b'PRE-PRINTED AND BLANK 1099 FORMSPRESSURE SEAL 1099 | 1098 | 5498 FORXMXXS1A 8102591 APEX PS1304 APEX PS1240 1A 8102591 APEX PS814RBA S2032B A S2032BTFP 5503 TFP 5504 TFP 5225RLRPSB LRPSBForm 1095-C (2020) 600320 3Page Part IIICovered Individuals(e) Months of coverage1A 8510 S2035 2747If Employer provided self-insured coverage, check the box and enter the information for each individual enrolled in coverage, including the employee.PRINTED IN USA PRINTED IN USA(a) Name of covered individual(s) DOB (if SSN or other (d) CoveredFirst name, middle initial, last name (b) SSN or other TIN (c) TIN is not available)all 12 monthsJan Feb Mar Apr May June July Aug Sept Oct Nov Dec www.irs.gov/Form1099R CORRECTED (if checked)OMB No. 1545-0119 21 www.irs.gov/Form1099R CORRECTED (if checked)OMB No. 1545-0119 21 Form 1099-R Form 1099-R18 A 1 Gross distribution 2a Taxable amount Distributions 1 Gross distribution 2a Taxable amount DistributionsAnnuities, From Retirement Plans, Pensions, IRAs, or Annuities, From Retirement Plans, Pensions, IRAs, or$ $ Prot-Sharing $ $ Prot-Sharing12 Insurance Contracts, etc. 2b Taxable amount Tiosttarilbutiond 12 Insurance Contracts, etc. MW12402b Taxable requirement Date of payment requirement19 not determined amount Tiosttributiond al FATCA Filing13 not determined FATCA Filing13Date of paymentPAYERS name, stret adres, city or town, state or province, country, ZIP or foreign postal code, and phone no.PAYERS name, stret adres, city or town, state or province, country, ZIP or foreign postal code, and phone no.2021 PAYERS TIN RECIPIENTS TIN PAYERS TIN RECIPIENTS TIN22 3 Capital gain (included 4 Federal income tax withheld 5 Employee 3 Capital 4 Federal income tax withheld 5 Employee$ $ IRA/ $ or insurance contributionsRothpremiums contributions $6 Net unrealized securities appreciation $ 7 Distribution code(s) SIMPLE S $ or insurance contributionsRothpremiums contributions O Oin box 2a) /Designated in box2a)gain (included /Designated23 6 Net unrealized securities appreciation7 Distribution code(s) SIMPLE S 8 Other % in employers IRA/8 Other %in employers EP/ EP/O G 24 O G $9a Your percentage of total distribution % $ 9b Total employee$contributions $9a Your percentage of total distribution % $ 9b Total employee$contributions G GRECIPIENTS name, stret adres (including apt. no.), city or town, state or province, country, and ZIP or foreign postal codeRECIPIENTS name, stret adres (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code2526Account number (see instructions) 11st year of desig. Roth contrib. $ 10Amount allocable to IRR within 5 yearsAccount number (see instructions) 15 11st year of desig. Roth contrib. $ 10Amount allocable to IRR within 5 years27 14 State tax withheld 15 State/Payers state no. $ 16 State distribution 14State tax withheld 18 State/Payers state no. $ 16State distribution$17 Local tax withheld 18 Name of locality 19 Local distribution $17Local tax withheld Name of locality 19Local distribution28 $Copy 2 $ Department $ Copy 2 $ Internal Revenue of the Service TreasuryFile this income copy tax with return, yourstate,whencity,required. or Internal Revenue of the Service Treasury File this income copy tax with