanction may Account number (see instructions) $4Tax-exempttax credit State16State identi\x1fcation no. this income bond CUSIP and no. taxable and the that IRSitdetermines has not repobeenrted.Form 1099-INT (keep for your records) www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service Form 1099-OID (Rev. 10-2019) (keep for your records) www.irs.gov/Form1099OID Department of the Treasury - Internal Revenue ServiceSEE REVERSE SIDE FOR OPENING INSTRUCTIONSFirst-Class MailImportant Tax ReturnDocument EnclosedZFoldAPEX - Sheets per packTFP - Forms per pack500s500sFORM DESCRIPTIONPS351511511" 1099-INT Copy BZ-Fold Simplex1 Page Equals 1 Form*PS361550211" 1099-INT Multiple Account Copy BZ-Fold Simplex1 Page Equals 1 FormPS352N/A11" 1099-DIV Copy BZ-Fold Simplex1 Page Equals 1 Form* PS360N/A11" 1099-B Copy BZ-Fold Simplex1 Page Equals 1 FormPS355N/A11" 1099-G Copy BZ-Fold Simplex1 Page Equals 1 Form*PS350N/A11" 1099-OID Copy BZ-Fold Simplex1 Page Equals 1 FormPS284517711" 1099-R 4-Up Box Copy B, C, 2, 2V-Fold Duplex1 Page Equals 1 FormPS1159517811" 1099-R 4-Up Box Blank w/ InstructionsV-Fold Duplex1 Page Equals 1 Form45'