return, yourstate,whencity,required. or Departmentlocal local29 O G www.irs.gov/Form1099R CORRECTED (if checked)OMB No. 1545-0119 21 www.irs.gov/Form1099R CORRECTED (if checked) 21 G OForm 1099-R Form 1099-R Department of the Treasury Internal OMBRevenue No.Service1545-011930 41-0852411 1095CIRSC Form (2020) 1 Gross distribution $ $ 2a Taxable amount T 12 Distributions From Pensions, or $ 1 Gross distribution $ 2a Taxable amount Tl 12 Distributions From Pensions,InsurancePlans, IRAs, etc. InsurancePlans, IRAs, or RetirementProt-SharingRetirement Annuities, Contracts,RAA #1607 1095-C 2b Taxable doisttarlibution requirement Annuities, Contracts, 2b Taxable doisttaribution Prot-Sharingetc.not determined amount FATCA Filing13Date of payment not determined amount FATCA Filing13Date of paymentrequirementPAYERS name, stret adres, city or town, state or province, country, ZIP or foreign postal code, and phone no.PAYERS name, stret adres, city or town, state or province, country, ZIP or foreign postal code, and phone no.PAYERS TIN RECIPIENTS TIN PAYERS TIN RECIPIENTS TINFROM: 3 Capital 4 Federal income tax withheld 5 Employee 3 Capital 4 Federal income tax withheld5 Employee FROM:$ $ IRA/ $ or insurance contributionsRothpremiums contributions $unrealized appreciation $ 7 Distribution code(s) SIMPLE S $ or insurance contributionsRothpremiums contributionsin box2a)gain (included /Designated in box2a)gain (included /DesignatedIRA/6 Net unrealized securities appreciation7 Distribution code(s) SIMPLE S $8 Other % $6 Netin employers securities EP/ $ 8 Other %in employers EP/$9a Your percentage of total distribution 9b Total employee contributions 9a Your percentage of total distribution 9b Total employee contributionsPRINTED IN USARECIPIENTS name, stret adres % $ RECIPIENTS name, stret adres % $ (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code(including apt. no.), city or town, state or province, country, and ZIP or foreign postal codeFirst-Class Mail Important Tax Document Enclosed First-Class MailSEE REVERSE INSTRUCTIONS SIDE FOR OPENING SEE REVERSE INSTRUCTIONS SIDE FOR OPENINGImportant Tax Document EnclosedAccount number (see instructions) 15 11st year of desig. Roth contrib. $ 10Amount allocable to IRR within 5 yearsAccount number (see instructions) 15 11st year of desig. Roth contrib. $ 10Amount allocable to IRR within 5 years14State tax withheld State/Payers state no. 16State distribution 14State tax withheld State/Payers state no. 16State distribution$17Local tax withheld 18Name of locality $ 19Local distribution $17Local tax withheld 18Name of locality $ 19Local distribution$ $ $ $Copy C For Recipients Records Department income withheld on inyourattachtax thisreturn. If tothisformshows This federalThis information is being furnished to the IRS. Internal Revenue of the Service Treasury Copy B Report thisistax being incomebox the IRS.copyyourreturn. infor-(keep for your records) mationfurnished to 4,federalAPEX PS814RBTFP 5225REccentricEccentric ZFold ZFoldThis proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reect paper or ink match. Please review your proof carefully. This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reect paper or ink match. Please review your proof carefully.1A Instructions for Payer/Borrower A h b d a P h ops.ceuercarthtai vtinreapdhoeoi nuostrsin) gon a o B B m 9 red th in .t w Ifo o 851019243 ed r-epdauidc tipbole. Se S2020 APEX PS356 1A o A Y is n Instructions for Student o F a rn r for a l a yn claim. f oy.uorur T e af B e ( 1 B B in li oc - x P theelG o te aiso n ilsn s,oc m reeediPot ura ban.ld l 9 oc7f e0trh.yetain a 851019 S 246 2020 APEX PS359Eccentricco upsrpienorsersaotsnio,(nrien)cc weluihdvoein digs faero n\x1fmgn aaygoneucdi a ailnt inlaes attsritatu dt$ieo6 n0o,0r abo guf osmivnoeerrstngsma agenend t,ai nli ntue rntehitse, t a c(innodcu lrsuode iyno Bcroiqgx2. Shows the outstandinhego m wpoosr rtttghgeaage origination. e crdoeuudc, iato torio ntnhelopirnmesr tsi1tou0nt4i o0wn ho orin1 cw0a4hn0i c-chSla Ryimo. uT y hoairsue saetsan traeo mldleeednp,teonhrda bes ynb ta,e nemn ia nyfsu ubrrneeis ra hwbeldhe o tt oomycalokaueim sb ya na ne deulicgaibtlioen gxilbu 5lde. in Segdh otuhcwoasst eitoh nneao ltt o irnteasplt iootufrt taeioldlns.b cTyhh toehl aear simnhsoiptuistnu tto ioor fng )sr acmnhtaosylaarrdesdhmuipicnsei so tterh rege radam natnosud pf nortr o otchfe etsh sceea edled nbudyc aathrt iyeoenara c oogfu oxui 3niae Sdhoe2slo 0ath2ne1 , i nds ah2toe0w 2o1sf ,tthshe m rincip gmael o porrtngin tachgipee am lp oarinsrt cgoifpa gathel e a asds ao otfeft hJoafe no duriaagtrieynao1tf ,i o2an0c.q2 Ifu1 it.s hIifet ito hrnee.c mipioerntgt/alegnederotheIfryboour rorewceerivse, dfu trhniiss hs taetaecmh eonfttahsetohtehe pra byoerr roowfresent his or her share of the Boaxd e4 .i nD aopnroiotrcr mylue da1er0po4a0r )yr.teNoarro s adjustment to your prior year(s) tax return(s) is necessary. For TFP 5116 A recrdeqirtd,u ssir.e eTedotP osue bseu. 970, F uaif8lya863, and the Instructions for Forms 1040 and 1040-SR edIdPuu:cc aaYtotiioounn maallaaayss bssieiss ttaaabnnlcceee to(ini n inicnclucrdoeaminsgee in the yearTFP 5117any one mortgage in the calendar year must furnish this statement trercso wrdit ho nin farormism oearnttitgoiatnleg ade b otoonu d tw ethhdieuc hcp t rtoohnperleyertahree a S mcahye dhauvlee1to ( Finodeduct this aa.m lyfu otnuhte .i t Iebt moisx iz a4e r dae mfdueondduun (cto torio ncn rsteh dienitO )t hftoehr e yroevianercr(ops)ma yyemoue linpntae(sido) f o thyf oeinu irnte t2ere0rs2et1s ty,o yuou re e imbursements piofp ry oorreutfuaqo ndyslc of ifmoqu r faaol ri\x1f cearedndetiutd,i utaiocnnad ti aofonnrdch rreeelldpa ittie.n dRceeatxlacpiunel natshtieinssgs ttotha etye omaume. onTuth nfiostros ytatement credit you claim for the year.cormanbtsin)i tei fdi st h vreeac lsueteuiv odefe dan.n tFienodcr udlucedat seMW356 1098 1098-Tistoruibnutt ihoenoorfsahmeo puanitdsarenpdo prtoeidnt os np tahidisbfyor mth.eEsaecleZFold am e rb tohrarto wreeep mtoe nint calugdeen ciny,inyocoum mea aysnhoat rbe eof m ired to be reported to you. Ger paid teihnntisseryfareolaymr, cr Your institsul etisro otn muinclude its name, addres, and informatnio em a as qteuiroevnsicsti eoo npf srto havebidoeurt. Box 6. Shows a npdtrj iuoosrf t mayeneayn r.at slYl ootowuasmbchlaeoy lt auhriastvihoeinp t saono\x1fdrl e gf eareansnatsdm efeodnur dacet ipdorn iino ocr roy eemaderu .tc aTahxti iosrae ntm ucrorneu dn(Fitt o mtromdnyo Ifau ymnot ouaurl nlomtw oraerptbgloaer gtaeesd paain yd mbeodexnu tc4st. iowne. reE ascuhb bsiodrirzoewd ebry m aa gy ohvaevrn Booxre 5 i.n fIfo ramn aatmioonu, nste iesPreupbo 9rt3e6d a inn dth Iitse mboizxe, di tD meadyu cqtuioanli fyR etoc obvee trrieesa tien dP uabs .d 5e2d5u.ctible mortgageam mn contact telephone hat youPub. 9 he IRS.(TIN). FINor,oyro uErI Np)r.o Hteocwtioevne, rt,h tihs efo irsmsuer for o \x1fgure the amount you can deduct.Pub. MW359 hsee tn ste.t raIvtc icmt eta hpyerao\x1flvsleiodreoirnr c mtlhuaedyes becerov naicbtaelec pttrioon vfaoindrmsewr aeftoiror c exrptain cl0oa4xim0 7Xe.) d Sf ofhoror t whthesew esee- haamlf othuen tns.ormal(Fbolerm t o13 0d6e4 ad0n)u dcfo trPtuhhboe .w a5 mt3oo5 .ruenpt oorfttthheesmuobrstgidayg. eS einet etrhees ti.n sAtlrsuoc, tfioonr sm foorre S icnhfoerdmualet ioAn, ,C se, oer E intoexr e6s.t N. Soet ea ltlh peo i2n0ts2 1a rSe crheepdourlteab Ale to you. Box 6 show (Form 1040) instructios npso ainntsdyPouub .o r9 3th6e. sel thuletmh sobtueagtrhe om tnhe enth ti\x1f, da ontoetmt con ect the amouprhioert hyeear rth. e amount in box 1 includes amounts for ana cademic peritheestbheae p spoisui norctsf h yaaorseue r f oruefl lsyyi oddeuenr dpcuerci.nt icObitplhea eiln rrepthsoieidn yetsen canero p tt ahreiadtp,aobrrutee tdr ey oiqnuubmoxu s6tsmuabytr aaclsto s beeld maayye srhso/Bwo ornolyw tehre sla tsat xfopuary edrig iditse notf iyocuart iToInN n u(SmSbNe, rITIN, AT p iasigned to B e th Bmay use this bo e nacso tmhepleted. P B d f B requirements for (and how to \x1fgure) any education credit that youR d n " p pr igned to 1 F beginning January-March 2022. See Pub. 970 for how tograetp leorats ttohB c B tA Box B3o6xr t7s. I/bf othrero awdedrrse,s sei othf etrh eth pe rboopxe rhtya ss ebceuernin cg htehcek medo, rotgr abgoex i s8 t hhea ss bame Students taxpayer identication number (TIN). For your protection, this forhmsuis e mbr aohyxa ,ss yhoouwr fuool beereenrpr recoAaicsscti on 1gu.un Shows the mortgage interest paye ren xti98meSS hwhooowwrksslowwadhhee fttohhree yrroyyuooruu caaorrueerscceoo nnossf iisddteeurrdeedyd attoot tbhee h caroylrlinteindg gin nii nzase dtpitr ugotrgiaoradnm.u al teea-dleinvge l teo daucationalrepoitsr htne udymo yuboreu arr.cccMooamuynp tsl.ehtoe wT IaNntaoc tc oreucnet ivoer do tbhye rth uen irqeuceip nieunmt/lbeenrd tehre d leunridnger t hhea syear. This Box 8. Shows the addres scphlyoo rotthle edwlaaysso tun rfoo ctu oar mbdpliegl eittotse opTfrIo Nyv oidtuore tTihtI.eNCI R(oSSnS.t aNCc,a t IuTytIoiNou,nrA: sTcIfIh Nyoo, ouolr r i fTE yIINNo u)i.shH novowetesqvhueoerw,s tnthi oienn s ist.aPRINTED IN USAamount includes interest on any obligation secured by real property, including a mortgage, e p mooxrt g9.a gIfe m. Iof roen tlhya onn oen per oppreoprteyr stye csuerceusr eths eth loe alnx , ttoh igsi vbeo yxo mu aoyt hbeerbinlafonrkm. ation, such as real Aicosxction 1gu.u nSits hhno uywmosub rteh are.ctcMootauaynltsp.haoywm eannts a creccoetoidvetrhdeol absteyedap nae yxempligeeinnbstlees s er delceuescsiav etaiunt or other unique number the \x1fler as grroaexdd eu1an0tt.ie aS ld.heogwres et,h ger atodtuaal taem-leovuenltcoef rtrei\x1ficmabteur, soer mote.an Tnthsyeoe rda urmecofauutnniodtn socfo rrfe eqdimuita byliou\x1freusd ecmane nctlas imorfroerf uthnedsho equr,i ttaoyri nl os cnor description of theo apnro, psheortwy ss ethceu rninugm tbheermoof prtrgoapgeer.ti es securing the rreofmun dasn ym saoduer cdeu frionrg q 2u0a2li\x1f1e tdh attu riteiolant ea n fu orit itohe nacnadle rnedlaatr eyde aexr pmeanys eresd mucaed eth beyaamno iunsntu roefreveloppalmyym eine nctes on yda rul eriinimnsgbti tu2ur0sti2eo1mn.einn t2s0 o2r1 on alrlce, ruo pmr asliyntamen eocnfe tscs. roedni ta. Tbhuisy daomwonunmt dorotegsa gneo.tS iuncclhu daem poouinnttss , agreo vdeerndmucetnibtl es ubbys iydoyuPRINTED IN USAIf rreeyop puaa iipddrieanpmtaeoiredusn itntmtine ar2eys0 tb2 ie1n e in2vce0ln2u 1dth teohdau tign ha bc icot rxmu e1ad.y Hbinoe wf uinelvc beluryd,Jeyaodn uui nca rbayno n1x o51t,.d2e0d2u2c, tth tihse Bso otxat 1e 1ta. I he,e io recipient/le piepnatid a fcroqmui reeds ctrhoew m. ortgage in 2021, shows the date of acquisition. Booxx32Reesseerrvveeddffoorrffuuttuurreeuussee or ye year (may result in arunntc sitn.io cFnroser,atssheue c ilnhaattaesxs l t eliiganbifsoillraimtytio afotni ro etnnh aaebc oyteeudatrd aofter thex 10. Txf etsh ntre inressutr arenccien der w0uw9tuw8r.-ieTrsda.genovdve i/tlFosop irnmmset1098T. f the remyf uewnnedtsr)e. r eplautbelids hteod F, ogrom toFuture developments. For the latest informattieorn t haebyo wute dree pveulbolpismheedn,t sg ore tlaot ewdw two .Firos.rgmo v1/0F9o8rm a1n0d98. qu m oew fori1 o0ri9 y8e-aT federal tax preparation, e-\x1fling, and direct deposit or payment options.If you hold a iin dmteeonrcretesgt,awygoeau s c cpraeadniid toocnelny rt aid\x1f mecdaouterctg ta atnhgdee , c inhatone mrceelsa tie mpq authiidtey omlon aoanrct,gq oaurg isleiin tiieno tnoe frin ecdsrtee bcdrtitee sddeintc,e ussesree, daFnbodyr ma qi\x1f F itr s ensgtir,l eua.c nGtidoo nd tsior,eswcutw cdhwe a.pirsos s.lgeitog ovisr/l aFptraieoyenmF eielenn att ocot pesdteieo an iffs y. ou qualify for no-cost online federal tax preparation,Boaxol ui4\x1fne. tdS m htuaoitwyi orsne ad naunyc deardaejnulayst teamdl r enxtap mbealneds eee dsbu ytch aaatnt iow enlei grceirbe rldeei pteo dtrhutaectd ay tooionunaac llp ainrimiosterit duy etfoiaorrnFt h dreeeduction. r.a(Tmrh faiosyr FreeFile. Go to www.irs.gov/FreeFile to see if you qualify for no-cost online 83ua9 l6m . eIafdy thrbeees subject to a deduction limitation. e-\x1fileinF aeusbu.l t9 i7n0 a tno i nrecpreoarst eairne dtauxc tliioabn iliinty y foourr t heed uyceaatri oonftchree dreit founr dtu).i tSioenea"nredc faepetsu orm ar in the index toyouRECIPIENTS/LENDERS name, stret adres CORRECTED (if checked) OMB No. 1545-1380 Mortgage, city or town, state or province, country, ZIP or foreign postal code, and telephone number deductible*amount Interest FILERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number1Payments OMB No. 1545-1574 Caution:andThe by theyou.amount cost Limits and shownbasedvalue may of onthenot thesecuredbe loan fullypropertytopaid may the by apply. extent you, Also,andit wasnotyou incurred reimbursed may only byyou,deduct by Statement tuition andreceivedrelatedexpensesfor quali\x1fed CORRECTED (if checked)interestactually1 another person. FORM1098 Copy B $ 2 TuitionRECIPIENTS/LENDERS TIN PAYERS/BORROWERS TIN $ Mortgage interest received from payer(s)/borrower(s)* For Payer/Borrower FILERS employer identi\x1fcation no. STUDENTS TIN 3 $ Form 21 Statement2 Outstanding mortgage principal 3 Mortgage origination date 1098-TO PAYERS/BOROWERS name, stret adres, (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code $ $ 4 Refund of overpaid interest $ 5 Mortgage insurance premiums 9 Theis 11 is important in boxes 1 through or O STUDENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code $ 4 6 Adjustments made for a 5 $ 7 Scholarships or grants tax Copy B I G andinformationtax information G prior year For Student$ 6 Points paid on purchase of principal residence andyou are being requiredpenalty furnished ontoa if the IRS. If Adjustments Checkedif the amount This is importantnegligencetootherreturn, a and the\x1flesanctioninformationmay be imposed thatyou the IRS of for a prior yearorto grants academic January RS.determines anunderpayment1 O Service Provider/Acct. No. (see instructions) 8C hh ae lfc -tikmeedisf taudt leenatst $ 9 scholarships $ 10 amounts an- be Form furnished istobeing O Gaddress, deduction thismortgage interestora beginning This form mustor the address or description is entered in box 8. tax results becauseyou overstated in box 1includes forperiodused 8863 to complete to claim7 If address theofbox property is checked, securing mortgage is the same as PAYERS/BORROWERS andfor these for points, reported in boxes the graduate student March 2022reimb./refund education credits.2018, All rights reserved.6; orclaimed4); or reportitem.preparerrefundof interest a younondeductible8 Address or description of property securing mortgageyoubecause (box didntbecause Checked if a Ins. contract taxGive it to the or9 Number of properties securing the mortgage10 Other 11 Mortgage acquisition date G Form1098-T (keep for your records) www.irs.gov/Form1098T Department of the Treasury - Internal Revenue Service prepareuse there titu tax rton.Account number (see instructions)Form 1098 (Keep for your records) www.irs.gov/Form1098 Department of the Treasury - Internal Revenue ServiceFirst-Class Mail First-Class MailPROOF 2; 6-25-2020 SEE REVERSE SIDE FOR OPENING INSTRUCTIONS DocumentTaxEnclosed PROOF 1; 3-4-2020 SEE REVERSE SIDE FOR OPENING INSTRUCTIONS DocumentTaxEnclosedImportantReturn ImportantReturn8510019243 8510019246FACE ZFold FACE PERFS AS MARKED.APEX Sheets per packTFP Forms per pack500s500sFORM DESCRIPTIONPS1304550314" Printed 1099R 3-Up Horizontal Copies B, C, 2EZ-Fold Simplex1 Page Equals 1 Form PS814RB5225R14" 1099R 4-Up Box Blank With Instructions1 Page Equals 1 Form PS1240550414" Printed 1099R 4-Up Box Copies B, C, 2, 2EZ-Fold Duplex1 Page Equals 1 Form PS358N/A11" Printed 1099S Copy BZ-Fold Simplex1 Page Equals 1 FormPS356511611" Printed 1098 Copy BZ-Fold Simplex1 Page Equals 1 FormPS354N/A11" Printed 1098E Copy BZ-Fold Simplex1 Page Equals 1 FormPS359511711" Printed 1098T Copy BZ-Fold Simplex1 Page Equals 1 FormPS379N/A11" Blank 1098TZ-Fold Simplex1 Page Equals 1 FormPS357550511" Printed 5498 Copy BZ-Fold Simplex1 Page Equals 1 Form47'